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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the 'Requester' section. Ensure that you provide your full name as it appears on official documents.
Fill in your address, including city, state, and ZIP code. This information is crucial for mailing the response back to you.
Select the appropriate block that applies to your request. Options include individual requests or those from non-criminal justice agencies. If applicable, enclose a certified check or money order for $10.
Provide the subject's details, including first name, middle name (if any), last name, maiden name or aliases, social security number, date of birth, sex, and race.
Indicate the reason for your request by checking the box that best describes your purpose. This helps streamline processing.
Review all entered information for accuracy before submitting. Incomplete or illegible forms may be returned unprocessed.
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Required by Act 34 of 1985 and Act 114 of 2006, as amended, for all prospective employees of public schools, private schools and their contractorsRead more
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