Loading
Form preview picture

Get State Of Connecticut Criminal History Record Request Form

If a fingerprinted background is required submit a Fingerprint card along with this form. 3. Enclose a Check or Money Order payable to Treasurer-State of CT 4. If you are requesting more than one name please submit one check for the total dollar amount of all subjects requested. 5. Mail Request with Check or Money Order to DESPP-SPBI 1111 Country Club Road Middletown CT 06457-2389 // Subject s Last Name First Middle Date of Birth List any alias or maiden names and dates of births used The result of this search is based on name and date of birth or fingerprint card submission and contains State of Connecticut criminal history record information ONLY. STATE OF CONNECTICUT DEPARTMENT OF EMERGENCY SERVICES PUBLIC PROTECTION DIVISION OF STATE POLICE BUREAU OF IDENTIFICATION CRIMINAL HISTORY RECORD REQUEST FORM PLEASE TYPE OR PRINT CLEARLY Check Type of Background Search Requested Conn* Only search by Name/Date of Birth - 36. 00 Conn* Only criminal conviction history record search - 50. 00 Fingerprinting completed at a Connecticut State Police location - 15. 00 Name of Requester Date Requesters Address City State Zip Phone Number 1. Print full name and date of birth maiden or alias names for each subject requested* 2. If a fingerprinted background is required submit a Fingerprint card along with this form* 3. Enclose a Check or Money Order payable to Treasurer-State of CT 4. If you are requesting more than one name please submit one check for the total dollar amount of all subjects requested* 5. Mail Request with Check or Money Order to DESPP-SPBI 1111 Country Club Road Middletown CT 06457-2389 // Subject s Last Name First Middle Date of Birth List any alias or maiden names and dates of births used The result of this search is based on name and date of birth or fingerprint card submission and contains State of Connecticut criminal history record information ONLY. Please be advised that the information you are provided is only current as of the date the data is extracted from the computerized criminal history record system of the Department of Emergency Services and Public Protection despp. DESPP and the state of connecticut are not responsible for any errors or ommissions resulting from subsequent dissemination of this data* The subject and/or requester assumes all liability in the use of data obtained from this database. A COPY OR FACSIMILE OF THIS FORM CAN BE USED. Phone 860 685-8480 Fax 860 685-8361 An Affirmative Action/Equal Opportunity Employer DPS-0846-C Rev* 3/19/12 Form Available at www. STATE OF CONNECTICUT DEPARTMENT OF EMERGENCY SERVICES PUBLIC PROTECTION DIVISION OF STATE POLICE BUREAU OF IDENTIFICATION CRIMINAL HISTORY RECORD REQUEST FORM PLEASE TYPE OR PRINT CLEARLY Check Type of Background Search Requested Conn* Only search by Name/Date of Birth - 36. 00 Conn* Only criminal conviction history record search - 50. 00 Fingerprinting completed at a Connecticut State Police location - 15. 00 Conn* Only criminal conviction history record search - 50. 00 Fingerprinting completed at a Connecticut State Police location - 15. 00 Name of Requester Date Requesters Address City State Zip Phone Number 1. Print full name and date of birth maiden or alias names for each subject requested* 2.

How It Works

Dissemination rating
4.8Satisfied
24 votes

Tips on how to fill out, edit and sign Births online

How to fill out and sign Submission online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The days of frightening complex legal and tax documents are over. With US Legal Forms the process of creating legal documents is anxiety-free. A powerhouse editor is directly at your fingertips giving you an array of advantageous instruments for filling out a State Of Connecticut Criminal History Record Request Form. The following tips, together with the editor will guide you through the entire procedure.

  1. Click on the orange Get Form option to begin modifying.
  2. Turn on the Wizard mode in the top toolbar to acquire extra recommendations.
  3. Fill each fillable area.
  4. Ensure the information you add to the State Of Connecticut Criminal History Record Request Form is up-to-date and accurate.
  5. Include the date to the record using the Date option.
  6. Select the Sign icon and make a digital signature. You can use 3 available choices; typing, drawing, or capturing one.
  7. Double-check every area has been filled in properly.
  8. Click Done in the top right corne to save the sample. There are many options for receiving the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

We make completing any State Of Connecticut Criminal History Record Request Form more convenient. Use it now!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Gov FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to State Of Connecticut Criminal History Record Request Form

  • DPS-0846-C
  • requesters
  • Dissemination
  • facsimile
  • Fingerprinting
  • enclose
  • gov
  • fingerprinted
  • births
  • Computerized
  • payable
  • submission
  • extracted
  • Treasurer
  • assumes
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.