IOWA HEALTH CARE FACILITY 135C RECORD CHECK Form C: Fill out & sign online

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Click ‘Get Form’ to open the IOWA HEALTH CARE FACILITY 135C RECORD CHECK Form C in the editor.
Begin by entering the ACCOUNT NUMBER at the top of the form. This is essential for tracking your request.
In the 'TO' section, ensure that you have the correct address for the Iowa Division of Criminal Investigation filled out.
Fill in your information in the 'FROM' section, including your organization name and contact details.
In the REQUEST section, type or print legibly the last name, date of birth, first name, middle name, and maiden name of the individual for whom you are requesting a criminal history check. Note that last name and date of birth are mandatory fields.
Complete the sex and social security number fields as recommended for thoroughness.
Sign where indicated as the requester and ensure to include today's date at the bottom of the form.

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