Follow the steps to successfully complete the IL Per D 199.4 form.

1. Click the 'Get Form' button to access the IL Per D 199.4 form and open it in the designated online editor.
2. Enter your full name in the designated field. Make sure to type it clearly and accurately.
3. Provide your Social Security Number in the appropriate format, separating numbers with dashes as indicated.
4. If applicable, answer ‘YES’ to questions #1 and/or #2 on the front page of the Secretary of State Employment Application. If you respond affirmatively, you will need to give explanations. Complete this section thoroughly.
5. For any criminal convictions, fill out the corresponding fields: list the charges, location of the offense, date of conviction, sentence, and a detailed explanation of the nature of the crime.
6. If you have been discharged from employment, provide the name and address of your employer, along with the dates of your employment, job title, date of action, and a brief explanation of the circumstances surrounding your discharge.
7. Review all the information provided for accuracy. If you need more space, attach additional pages as necessary.
8. Save your changes, and then you can download, print, or share the completed form once it is finalized.

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