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- Begin by entering your full name in the designated fields for Last, First, and Middle names. Ensure accuracy as this information is crucial for identification.
- Fill in your date of birth, street address (including street number and name), city, county, state, and zip code. This information helps establish your identity and residence.
- Provide your driver’s license number and social security number (optional) for further verification purposes.
- List the date(s) of arrest along with the name of the arresting agency. Include any relevant agency case numbers and charges associated with your arrest.
- Sign the form at the bottom where indicated. This signature confirms that all provided information is accurate.
- If applicable, ensure that the law enforcement agency or court completes their section by verifying your information and signing off on it.
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