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How to fill out the FL Criminal Self-Reporting Document online

The FL Criminal Self-Reporting Document is a vital form required by individuals who hold a professional license in Florida. This guide provides clear, step-by-step guidance for filling out the form online, ensuring a smooth and accurate submission.

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

  1. Press the ‘Get Form’ button to access the document and open it in the editor.
  2. Begin by entering your last name (surname), first name, and middle name in the appropriate fields.
  3. Provide your date of birth in the designated section.
  4. Fill in your current address, including the state and zip code.
  5. Enter your city of residence.
  6. Input your home telephone number and cell phone number.
  7. List all professions for which you hold DBPR licenses.
  8. Include your email address in the specified field.
  9. List all relevant professional license numbers associated with your DBPR licenses.
  10. Indicate whether you have pled guilty or nolo contendere to any crime in any jurisdiction by checking the appropriate box (yes or no).
  11. State whether you have been convicted or found guilty of any crime in any jurisdiction, again checking yes or no.
  12. For each crime you have pled guilty or nolo contendere to, or for which you were convicted or found guilty, provide the following information: name of court, address of court, case number, date of plea or conviction, and name of crime. There are sections for up to three offenses, and if you have more than three, attach an additional sheet.
  13. At the bottom of the document, provide the date.
  14. Sign the form as the licensee.
  15. Once you have completed all fields, review the document for accuracy, then save changes, download, print, or share the completed form as needed.

Ensure your compliance by completing the FL Criminal Self-Reporting Document online today.

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