Contents -


Applicant Information (LP)


Complete the following information about the applicant.
Has applicant ever been convicted for a violation of any law or ordinance (except parking violation)?
Select either Yes or No by using the radio button next to the field ().
 
If the answer to the above question is Yes, complete the information for the following fields:
Conviction Description
Enter a description for the conviction in this notes field if the answer to the previous question is Yes.
Signature Present?
Select either Yes or No by using the radio button next to the field ().
Signature Date
Enter the date in this field using the format MM/DD/YYYY