PLEASE INCLUDE ALL OF THE FOLLOWING FOR TIMELY PROCESSING:

•Date(s) of Arrest(s)

• Date(s) of conviction(s) (year and month)

• Place of conviction

• What you were convicted of (example: Assault, theft, possession of cocaine)

• Number of counts

• Misdemeanor or felony

• If a felony, class A, B or C

•State jurisdiction for conviction i.e. Federal, State or Municipal Conviction.

• County of conviction.
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