Get Sp 4-164 (12-99)

Filling out the SP 4-164 (12-99) form online can seem daunting, but with the right guidance, the process can be straightforward. This comprehensive guide will help you navigate each section of the form effectively.

Follow the steps to successfully complete the form.

1. Begin by clicking the ‘Get Form’ button to access the SP 4-164 (12-99) form in the editor.
2. In the first section labeled 'PART I: TO BE COMPLETED BY REQUESTER', ensure that you type or print legibly. Enter your name as 'Criticare Lancaster, Inc' and its address details including '1821 Oregon Pike, Lancaster, PA 17601'. Make sure to provide your contact telephone number.
3. Under the 'REQUESTER IDENTIFICATION' section, check the appropriate box to indicate whether you are an individual or a noncriminal justice agency. Remember that a certified check or money order in the amount of $10.00 must be enclosed for processing.
4. Fill in the 'NAME/SUBJECT OF RECORD CHECK' section with the individual’s full name, Social Security Number (SOC), maiden name or aliases, date of birth (DOB), sex, and race.
5. Next, indicate the reason for the request by checking the appropriate box. Options include employment, child care, elder care, school district, adoption/foster care, or other. Ensure to check the box if you wish to review your entire criminal history.
6. Complete the requester checklist to confirm you have entered the full name, date of birth, and Social Security Number. Verify that you have included the $10.00 fee and provided your complete address with the telephone number.
7. After reviewing all entries for accuracy, follow the mailing instructions to send your completed form to 'PENNSYLVANIA STATE POLICE, CENTRAL REPOSITORY - 164, 1800 ELMERTON AVENUE, HARRISBURG, PA 17110-9758'.
8. Finally, after sending the form, retain a copy for your records. If needed, you can check the status of your request as processed by the Pennsylvania State Police.

Complete your SP 4-164 (12-99) form online today for a swift processing experience.