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Criminal affidavit form 2026

The document is a Criminal History Self Disclosure Affidavit from the Arizona Department of Economic Security, requiring individuals to disclose any criminal convictions or pending indictments as part of a background check for employment or licensing related to unsupervised access to vulnerable persons. It outlines the consequences of failing to provide accurate information, details on non-appealable and appealable offenses, and rights regarding background check reports.

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Click ‘Get Form’ to open the criminal affidavit form in the editor.
Begin by entering your full name in the designated field, ensuring accuracy for identification purposes.
Input your date of birth in the format MM/DD/YY. This is crucial for background checks.
Fill in your complete address, including street number, city, state, and ZIP code.
Select one of the options regarding your criminal history. If you have convictions, provide detailed information as requested.
Indicate whether you are subject to registration as a sex offender and understand the implications of this status.
Review all sections carefully to ensure that all information is true and complete before signing.
Sign and date the affidavit at the bottom. Ensure that a notary public witnesses your signature if required.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (207 Votes)
2015	4.2 Satisfied (54 Votes)
2014	4 Satisfied (28 Votes)
2009	3.9 Satisfied (57 Votes)

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