CRIMINAL RECORD REQUEST
SECTION 1 | PERSONAL INFORMATION
1.1 - Surname: Carillo
1.2 - Forename: Valentina
1.3 - Gender: Female
1.4 - Contact Number: 793-2042
1.5 - Current Address: Bluegrass Recovery HQ, Blueberry.
1.6 - Copy of ID:
SECTION 2 | CRIMINAL RECORD REQUEST INFORMATION
2.1 Reason of request (Select one)
[X] A company requires my record for the position I am applying for. Please print what company on part 2.3.
[] I want to have a copy for my own personal reference.
[] Other (State reason):.
2.2 - Company/Organization requiring the record: The Emergency Medical Team at the Fire Department.
SECTION 3 | DECLARATION[/SIZE]
I, Valentina Carillo, certify that all the information provided within this request is accurate to the best of my knowledge and I understand that withholding information or providing false information will result in my application being denied and discarded and that it could possibly lead to legal action being pursued in regards to §221.000 Obstruction of Justice as defined within the San Andreas Penal Code.
I acknowledge that criminal record requests cannot be performed by a third-party unless that third-party is a certified employer that is legally authorized to request criminal record checks on applicants and current employees within their organization or business. All the information that I have provided in this document is of my own and I am not filing illegally for a third party.
VALENTINA CARILLO
SECTION 1 | PERSONAL INFORMATION
1.1 - Surname: Carillo
1.2 - Forename: Valentina
1.3 - Gender: Female
1.4 - Contact Number: 793-2042
1.5 - Current Address: Bluegrass Recovery HQ, Blueberry.
1.6 - Copy of ID:
SPOILER:
SECTION 2 | CRIMINAL RECORD REQUEST INFORMATION
2.1 Reason of request (Select one)
[X] A company requires my record for the position I am applying for. Please print what company on part 2.3.
[] I want to have a copy for my own personal reference.
[] Other (State reason):.
2.2 - Company/Organization requiring the record: The Emergency Medical Team at the Fire Department.
SECTION 3 | DECLARATION[/SIZE]
I, Valentina Carillo, certify that all the information provided within this request is accurate to the best of my knowledge and I understand that withholding information or providing false information will result in my application being denied and discarded and that it could possibly lead to legal action being pursued in regards to §221.000 Obstruction of Justice as defined within the San Andreas Penal Code.
I acknowledge that criminal record requests cannot be performed by a third-party unless that third-party is a certified employer that is legally authorized to request criminal record checks on applicants and current employees within their organization or business. All the information that I have provided in this document is of my own and I am not filing illegally for a third party.
VALENTINA CARILLO
