Certificate of Incarceration Period
Virginia · Supreme Court of Virginia
This form is used to officially state the dates a defendant was held in a jail or prison. It requires the person certifying the dates to fill in the defendant's information and the facility's details.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used in a criminal case to provide proof of the time a defendant was incarcerated.
Prepared by the court or clerk.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- The person certifying the dates is usually an official from the correctional facility where the defendant was held.
- What information does this form collect?
- It collects the defendant's name, date of birth, and the start and end dates of the incarceration period.
- Does this form require a fee?
- The provided text does not mention any filing fees.
Revision history
No changes recorded since we started tracking this form on October 10, 2026.
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