Yes! You can use AI to fill out Form 501A, Fantasy Contest Operator Personal Information Form (Commonwealth of Virginia, VDACS Office of Charitable & Regulatory Programs)
Form 501A is a personal disclosure and authorization form required as part of the initial registration to operate fantasy contests in Virginia under the Virginia Fantasy Contests Act (§59.1-556 et seq.). Each covered individual (such as an officer, director, partner, trustee, principal executive, or any person with 15% or more financial interest) must complete a separate form so VDACS can investigate eligibility and compliance. The form includes personal identifiers, 10-year residential and employment history, background questions, and financial interest disclosures, and it requires supporting documentation such as a criminal history report and an authority-to-release-information authorization. Submitting complete and accurate information is important because omissions or misrepresentations can lead to denial, revocation, or penalties.
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Form specifications
| Form name: | Form 501A, Fantasy Contest Operator Personal Information Form (Commonwealth of Virginia, VDACS Office of Charitable & Regulatory Programs) |
| Number of pages: | 5 |
| Filled form examples: | Form VA Form 501A Examples |
| Language: | English |
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How to Fill Out VA Form 501A Online for Free in 2026
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Follow these steps to fill out your VA FORM 501A form online using Instafill.ai:
- 1 Confirm you are a covered individual for the applicant (e.g., officer/director/partner/executive or 15%+ owner) and gather required documents, including a criminal history report for each jurisdiction where you lived in the last 10 years.
- 2 Enter your personal identifiers and contact details (legal name, citizenship, SSN, gender, date of birth, physical and mailing address, phone, and email).
- 3 Complete Section B (Residential History) by listing all physical addresses for the past 10 years with city, state, and date ranges.
- 4 Complete Section C (Employment History) by listing your current and prior employment for the past 10 years, including employer name, address, title, dates, and duties.
- 5 Answer Section D (Personal Background) yes/no questions and upload explanation sheets and supporting documents for any “Yes” responses; indicate whether criminal history searches were requested and attach the signed Authority to Release Information Form.
- 6 Complete Section E (Financial Interest) by disclosing any 15%+ ownership/control and any other fantasy-contest-related business relationships or financial interests in the past 10 years, attaching explanation sheets where required.
- 7 Review the disclaimers and affidavits, sign and date the form, ensure any required notarization is completed for the Authority to Release Information Form, and submit the full application package and fee to VDACS at the address provided.
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Frequently Asked Questions About Form VA Form 501A
Form 501A is the Personal Information Form that must be submitted as part of the initial application to register as a Fantasy Contest Operator in Virginia. VDACS uses it to obtain and investigate background, employment, residence, and financial interest information for key individuals connected to the applicant.
Each officer, partner, director, trustee, principal salaried executive staff officer, member, or partner must complete a separate Form 501A. It also must be completed by any individual/owner with a 15% or greater financial interest (debt or equity) in the applicant.
You must submit one Form 501A per required individual. If multiple people meet the criteria (e.g., multiple officers or 15%+ owners), each person must complete and sign their own form.
A completed criminal history report must be attached to each person’s Form 501A or the registration will not be processed. You must also attach a signed “Authority to Release Information Form” and any required explanation sheets for “Yes” answers (or where the form instructs).
VDACS will not process the registration if a criminal history report is missing for any required individual. Make sure each person’s form includes their own completed report.
You must request a criminal history search from the appropriate authority in each jurisdiction where you have lived during the past ten years. The form instructs you to request that each jurisdiction send the results directly to the VDACS address listed on the form.
Yes, you must provide the physical addresses (with city, state, and time period) where you resided during the previous ten years. If you need more space, attach an additional sheet and label it with the corresponding question (e.g., “Section B”).
List your current job first and then all employment for the previous ten years, including the full corporate name, address, your title, and a description of duties. If you have more than three entries, attach additional pages and reference “Section C.”
Attach an explanation sheet detailing the facts and circumstances for each “Yes” response. Clearly identify the related question number (e.g., “D-2”) on your explanation sheet and include relevant supporting documents if available.
Yes, the question asks whether you have ever been arrested, detained, charged, indicted, convicted, pleaded guilty or nolo contendere, or forfeited bail for certain offenses. If any apply, answer “Yes” and attach an explanation sheet.
It refers to beneficial ownership or control of 15% or more of the applicant’s equity, or having the power to vote or cause the vote of 15% or more of the applicant. If “Yes,” you must provide the amount, percentage, and nature of the interest instrument.
If you answer “No,” the form instructs you to attach an explanation sheet detailing the reason. If you answer “Yes,” you must attach an explanation sheet describing the relationship/interest and the percentage and nature of the instrument.
Yes, the Authority to Release Information Form includes a notary statement section to be completed by a notary. Make sure it is signed and notarized before submission.
Mail the completed application package (including the application fee and all required attachments) to: VDACS, Office of Charitable & Regulatory Programs, Post Office Box 1163, Richmond, VA 23218.
By signing, you certify the information is complete and accurate and acknowledge that omissions or misrepresentations can lead to denial, revocation, or penalties. You also agree to notify the Office of Charitable and Regulatory Programs if any response later needs to be amended.
Compliance VA Form 501A
Validation Checks by Instafill.ai
1
Required personal identity fields are complete (legal name, citizenship, SSN, DOB, gender)
Validates that Legal First Name, Legal Last Name, Citizenship, Social Security Number, Date of Birth, and Gender are present (and Middle Name/Suffix are either provided or explicitly left blank if optional). These fields are core identifiers used for background checks and record matching. If any required identity field is missing, the submission should be rejected as incomplete and routed back for correction.
2
Social Security Number format and plausibility validation
Checks that SSN is exactly 9 digits (optionally allowing hyphens in the standard ###-##-#### format) and is not an obviously invalid value (e.g., all zeros, 000-##-####, ###-00-####, ###-##-0000). This reduces failed background checks and prevents data-entry placeholders from being submitted. If validation fails, the form should be flagged for correction and not advanced to processing.
3
Date of Birth format and age reasonableness check
Ensures Date of Birth is provided in a valid month/day/year format and represents a real calendar date. Also checks for reasonable bounds (e.g., not in the future and not implying an implausible age such as under 18 or over 120, unless the program explicitly allows it). If invalid, the submission should be blocked because DOB is required for identity verification and criminal history searches.
4
Phone number format validation (including area code)
Validates that the Telephone Number includes an area code and contains a valid count of digits (e.g., 10 digits for NANP numbers, with optional country code if non-U.S.). This ensures the agency can contact the individual for follow-up and reduces undeliverable communications. If the phone number fails validation, the record should be flagged and the applicant prompted to correct it.
5
Email address format and deliverability checks
Checks that Email Address matches a standard email pattern (local-part@domain) and does not contain invalid characters or missing domain components. Optionally validates domain structure (e.g., contains a dot and valid TLD length) to reduce obvious typos. If invalid, the submission should be flagged because email is a primary contact method for deficiencies and status updates.
6
Physical address completeness and geographic consistency
Ensures Physical Address, City, State, Zip Code, and Country are all present and consistent (e.g., if Country is USA, State must be a valid U.S. state/territory and ZIP must be 5 digits or ZIP+4). This is important for jurisdictional checks and for matching residential history and criminal history requests. If inconsistent or incomplete, the form should be returned for correction.
7
Mailing address conditional requirement and completeness
If a Mailing Address is provided as different from the Physical Address, validates that all mailing components (address, city, state, zip, country) are complete and properly formatted. If the applicant indicates it is different but leaves fields blank, it creates delivery failures for official correspondence. If validation fails, the system should require completion or confirmation that mailing address is the same as physical.
8
Residential history coverage for the previous ten years (Section B)
Validates that the residential history entries collectively cover the previous ten years with no unexplained gaps, using the provided time periods (mm/yyyy–mm/yyyy). This is critical because the form requires criminal history searches in each jurisdiction of residence over the last ten years. If gaps exist, the submission should be flagged and require additional entries or an explanation sheet.
9
Residential history time period format and chronological logic
Checks that each Section B time period is in mm/yyyy–mm/yyyy format, that start is not after end, and that dates are not in the future. Also validates that overlapping periods are either intentional (e.g., dual residences) and explained, or else flagged for review. If invalid, the system should block submission until corrected because downstream jurisdiction identification depends on accurate dates.
10
Employment history completeness for the previous ten years (Section C)
Validates that employment history entries starting with current employment cover the previous ten years, including periods of unemployment if applicable (captured as an entry with explanation). This is important for suitability review and to corroborate residence and background information. If coverage is incomplete or missing required fields (entity name, location, title, duties, time period), the submission should be returned for completion.
11
Employment time period format, ordering, and consistency with current status
Ensures each employment time period uses mm/yyyy–mm/yyyy, start is not after end, and entries are listed beginning with current employment as instructed. If the first entry is not current (e.g., ends years ago) the system should require either a current employer entry or an unemployment/self-employment entry. Failures should be flagged because incorrect ordering and dates hinder review and can indicate omissions.
12
Yes/No questions require exactly one selection and conditional attachments (Section D)
Validates that for each Section D question (D-1 through D-7), exactly one of Yes or No is selected (no blanks and no double-selections). If “Yes” is selected for D-1 through D-6, the system must require an explanation sheet attachment; if missing, the submission should be rejected as incomplete. This prevents unreviewable disclosures and ensures the agency has the facts needed to evaluate suitability.
13
Criminal history search request confirmation logic (D-7) and jurisdiction alignment
If D-7 is marked “Yes,” validates that the applicant has provided sufficient residential jurisdictions in Section B to support the claim (i.e., at least one jurisdiction and ten-year coverage). If D-7 is marked “No,” requires an explanation sheet (as indicated on the form) and flags the submission for manual review. If validation fails, the submission should not proceed because criminal history documentation is a gating requirement.
14
Mandatory criminal history report attachment present for each personal information form
Checks that a criminal history report document is attached to the submission, as explicitly required by the instructions and repeated note. This is a hard-stop requirement: without it, the registration cannot be processed. If missing, the system should block submission or mark the application as deficient and prevent workflow advancement.
15
Financial interest disclosure completeness and numeric validation (Section E-1)
If E-1 is answered “Yes,” validates that Amount of the Interest, Percentage of Interest, Nature of the Interest, and Instrument are all provided. Percentage must be numeric and within 15–100% (since the question is specifically about 15% or more), and Amount must be a valid currency/number greater than or equal to zero. If any required detail is missing or out of range, the submission should be flagged because ownership/control is a key eligibility and disclosure factor.
16
Authority to Release Information form completion and notarization fields
Validates that the Authority to Release Information Form is attached (as required by D-8) and that it is fully completed: authorizing individual name, signature, title, and date. Also checks that notary fields are present and complete (notary signature, printed name, commission number, commission expiration date, and venue details), and that the notary commission expiration date is not before the notarization date. If incomplete or inconsistent, the submission should be rejected because the agency may lack legal authorization to obtain necessary records.
17
Applicant signature and date present on disclaimers/affidavits section
Ensures the main form’s Signature and Date fields are completed, as required by the instructions and the affidavit language. This is essential to bind the applicant to the attestations and to support enforcement actions for misrepresentation. If missing, the submission should be treated as unsigned and invalid, and must be returned for signature before processing.
Common Mistakes in Completing VA Form 501A
Applicants often overlook the instruction that a completed criminal history report must be attached to each Personal Information Form (one per covered individual). This commonly happens when people assume the main application’s background check covers everyone or they plan to “send it later.” The consequence is immediate: VDACS will not process the registration. Avoid this by ordering the criminal history search for every jurisdiction of residence over the last 10 years early, and confirming a separate report is included for each person submitting Form 501A.
A frequent mistake is submitting Form 501A only for one executive (e.g., CEO) and forgetting other officers, directors, trustees, partners, principal salaried executive staff, or anyone with 15% or greater financial interest (debt or equity). This happens because organizations misread the scope or don’t map ownership and control correctly. Missing forms can delay or block the application because VDACS requires investigation of each covered person. Avoid this by creating a roster of all covered roles and owners (including indirect ownership/control) and collecting a complete Form 501A package for each.
People often enter preferred names, shortened names, or omit middle names/suffixes even though the form asks for legal first, middle, last name, and suffix (if applicable). This usually happens when applicants copy from email signatures or internal HR records rather than government ID. Mismatches can cause identity verification issues and slow background checks. Avoid this by entering the name exactly as it appears on government-issued identification and ensuring consistency across the criminal history report and the Authority to Release Information form.
Applicants sometimes leave the Social Security Number blank, transpose digits, or provide a date of birth in the wrong format (the form specifies month/day/year). These errors happen due to privacy concerns, rushed completion, or copying from documents that use different formats. Incorrect identifiers can prevent accurate background checks and trigger follow-up requests. Avoid this by double-checking SSN digits, using the requested date format, and ensuring the information matches the criminal history search request.
A common issue is listing only current and recent addresses without covering the entire previous ten years, or leaving the time period blank/approximate without month and year (mm/yyyy–mm/yyyy). This happens when applicants don’t remember move dates or assume “current address is enough.” Gaps can conflict with the requirement to request criminal history searches in each jurisdiction of residence and may lead to delays or questions about completeness. Avoid this by reconstructing a month-by-month timeline (leases, utility bills, tax returns) and ensuring there are no unexplained gaps.
Applicants often fail to begin with current employment, omit full corporate names, provide only a city/state without a physical address, or leave out titles and duty descriptions. This happens when people paste a resume summary rather than answering the form’s specific prompts for the last ten years. Incomplete employment history can slow the review and may raise questions if it conflicts with other disclosures. Avoid this by listing each employer in reverse chronological order with full legal entity name, physical address, exact mm/yyyy ranges, and a clear description of duties.
For questions D-1 through D-6 (and others), applicants sometimes mark “Yes” but forget to include an explanation sheet detailing facts and circumstances. This happens because the checkbox “Yes – explanation sheet included” is mistaken as sufficient even when no attachment is actually provided. Missing explanations can halt processing or lead to requests for additional information. Avoid this by attaching a labeled explanation for each “Yes,” referencing the question number, dates, jurisdictions, case numbers (if any), outcomes, and current status.
Applicants frequently answer “No” because they believe only convictions count, or they exclude matters that were dismissed, expunged, settled, or “not serious.” The form is broader: it asks about arrests/detentions/charges/indictments/pleas, administrative proceedings/investigations, tax/debt delinquencies or disputes, and lawsuits (other than divorce). Incorrect “No” answers can be treated as misrepresentation and may lead to denial, revocation, or penalties as stated in the affidavits. Avoid this by reading each question literally, disclosing broadly, and using an explanation sheet to provide context and outcomes.
Many applicants check “Yes” in D-7 but have not actually requested searches in each jurisdiction where they lived in the last ten years, or they request them but have results sent to themselves instead of directly to VDACS as instructed. This happens because background check processes vary by state/county and applicants assume a single statewide report is sufficient. If VDACS does not receive the results as required, processing can be delayed or stopped. Avoid this by matching each residential address to the correct authority, submitting requests early, and confirming the destination address is the VDACS address listed on the form.
Applicants often miscalculate whether they (alone or with spouse/immediate family) meet the 15% ownership/control threshold, or they provide only a dollar amount without a percentage, or omit the nature of the interest instrument (e.g., shares, membership units, options, debt). This happens when ownership is indirect, split across entities, or includes voting control not reflected in equity percentage. Errors can trigger follow-up, require amendments, or create inconsistencies with corporate records. Avoid this by using cap tables/operating agreements, including family aggregation as required, and clearly stating amount, percentage, and instrument type.
People frequently forget to sign and date the disclaimers/affidavits page, or they sign the Authority to Release Information form but do not complete the notary section (or leave notary commission details blank). This happens when forms are assembled digitally, signed out of order, or notarization is assumed to be optional. Unsigned/undated forms and improper notarization can invalidate the submission and delay processing. Avoid this by using a final checklist: confirm signature and date on Form 501A, and ensure the release form is signed in front of a notary with all notary fields completed.
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