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

One (1) format is provided: Adobe Reader 9.0 or later - Interactive PDF format.

The Adobe Interactive PDF allows you to type your information into the application and save a copy on your computer for your personal records. The customer is required to print, sign and return the application to our office at the address provided.

If you have Adobe Acrobat software installed on your PC, please make sure that you open the file using Adobe Reader. Some versions of Adobe Acrobat 8.0 or older will cause errors when using this application.

You will need to have version 9.0 or later of Adobe Reader installed on your computer. If you do not, then you will need to download the current Adobe Reader, which is free, before working with any PDF files. This is a onetime process which will then permit you to view and print these and other .PDF formatted publications on the Web.

Note that there is a link for Web Policy in the footer portion of all pages on this web site. This page contains links to all plug-ins that may be required to view information on this web site.

Rules for Accepting Applications

DPOR Boards only accept the current versions of the applications provided below. DPOR Boards are not responsible for processing delays associated with forms that do not conform to this requirement. Application fees are not refundable.

Application Forms

The table below contains a list of forms and applications to be used when applying for a license or certification. Please choose the form you need by clicking on the appropriate PDF Format icon.

Form Name or Type	PDF Format
License/Intern Registration 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.
Supervisor Endorsement Form
Polygraph School Curriculum Approval Application
Polygraph Examiners Candidate Information Bulletin