Conviction and/or Administrative Action History – Letter (v) of this subheading asks if you have ever been: (1) arrested and/or convicted (which may include paying a fine, or forfeiting bond or collateral) of an offence involving driving when intoxicated by, while impaired by, or while under the influence of alcohol or a drug; or (2) arrested, convicted and/or subject to an administrative action by a state or other jurisdiction for an offence for which your license was denied, suspended, cancelled or revoked or which resulted in attendance at an educational or rehabilitation program. Individual traffic arrests and/or convictions are not required to be reported if they did not involve: alcohol or a drug; suspension, revocation, cancellation or denial of driving privileges; or attendance at an educational or rehabilitation program.
Letter (w) of this subsection asks if you have ever had any other (nontraffic) convictions (e.g. assault, battery, public intoxication, robbery, etc.) convictions. If so, name the charge for which you were convicted and the date of conviction in the EXPLANATIONS box.