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The form requires the individual to authorize a specific agency or company to conduct a criminal history inquiry.
The authorization provided in the form is valid for a specified number of days from the date of signature.
The form includes various purpose codes that indicate the reason for the background check, such as employment or working with vulnerable populations.
Individuals can request their own criminal history record information through this form, either personally or via their attorney.
The form allows for checking results of the inquiry, including whether a criminal record is available or if there are any warrants.
The individual must provide a signature to give consent for the background check, along with their attorney's information if applicable.
The form was last revised in March 2019, indicating it may contain updated legal requirements and procedures.
