Get Fl Criminal Self-reporting Document 2019-2026

The FL Criminal Self-Reporting Document is a crucial form for users needing to report criminal convictions or pleas to the Florida Department of Business and Professional Regulation. This guide will provide step-by-step instructions to ensure that users can complete the form accurately and efficiently.

Follow the steps to fill out the FL Criminal Self-Reporting Document online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your last name (surname), first name, and middle name in the designated fields.
3. Provide your full address, including the city, state, and zip code.
4. Fill in your home and cell telephone numbers, along with your email address.
5. List all DBPR licenses held in the profession(s) section.
6. Enter your date of birth in the specified format.
7. Input all professional license numbers in the corresponding fields.
8. Indicate whether you have pled guilty or nolo contendere (no contest) to any crime by checking 'Yes' or 'No'.
9. Answer whether you have been convicted or found guilty of any crime by checking 'Yes' or 'No'.
10. If applicable, provide the name of the court, address of the court, case number, date of plea or conviction, and name of the crime for each conviction.
11. If you have more than two convictions to report, attach an additional sheet containing the required information.
12. Ensure that you sign and date the form before submission.
13. After completing the form, save your changes, and consider downloading, printing, or sharing the document as needed.

Complete your FL Criminal Self-Reporting Document online today.