Criminal & Civil History
Important Notice — La. R.S. 4:422.1(C)The Division MUST refuse to issue or renew, or SHALL suspend or revoke, a certificate of registration if it determines the applicant has ever (1) pled guilty or no contest to, or been convicted of, fraud, embezzlement, felonious theft, any crime involving moral turpitude, or misappropriation of funds; or (2) made false, misleading, deceptive, or fraudulent statements of a material nature.
Criminal History
Have you ever pled guilty, pled no contest to, or been convicted of any crime involving fraud, embezzlement, felonious theft, moral turpitude, or misappropriation of funds?
Revealed when 'Yes':
For each: Crime Name | Law Enforcement Agency | Jurisdiction | Date of Conviction or Plea | Sentence/Penalty Imposed.
Have you ever been convicted of, or pled guilty or no contest to, any other felony or misdemeanor not listed above?
Are any criminal charges currently pending against you?
Background-check consent is collected on the final signature screen (Screen 11).
Civil History
Have you been a defendant or respondent in any civil proceeding within the preceding fifteen (15) years?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.
Have you been adjudicated legally incompetent within the preceding fifteen (15) years?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.
Do you have any unsatisfied judgments or judgments of continuing effect (including alimony or child support arrears)?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.
Have you been adjudicated bankrupt, or owned a business that was adjudicated bankrupt, within the preceding ten (10) years?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.
Has there been any administrative or judicial determination that you made false, misleading, deceptive, or fraudulent representations?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.
Have you ever been suspended or expelled from an educational institution?
Revealed when 'Yes':
For each: Nature of the Matter | Court/Tribunal | Jurisdiction | Date | Disposition/Outcome.