Search Virginia.gov:

Acronym Dictionary

Below are the currently available forms and applications which apply to the programs and services of the Virginia Department of Criminal Justice Services. The list will continue to grow to meet the needs of our constituents.

DCJS forms are provided in several formats. Each format has different capabilities:

• .doc files are Microsoft Word files. If you have Word installed on your computer, information can be entered on the form, and the completed version can be saved and printed.You can also view these files with the Microsoft Word Viewer, a free plug-in from Microsoft.
• .htm files are regular web pages. If you can read this page, you can read .htm pages and no additional software is required. Some of these forms may be interactive and can be submitted electronically. Others will have to be printed off and filled in by hand.
• .pdf files are Adobe Acrobat Reader files. The files can be viewed and printed from the website if you have the free Adobe Acrobat Reader plug-in installed on your computer. Most of these files must be completed by hand and cannot be modified on your computer. The majority of forms are provided in this format.
• .rtf files can be saved, modified, and printed in most all word processing applications like Microsoft Word and Corel WordPerfect.
• .xls files are Microsoft Excel files. If you have Excel installed on your computer, information can be entered on the form, computations will be made automatically, and the completed version can be saved and printed. You can also view these files with the Microsoft Excel Viewer, a free plug-in from Microsoft.

Correctional Services
Grant Guidelines
CCCA/PSA Program Guide for FY 2009-20010		PDF   DOC	22 pages
	Grant Application Face Sheet	PDF   DOC	2 pages
	Itemized Budget	PDF   XLS	2 pages
	Grant Application Checklist	PDF   DOC	1 page
	FY 2009 PSA Program Targets	PDF   DOC	1 page
	FY 2010 PSA Program Targets	PDF   DOC	1 page
	FY 2009 CCCA Program Targets	PDF   DOC	1 page
	FY 2010 CCCA Program Targets	PDF   DOC	1 page
Miscellaneous/Technical Assistance
Model Budget Narrative		PDF   DOC	8 pages
Monthly Reports
Comprehensive Community Corrections Act (CCCA) Monthly Report		PDF   DOC	3 pages
	Reporting Requirements & Instructions	PDF	18 pages
Pretrial Services Act (PSA) Monthly Report		PDF   XLS	4 pages
	Reporting Requirements & Instructions	PDF	18 pages
Substance Abuse Screening (SSI) & Assessment (ASI) Monthly Report		PDF   DOC	4 pages
Transfer Request Form		PDF   DOC	1 page
	Monthly Transfer Report Form	PDF   DOC	1 page
ORTS
2009 ORTS Program Guide		PDF   DOC	9 pages
ORTS Evaluation Report Plan		PDF   DOC   XLS	2 pages
ORTS Grant Application Face Sheet		PDF   RTF	1 page
ORTS Quarterly Progress Report		PDF   DOC	2 pages
Quarterly Progress Reports
CCCA & PSA Quarterly Progress Report		PDF   DOC	6 pages
	Instructions	PDF   DOC	2 pages
RSAT
Program Work Plan		PDF   DOC	1 page
Quarterly RSAT Project Level Performance Report		PDF   DOC	2 pages
	Instructions	PDF   DOC	1 page

Employment Opportunities
Applications
Commonwealth of Virginia Employment Application (10-012)		PDF   DOC	3 pages

Finance
Miscellaneous
Substitute W-9		PDF   DOC	1 page

Forfeited Asset Sharing Program
Miscellaneous
Annual Certification Report and Sharing Agreement		PDF   DOC	2 pages
	Instructions	PDF   DOC	2 pages
DCJS-998 Form - Asset Seizure Reporting Form		PDF   DOC	1 page
	Instructions	PDF   DOC	2 pages
DCJS-999 Form - Seized Property Disposition Sharing Decision Form		PDF   DOC	1 page
	Instructions	PDF   DOC	2 pages
DCJS-999 Supplemental		PDF   DOC	pages

Grants Administration
599
Certification of Eligibility		PDF   DOC	2 pages
Non-Supplanting Certification		PDF   DOC	1 page
Byrne
FY 2008 Byrne Justice Assistance Grant Program Guidelines		PDF   DOC	25 pages
Project Goals and Objectives Form		DOC	1 page
General Grant Applications & Reporting
Budget Amendment Request		HTM
	Instructions	HTM
Certifications Regarding Lobbying; Debarment; Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements		PDF   DOC	2 pages
Evaluation Plan Report		PDF   DOC	1 page
General Grant Conditions & Assurances (Attachment A)		PDF   DOC	5 pages
Grant Application		PDF   RTF	1 page
	Instructions	PDF   DOC	1 page
Itemized Budget		PDF   RTF   XLS	2 pages
	Instructions	PDF   DOC	3 pages
Program Work Plan		PDF   DOC	1 page
Project Goals and Objectives Form		DOC	1 page
Quarterly Financial Report		HTM
	Instructions	HTM
Quarterly Progress Report		PDF   DOC	1 page
Request for Funds		HTM
	Instructions	HTM
Subgrant Financial Report for Project Income		PDF   XLS	1 page
	Instructions	PDF   DOC	2 pages
Workplan Status Report		PDF   DOC	1 page
Homeland Security Program Grants
Non-Supplanting Certification		DOC	1 page
Quarterly Progress Report		DOC	pages
Request for Funds & Project Expenditure Report		XLS	1 page

Juvenile Services
ChildFirst
2009 Application		DOC	8 pages
Training Tape Release - Child Advocacy Center		PDF   DOC	1 page
Training Tape Release - Department of Social Services		PDF   DOC	1 page
Training Tape Release - Law Enforcement		PDF   DOC	1 page
Children's Justice Act Program
Multidisciplinary Team Case Tracking Sheet		DOC   RTF	1 page
Court Appointed Special Advocate Program
CASA Form A - Annual Statistical Report		PDF   DOC	2 pages
CASA Form A(1) - Annual Report Attachment		PDF   DOC	1 page
CASA Form B - Annual Report Narrative		PDF   DOC	1 page
CASA Form C - Annual Financial Status		PDF   DOC	1 page
CASA Form D - Annual Fiscal Year Revenue		PDF   DOC	1 page
Juvenile Accountability Block Grant
JABG Locality Quarter Progress Report		PDF   DOC	4 pages
JABG Program Allocation Plan		PDF   DOC	1 page
JABG Program Purpose Areas		PDF   DOC	2 pages

Law Enforcement Services Section
Byrne-JAG (Non-SRO)/Anti-Gang Grants
Byrne-JAG Grant Quarterly Progress Report		PDF   DOC	2 pages
Certified Crime Prevention Community
Resolution of Participation Form		PDF   DOC	2 pages
Crime Prevention Specialist
Crime Prevention Specialist Certification Application (Form A)		PDF	1 page
Crime Prevention Specialist Recertification Application (Form B)		PDF	1 page
Crime Prevention Specialist Regulations (2003)		PDF   DOC	12 pages
Law Enforcement Terrorism Prevention Program (LETPP)
Allowable Training Costs		PDF   DOC	2 pages
Commonwealth of Virginia State Strategy (SVSS)		PDF   DOC	19 pages
Drawdown Equipment List		DOC	1 page
FY2006 LETPP Declaration Form		PDF   DOC	8 pages
FY2006 LETPP Drawdown Certification List (example)		PDF   DOC	1 page
FY2006 LETPP Grant Procurement Guidelines		PDF   DOC	8 pages
FY2006 LETPP Initial Strategy and Procurement Form (ISPF) Page 1 of 2		PDF   DOC	1 page
FY2006 LETPP Initial Strategy and Procurement Form (ISPF) Page 2 of 2		PDF   DOC	1 page
FY2006 LETPP Pay Accounting Sheet		PDF   DOC	1 page
FY2006 LETPP Progress Report		PDF   DOC	8 pages
Project Expenditure Form		XLS	1 page
Regional Crime Information Sharing Networks
Memorandum of Understanding (MOU) between local jurisdictions and Public Colleges/Universities		PDF   RTF	pages
Memorandum of Understanding (MOU) between Network Jurisdictions and the Grant Lead Jurisdiction		PDF   RTF	pages
Regional Crime Information Sharing Networks Phase III guidelines		PDF   DOC	13 pages
Sample Directives
Sample Directives Comment Form		PDF   RTF	2 pages
Sample Directives for Virginia Law Enforcement Agencies		HTM
School Resource Officers
2008 School Resource Officer (SRO) Incentive Grant Program		HTM
	Grant Guidelines	PDF   DOC	16 pages
Annual Lessons from the Field Report		DOC   RTF	2 pages
SRO Contact Sheet		HTM
SRO Quarterly Progress Report		DOC   RTF	2 pages
The Virginia SRO Program Guide (2004 Edition)		PDF   DOC	197 pages
VA Law Enforcement Professional Standards Commission
Agency Profile		PDF	5 pages
New Agency Application		PDF	7 pages
VLESPC Waiver		DOC	1 page

Office of Campus Policing and Security
Miscellaneous
Campus Information Collection Form		PDF   DOC	1 page

Private Security Services
Bail Bondsman
Fingerprint Application Instructions		PDF   DOC	3 pages
Property Bail Bondsman Monthly Outstanding Report		PDF   DOC	2 pages
PS_RF2BB - Bail Bondsman Firearms Endorsement Replacement/Additional Category Application		PDF   DOC	1 page
PS_RFBB - Bail Bondsman Firearms Endorsement Application		PDF   DOC	1 page
PSS_ARCBB – Additional Bail Bondsman License Category Application		PDF   DOC	1 page
PSS_BA - Initial Bail Bondsman License Application		PDF   DOC	3 pages
PSS_BR - Renewal Bail Bondsman License Application		PDF   DOC	2 pages
PSS_BRF - Recovery Form		PDF   DOC	1 page
PSS_CVF - Property Collateral Verification		PDF   DOC	2 pages
PSS_FP - Fingerprint Processing Application		PDF   DOC	3 pages
	List of Acceptable Documents to Verify Legal Presence	PDF   DOC	1 page
PSS_MPBB – Bail Bondsman Duplicate/Replacement Photo ID Application		PDF   DOC	1 page
PSS_RAF - Recovery Authorization Form		PDF   DOC	1 page
PSS_TCRBB - Title Certificate Report		PDF   DOC	2 pages
Bail Enforcement Agent
PSS_EA - Initial Bail Enforcement Agent License Application		PDF	2 pages
PSS_ER - Renewal Bail Enforcement Agent License Application		PDF	1 page
PSS_RF - Firearms Endorsement Application		PDF	1 page
Business
Business Compliance Inspection Form		PDF	1 page
PSS_AC2 - Address Change Form for Businesses		PDF	1 page
PSS_BD - Bond		PDF	1 page
PSS_CD - Compliance Agent Designation and Acceptance Form		PDF	1 page
PSS_IRC - Irrevocable Consent for Service Form		PDF	1 page
PSS_LA - Initial Business License Application		PDF	2 pages
PSS_LC - Additional License Category Application		PDF	1 page
PSS_LR - Renewal Business License Application		PDF	3 pages
Compliance Agent
PSS_CA - Initial Compliance Agent Training & Certification		PDF	2 pages
PSS_CT - Compliance Agent In-Service Training Enrollment		PDF	2 pages
PSS_WC - Compliance Agent Certification Application and Online Training Exemption Form		PDF	2 pages
Fingerprint Processing
DCJS Fingerprint Cards Order Form		HTM
Fingerprint Application Instructions		PDF   DOC	3 pages
PSS_CHS - Criminal History Supplemental Form		PDF	1 page
PSS_CHW - Criminal History Waiver Application		PDF   DOC	1 page
PSS_FP - Fingerprint Processing Application		PDF	2 pages
	List of Acceptable Documents to Verify Legal Presence	PDF   DOC	1 page
Instructor
PSS_FI - Firearms Instructor In-Service Training Enrollment		PDF	2 pages
PSS_GE - General Instructor Entry Level Training Enrollment		PDF	1 page
PSS_GI - General Instructor In-Service Training Enrollment		PDF	1 page
PSS_IA - Initial Private Security Instructor Application		PDF	3 pages
PSS_IR - Renewal Private Security Instructor Application		PDF	2 pages
Locksmith
PSS_LTW - Locksmith Training Waiver		PDF	1 page
Miscellaneous
2007 Harold L. McCann Memorial Award Nomination Form		PDF	2 pages
Notice of Private Security Services Advisory Board Vacancy		PDF   DOC	3 pages
PSS_C - Private Security Service Complaint Form		PDF	2 pages
PSS_CC - Credit Card Authorization Form		PDF   DOC	1 page
PSS_CE - Optional Technical Assistance Training Enrollment		PDF	1 page
PSS_ER - Request for Extension Form		PDF	2 pages
PSS_FR - Private Security Services Firearms Discharge Report		PDF	1 page
PSS_IAC - Individual Address Change Form		PDF	1 page
PSS_WA - Partial Training Exemption Application - Entry Level		PDF	3 pages
PSS_WA - Partial Training Exemption Application - In-Service		PDF	2 pages
Private Crime Prevention Practitioner
PCPP - Fingerprint Processing (PSS_FP)		PDF	2 pages
PSS_JC - Certification Application		PDF	1 page
PSS_JE - Enrollment Application		PDF	1 page
Registration
PSS_ARC - Additional Registration Category Application		PDF	1 page
PSS_MP2 - Duplicate/Replacement Photo ID Application		PDF	1 page
PSS_RA - Initial Private Security Registration Application		PDF	1 page
PSS_RF - Firearms Endorsement Application		PDF	1 page
PSS_RR - Renewal Private Security Registration Application		PDF	2 pages
Special Conservator of the Peace
PSS_SCBD - Special Conservator of the Peace Surety Bond Form		PDF	1 page
PSS_SCOPID - Special Conservator of the Peace Duplicate/Replacement Photo ID Application		PDF	1 page
PSS_VA - Initial Registration Application		PDF	2 pages
PSS_VR - Renewal Registration Application		PDF	2 pages
Training School
PSS_AC2 - Address Change Form for Schools		PDF	1 page
PSS_BD - Bond		PDF	1 page
PSS_IRC - Irrevocable Consent for Service Form		PDF	1 page
PSS_SC - School Staff Change Form		PDF   DOC	1 page
PSS_SD - School Director Designation and Acceptance Form		PDF	1 page
PSS_SMS - Subject Matter Specialist and Guest Lecturers Form		PDF	2 pages
PSS_SR - Electronic Roster Submittal Authorization Application		PDF	1 page
PSS_TA - Initial Training School Application		PDF	4 pages
PSS_TCF - Training Completion Form		PDF	1 page
PSS_TCR - Training Completion Roster Application		PDF	2 pages
PSS_TR - Renewal Training School Application		PDF	4 pages
PSS_TSN - Training Session Notification Form		PDF	1 page
Training School Add Category		PDF	2 pages
Training School Compliance Inspection Form		PDF	2 pages
Training School Session Inspection Form		PDF	2 pages

Research Center
Criminal Justice Record System Improvement Program
2004 Criminal Justice Record System Improvement Application Procedures		HTM
2004 Criminal Justice Record System Improvement Program Guidelines		PDF   DOC	25 pages
2005 Criminal Justice Record System Improvement Application Procedures		HTM
2005 Criminal Justice Record System Improvement Program Guidelines		PDF   DOC	25 pages
2005-2006 Criminal Justice Record System Improvement Application Procedures		HTM
2005-2006 Criminal Justice Record System Improvement Program Guidelines		PDF   DOC	25 pages
2006-2007 Criminal Justice Record System Improvement Application Procedures		HTM
2006-2007 Criminal Justice Record System Improvement Program Guidelines		PDF   DOC	25 pages

Standards & Training
Instructors
Application for Instructor Certification & Recertification		PDF   DOC	1 page
I-P: Instructor Patch Order Form		PDF   DOC	1 page
Miscellaneous
21: Initial Appointment		PDF   DOC	1 page
31: Employment Update		PDF   DOC	1 page
Training & Credit
B-13: Field Training for Law Enforcement		PDF   DOC	1 page
CC-1: College Course In-Service Credit Application		PDF   DOC	1 page
CC-2: College Course In-Service Credit Attest		PDF   DOC	1 page
CP-1: Field Training for Civil Process Service Officers		PDF   DOC	1 page
CS-1: Field Training for Court Security Officers		PDF   DOC	1 page
D-1: On-the-Job Training: Dispatchers		PDF   DOC	1 page
J-1: Field Training for Jailors		PDF   DOC	1 page
PIC-1: Individual Partial In-Service Credit		PDF   DOC	1 page
TE: Request for Training Extension		PDF   DOC	1 page
Waivers & Exemptions
W-1: Application for Waiver of Minimum Qualifications		PDF   DOC	1 page
W-2: Application for Exemption from Virginia Compulsory Minimum Training Standards		PDF   DOC	2 pages

Victims Services
Miscellaneous
Confidentiality Provisions		HTM
Program Change Form		PDF   DOC	1 page
Victim Assistance Directory Update Form		PDF	1 page
Virginia Crime Victim Assistance INFO-LINE Fact Sheet		PDF   DOC	1 page
Sexual Assault
FY 2002-2003 Sexual Assault Grant Guidelines & Applications		HTM
FY 2004-2005 Sexual Assault Grant Program Application Procedures		HTM
FY 2004-2005 Sexual Assault Grant Program Guidelines		PDF	15 pages
FY 2008-2009 Sexual Assault Grant Program Application Procedures		HTM
FY 2008-2009 Sexual Assault Grant Program Guidelines		PDF   RTF	15 pages
Sexual Assault Grant Program Codebook		PDF   DOC	14 pages
Sexual Assault Grant Program Monitoring Report		PDF   DOC	8 pages
Sexual Assault Grant Program Semi Annual Progress Report		PDF   DOC	4 pages
Terrorism Victims
Support Assistance Funds for 9/11 Terrorist Attacks		HTM
V-STOP
V-STOP Calendar Year 2005 Grant Guidelines & Application Information		HTM
V-STOP Calendar Year 2008/2009 Grant Guidelines & Application Information		HTM
V-STOP Reporting Forms		HTM
Victims & Witnesses
2007 Victim/Witness Program Codebook		PDF   DOC	33 pages
Crime Victim & Witness Rights Card - Blank Version		PDF	2 pages
Crime Victim & Witness Rights Card - INFO-LINE Version		PDF	2 pages
FY 2002 Victim/Witness Grant Program Application Procedures		HTM
FY 2002 Victim/Witness Grant Program Guidelines		PDF   DOC	17 pages
FY 2003-2004 Victim/Witness Grant Program Application Procedures		HTM
FY 2003-2004 Victim/Witness Grant Program Guidelines		PDF   DOC	16 pages
FY 2005-2006 Victim/Witness Grant Program Application Procedures		HTM
FY 2005-2006 Victim/Witness Grant Program Guidelines		PDF   DOC	17 pages
VSDVVF - Prosecution Grantees
2007-2008 Prosecution Guidelines and Application Procedures		HTM
2007 Quarterly Progress Report Form for Prosecution Grantees		PDF   DOC	5 pages
	2009-2010 Program Codebook for Prosecution Grantees	PDF   DOC	27 pages
VSDVVF - Victims Services Grantees
2007-2008 Competitive Grant Guidelines and Application		HTM
2009-2010 Competitive Grant Guidelines and Application		HTM	pages
Quarterly & Final Progress Report Form for Victims Services Grantees		PDF   DOC	13 pages
	2009-2010 Program Codebook for Victims Services Grantees	PDF   DOC	32 pages

Virginia Center for School Safety
Office of Campus Policing and Security
Campus Information Collection Form		PDF   DOC	1 page
School Security Officers
Application for Certification as an SSO		PDF   DOC	1 page
Application for Re-Certification as an SSO		PDF   DOC	1 page
Partial In-Service Credit Form		PDF   DOC	1 page
	Policy Guidelines for Issuance Of Partial In-Service Credit	PDF   DOC	3 pages
Permission for Extension		PDF   DOC	1 page
Training Class Request Form		PDF   DOC	1 page

Virginia Law Enforcement Professional Standards Commission
Miscellaneous
Agency Profile		PDF	5 pages
VLEPSC Application Package		PDF	12 pages