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Department of Professional and Occupational Regulation

Board for Polygraph Examiners


Forms and Applications



Important Notice for Applicants

Applicants for Licensure must read the Board regulations for the profession or occupation for which they are requesting licensure.

Go to the Board's main web page for information on the Rules and Regulations of this Board.

Application Format Information

You must have the Adobe Acrobat Reader in order to view and print the Adobe Acrobat PDF files or you may use Microsoft Word version 7.0 or higher to open and edit (fill in) the MS Word Format forms. You can obtain the Adobe PDF Acrobat Reader or the Word Viewer from the Plug-ins page.

Important Information about Acceptance of Applications

DPOR Boards will only accept application forms that print out exactly as the ones provided on this site. If the form does not print out on your printer as it appears on the screen, you should contact the appropriate Board office to request that a copy of the application form be sent to you through postal mail. DPOR Boards will not be responsible for delays resulting from use of forms printed from this Web site (e.g., request that a form be resubmitted on a proper form).

Application Forms

The table below contains a list of relevant forms and applications for Business entities related to this board. Please choose the row and column for the form you need, and open the file by clicking on the icon for the MS Word format or the icon for the PDF Format.

Form Name or Type MS Word Format PDF Format
License/Intern Registration Application Get Word Version of License/Intern Application Get PDF Version of License/Intern Application

Internship Completion and License Exam Form

NOTE: If you are applying for examination as a federal employee or member of the military, pursuant to board regulation 18 VAC 120-30-90, you are not required to complete this form.  Please complete the License/Intern Registration Application.

 Get Word Version of Intern Completion & License Completion Form Get PDF Version of Intern Completion & License Completion Form
Supervisor Endorsement Form Get Word Version of Supervisor Endorsement Form Get PDF Version of Supervisor Endorsement Form
Polygraph School Curriculum Approval Application Get Word Version of School Curriculum Approval Application Get PDF Version of School Curriculum Approval Application
Polygraph Examiners Candidate Information Bulletin   Get PDF Version of Candidate Information Bulletin

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Copyright © 2000 Virginia Department of Professional and Occupational Regulation
This web page was last updated: 09/24/2007 01:42:18 PM