Fingerprint record removal request form: Fill out & sign online

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Click ‘Get Form’ to open the fingerprint record removal request form in the editor.
Begin by filling in your personal information. Enter your name (last, first, middle), sex/race, and date of birth as they appear on the arrest fingerprint card.
Next, provide details about the arresting agency and the date of arrest. Make sure this information matches what was reported by law enforcement.
List each arrest charge along with its corresponding disposition. If you have documentation regarding dismissals or completions of programs, be sure to include that.
Complete the requester information section with your name and address for correspondence. This is where you will receive any responses regarding your request.
Finally, provide a legible inked impression of your right index fingerprint and sign the form before submitting it to the Crime Information Bureau.

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