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Box 1300Richmond, VA23218 Doc TemplateDocHub 2025

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The document is a Criminal History Supplemental Form from the Commonwealth of Virginia's Department of Criminal Justice Services. It outlines the requirements for applicants to provide detailed information about their criminal convictions, including dates, jurisdictions, and compliance with court sanctions. The form emphasizes the importance of honesty in reporting and warns that misrepresentation may lead to denial or criminal charges. Additionally, it requires supporting documentation for each conviction and includes an affirmation section for the applicant's signature.

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