Sp4 170 form 2025

1. Click ‘Get Form’ to open the sp4 170 form in the editor.
2. Begin by filling in your name in the 'REQUESTER NAME' field. Ensure that you write clearly and legibly.
3. Next, provide your complete address, including city, state, and ZIP code. This information is crucial as it will be used for mailing purposes.
4. Enter your contact telephone number, including the area code, to facilitate communication if needed.
5. Fill in the 'NAME/SUBJECT OF RECORD CHECK' section with the first, middle, and last names of the individual whose record is being requested.
6. Include any maiden names or aliases in the designated field to ensure accurate processing.
7. Provide your Social Security Number and date of birth in the specified format (MM/DD/YYYY).
8. Indicate your sex and race as required by the form.
9. Finally, remember to enclose a certified check or money order for $20.00 made payable to 'Commonwealth of Pennsylvania' before mailing it to the Central Repository.

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