SP 4-164 (12-99) 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Requester' section. Enter your name, address, city, state, and ZIP code clearly. Ensure all information is legible to avoid processing delays.
3. Provide your contact telephone number, including the area code. This is essential for any follow-up communication regarding your request.
4. Select your identification type by checking the appropriate box. If you are an individual or a non-criminal justice agency, remember to enclose a certified check or money order for $10.00 made payable to 'Commonwealth of Pennsylvania.'
5. Fill in the subject of the record check details: last name, first name, middle name, social security number, maiden name/aliases, date of birth, sex, and race.
6. Indicate the reason for your request by checking one of the provided options such as employment or adoption/foster care.
7. Review your entries using the requester checklist at the bottom of Part I to ensure completeness before mailing it to the Pennsylvania State Police Central Repository.

Start using our platform today for free and streamline your form completion process!