Criminal History Record Info Consent / Inquiry Form - Town of Alto 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name in the designated field. This is essential for identifying your records.
  3. Fill in your address, sex, race, date of birth, and social security number accurately to ensure proper processing.
  4. Specify the duration for which this authorization is valid by entering the number of days in the provided space.
  5. Sign the form where indicated to give consent for background checks. If applicable, an attorney can also sign and provide their bar number.
  6. Complete the inquiry details section by noting the date and time of inquiry along with operator’s initials.
  7. Select purpose codes that apply to your request by checking all relevant boxes.
  8. Finally, review any results from the inquiry and have an agency designee sign and date the form as required.

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The statement that criminal history records can be released for personal use, civil cases, and/or private sector employees is false. Access to these records is heavily regulated and does not allow such disclosures without specific authorization.
A criminal record can include: details of any offence you have admitted doing, and. any offence you have been found guilty of.
The Criminal History Record Information Act, a Pennsylvania law, 18 Pa. C.S.A. 9125, provides that employers may only use an employees previous criminal history for limited purposes in deciding whether or not to hire an employee.

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