18 NCAC 07B .0411 NOTICE OF CHANGES REGARDING CRIMINAL HISTORY RECORD
The form for notice of changes in criminal history record requires:
(1) the name of the individual;
(2) if a commissioned notary public, the notary's commission number;
(3) the last four digits of the individual's SSN;
(4) contact information for the individual;
(5) for a previously unreported criminal charge:
(a) the date of the charge;
(b) the court in which the charge is filed;
(c) whether the charge is for a felony or misdemeanor;
(d) the name of the charge;
(e) whether the charge has been set for a hearing or trial and, if yes, the scheduled date; and
(f) the case number;
(6) for notice of a disposition of a criminal charge:
(a) the date of the disposition;
(b) the name of the court and the case number;
(c) if the disposition resulted in a conviction:
(i) whether the conviction was for a felony or misdemeanor; and
(ii) the sentence imposed;
(d) a copy of the disposition document or judgment;
(e) a copy of any document restoring citizenship rights;
(7) a declaration under penalty of perjury that the information provided is true and complete to the best of the affiant's knowledge and belief; and
(8) the signature of the individual and the date signed.
History Note: Authority G.S. 10B-4;
Eff. July 1, 2024;
Amended Eff. July 1, 2025.