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Criminal record check: ar920100z - Arkansas Department of Human - humanservices arkansas 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the 'Facility/License #' section at the top. This identifies your facility and is crucial for processing your request.
- In the 'Facility Requesting Report' field, enter the name of your facility. Follow this by providing the name of the Licensing Specialist requesting the check.
- Complete the mailing address fields, including city, state, and zip code. Ensure accuracy to avoid delays.
- Fill in your telephone number and that of the Facility Director. This information is essential for communication regarding your request.
- For the person being checked, provide their full name, date of birth, social security number, and driver's license or government ID number.
- Indicate if they have lived in Arkansas for the past five years and complete their physical address.
- Answer whether they have ever been found guilty of a crime. If yes, attach a detailed description as required.
- Finally, ensure that the person being checked signs and dates the form before submission.
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| Versions | Form popularity | Fillable & printable |
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| 2011 | 4 Satisfied (20 Votes) |
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