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Print full Name and Date of Birth maiden name if applicable for each subject requested. 2. Submit a completed Green State Fingerprint card Form DPS-125-C for each fingerprint supported background search requested. 3. THE SUBJECT AND/OR REQUESTER ASSUME ALL LIABILITY IN THE USE OF DATA OBTAINED FROM THIS DATABASE. DPS 846-C REV. For each subject requested. 4. Mail Request with Check or Money Order to return address listed above. 5. A copy of this .

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