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SP-24 National Criminal Background ... - Virginia State Police

SP-24 Rev. 12-01-2016 National Criminal Background Check for Employees or Volunteers Providing Care to Children, the Elderly and Disabled Instructions to the Applicant/Volunteer and Business/Organization: Applicant must provide name, address and date of birth and must declare his or her Criminal record information and sign in Section I. ONE Applicant fingerprint cards (FD-258) must be completed and attached to this form. Business/Organization must complete all information in Section II. Record payment information in Section III.

SP-24 Rev. 12-01-2016. National Criminal Background Check for Employees or Volunteers . Providing Care to Children, the Elderly and Disabled . Instructions to the Applicant/Volunteer and Business/Organization: Applicant must provide name, address and date

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