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Click ‘Get Form’ to open the ASP-122 in the editor.
Begin by filling in your full name, including first, middle, last, and maiden names. Ensure accuracy as this information is crucial for identification.
Enter your date of birth in the format Month/Day/Year, along with your state of birth, race, and sex.
Provide your Social Security number and Driver’s License number along with the issuing state.
Complete your mailing address including street, city, state, and ZIP code. This is where any correspondence will be sent.
Fill in your daytime phone number for any follow-up communication regarding your request.
Sign the form to give consent for a criminal record search. Remember that a notarized signature is required if submitting by mail.
If applicable, include a check or money order for $25 made payable to the Arkansas State Police and ensure you have a self-addressed envelope ready for mailing.
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Identification Bureau Individual Record Check Request Form
1. When an Arkansas background check is requested, include a properly completed ASP 122 request form and a check or money order in the amount of $25.00 (Read more
Arkansas State Police Form. ASP 122VOL (Eff. 02/19/2019) be used to check the criminal history records of the FBI. THIS REQUEST FORM MUST BE DocHubD STATE
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