Autogenomics 2026

1. Click ‘Get Form’ to open the autogenomics document in the editor.
2. Begin with Section I, where you will enter your printed name and provide authorization for criminal conviction history checks. Ensure you understand the implications of this section before signing.
3. Fill in your personal information, including your last name, first name, middle name, alias, maiden name, date of birth, and social security number. Double-check for accuracy.
4. Proceed to Section II. The employer must complete this section by entering their name and certifying agreement for the criminal conviction history check. They should also sign and date the form.
5. In Section III, record the results of the criminal conviction history check and registry checks as required. This includes noting any convictions and confirming eligibility for hire based on these results.

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