About this template
A Criminal Conviction Declaration Form is an essential compliance tool used by organizations during hiring, onboarding, or credentialing processes. It allows applicants or candidates to truthfully disclose any past criminal convictions while providing the necessary context for HR and legal teams to evaluate candidacy fairly and safely.
This Doc2Form template streamlines the collection of sensitive disclosures by gathering complete contact details, offense specifics, court jurisdictions, and formal acknowledgments in a structured, secure format. By standardizing this disclosure process, organizations can maintain clear records, protect organizational safety, and ensure consistent vetting across all candidate submissions.
Built for seamless deployment, this Google Form template eliminates messy paperwork and manual tracking. Whether you are vetting employees for sensitive roles, screening volunteers, or onboarding contractors, this form provides a professional, transparent way to collect mandatory declarations while respecting respondent privacy.
Key features
- Collect mandatory background disclosures cleanly and securely.
- Gather detailed offense, court, and sentencing context when applicable.
- Include formal legal certification and applicant signature acknowledgments.
- Standardize screening across all job applicants or volunteers.
- Easily export submission data for review by legal and HR teams.
Use cases
Pre-employment background screening for sensitive corporate or govern…
Pre-employment background screening for sensitive corporate or government roles.
Volunteer onboarding for youth programs, schools, and non-profit orga…
Volunteer onboarding for youth programs, schools, and non-profit organizations.
Licensing and professional certification application processes.
Contractor vetting for secure facilities and financial institutions.
What this form collects
- Full Name (Short answer)Enter your first, middle, and last name as it appears on official government identification.
- Date of Birth (Date)Select your date of birth.
- Current Residential Address (Paragraph)Enter your street address, city, state, and ZIP code.
- Phone Number (Short answer)Enter the best phone number to reach you.
- Email Address (Short answer)Enter your primary email address for follow-up communications.
- Criminal Conviction Declaration (Multiple choice)Do you have any criminal convictions that have not been expunged, sealed, or set aside under statutory provisions?
- Conviction Date (Date)If you answered 'Yes' above, please provide the date of conviction. Otherwise, you may leave this blank or enter N/A.
- Offense Description (Paragraph)Provide a brief description of the offense(s) for which you were convicted.
- Court Jurisdiction (Short answer)Specify the city, state, or federal court where the conviction occurred.
- Sentence / Disposition (Paragraph)Describe the sentence, fine, probation, or other disposition resulting from the conviction.
- Additional Information (Paragraph)Provide any additional context or rehabilitation details you would like to share regarding your record.
- Certification and Acknowledgment (Short answer)By typing your full legal name below, you certify that all information provided in this declaration is true, correct, and complete to the best of your knowledge. You understand that providing false or misleading information may result in disqualification from consideration or termination of engagement.
- Signing Date (Date)Select today's date.
FAQ
What is a criminal conviction declaration form?
It is an official document used by organizations to collect truthful disclosures from applicants regarding any past criminal convictions as part of a background check or compliance process.
How do I use this template with Doc2Form?
Simply click to use this template, and Doc2Form will instantly generate a ready-to-use Google Form in your Google Drive account, which you can customize or send out immediately.
Can I add custom questions for specific roles?
Yes! Because the template is created directly in Google Forms, you can easily add, remove, or modify questions to match your organization's specific legal or compliance requirements.
Is the information collected through this form secure?
All responses are stored securely in your organization's Google Drive account, protected by Google's robust cloud security and access controls.
Who typically fills out this declaration form?
Job applicants, prospective volunteers, independent contractors, or candidates undergoing pre-employment screening complete this form as part of the onboarding process.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.