Answers to the following question will be considered for employment purposes if relevant to the position for which you are applying.
Question: have you ever been CONVICTED of an offense against criminal or military law, or are there criminal charges currently pending against you?
Excluded: exclude minor traffic violations or any offense settled in juvenile court or under a youth offender law.
If you answered "Yes": provide a detailed explanation below about the nature of the conviction, degree of rehabilitation and time since release.
| Question | Answer |
|---|---|
| Form Name | CT-13 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 20 |
| Avg. time to fill out | 4 min |
| Other names | CT-13, CT13, CT-HR-13, Addendum to the Application for Examination or Employment, Criminal Convictions Addendum |
| Edition | Rev 8/7/25 |
| Who signs | Applicant signature required |
| Matches the agency's file | Yes, checked October 7, 2026 |
| Official source | CT-13 (Rev 8/7/25), State of Connecticut |
CT-HR-13 Form isn’t the one you’re looking for?