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En sign and date it. OR you may print the form out and complete it using a dark ink pen, printing clearly and carefully. The form must be signed and dated and all information must be complete in order for the record check to proceed. Incomplete forms will be returned. Credit card information should not be emailed.Mail or fax this form to the Criminal Records Review Program (address below). PART A INDIVIDUAL(S) REQUIRING A CRIMINAL RECORD CHECK: Clearly print the names of individuals requrin.

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