DCJS

Virginia Department of Criminal Justice Services

Forms & Applications
 

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
2007 ORTS Program Guide PDF   DOC   10 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
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
Annual Certification Report and Sharing Agreement PDF   DOC   2 pages
  Instructions PDF   DOC   2 pages

Grants Administration
599
Certification of Eligibility PDF   DOC   2 pages
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 2008 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

Juvenile Services
Children's Justice Act Program
Multidisciplinary Team Case Tracking Sheet DOC   RTF   1 page
Court Appointed Special Advocate Program
CASA Form A - DCJS Quarterly Report Attachment PDF   DOC   1 page
CASA Form A - Quarterly Statistical Report PDF   DOC   2 pages
  Instructions PDF   DOC   3 pages
CASA Form B - Annual Statistical Report PDF   DOC   2 pages
  Instructions PDF   DOC   3 pages
CASA Form B - DCJS Annual Report Attachment PDF   DOC   1 page
CASA Form C - Annual Summary Narrative PDF   DOC   1 page
CASA Form D - Annual Financial Status PDF   DOC   1 page
CASA Form E - Annual Projected Program Budget PDF   DOC   1 page
Finding Words Virginia
2008 Application DOC   3 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
Juvenile Accountability Block Grant
2007 One Time Special Funding Initiative Application Kit PDF   DOC   10 pages
JABG Budget Amendment Request for Locals PDF   DOC   1 page
JABG Budget Amendment Request for Rurals PDF   DOC   2 pages
JABG Final Progress Report PDF   DOC   2 pages
JABG Locality Quarter Progress Report PDF   DOC   4 pages
JABG Performance Measures Quarterly Report Supplement PDF   DOC   49 pages
  Definitions PDF   DOC   11 pages
  Definitions Addendum PDF   DOC   7 pages
  Instructions PDF   DOC   1 page
JABG Performance Measures with Explanation PDF   DOC   70 pages
JABG Purpose Areas PDF   DOC   1 page
JABG Quarterly Financial Report for Locals PDF   DOC   7 pages
JABG Request for Funds PDF   DOC   1 page
JABG Rural Juvenile Justice Initative 2003 Application Kit PDF   DOC   10 pages
  Instructions PDF   DOC   10 pages
JABG State Agencies 2007 Application Kit PDF   DOC   17 pages
  Memo PDF   DOC   1 page
Juvenile Justice System Assessment PDF   DOC   8 pages
Juvenile Justice & Delinquency
2005 Juvenile Justice and Delinquency Prevention Title II One-Time System Improvement Grant PDF   DOC   22 pages
2006 Juvenile Justice Grant Funds Application Kit PDF   DOC   40 pages
Juvenile Justice Grant Funds Application Kit 2007 PDF   DOC   34 pages
Title II JJDP Act 2004 Application Kit PDF   DOC   68 pages
Title V JJDP Act 2003 Application Kit PDF   DOC   63 pages

Law Enforcement Services
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
LETPP
Allowable Training Costs PDF   DOC   2 pages
Commonwealth of Virginia State Strategy (SVSS) PDF   DOC   19 pages
FY2006 LETPP Declaration Form PDF   DOC   8 pages
FY2006 LETPP Drawdown Certification List (example) PDF   DOC   1 page
FY2006 LETPP Drawdown Certification List (form) 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
Regional Crime Information Sharing Networks
Memorandum of Understanding (MOU) between local jurisdictions and Public Colleges/Universities PDF   RTF   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 Standard Compliance Form PDF   1 page
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
BR Instructions - Renewal Instructions PDF   DOC   1 page
FP Instructions - Fingerprint Application Instructions PDF   DOC   3 pages
Property Bail Bondsman Affidavit PDF   1 page
Property Bail Bondsman Monthly Outstanding Report PDF   DOC   2 pages
PSS_BA - Initial Bail Bondsman License Application PDF   DOC   3 pages
PSS_BR - Bail Bondsman Licensure Renewal PDF   DOC   2 pages
PSS_CVF - Property Collateral Verification PDF   DOC   2 pages
PSS_FPBB - Bail Bondsman Fingerprint Application PDF   DOC   2 pages
PSS_TCR_BB - Title Certificate Report PDF   DOC   2 pages
Bail Bondsmen
PSS_FPBEA - Bail Enforcement Agent Fingerprint Processing Application 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
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    
PSS_CHS - Criminal History Supplemental Form PDF   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