To the requester only). If this form is not legible or not properly completed, it will be returned unprocessed to the requester. FOR CENTRAL REPOSITORY USE ONLY CONTROL NUMBER TRY OUR WEBSITE FOR A QUICKER RESPONSE https://epatch.state.pa.us REQUESTER NAME DSS - Office of Licensing & Accreditation ADDRESS AFTER COMPLETION MAIL TO: PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY 164 1800 ELMERTON AVENUE HARRISBURG, PA 17110-9758 910 E Sioux Ave CITY/STATE/ ZIP CODE Pierre SD 57501 TEL.
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How to fill out the PA SP 4-164 online
This guide provides detailed instructions for completing the PA SP 4-164 form online. By following these steps, users can efficiently request a criminal record check from the Pennsylvania State Police.
Follow the steps to successfully complete the PA SP 4-164 form.
- Press the ‘Get Form’ button to access the PA SP 4-164 form and open it for editing.
- Fill in your personal information in the requester section. Provide your full name, mailing address, and telephone number. Ensure that all entries are clear for accurate processing.
- Indicate if you are sending a payment by checking the appropriate box. If you are not fee-exempt, include a certified check or money order payable to 'Commonwealth of Pennsylvania.' Be sure to note the correct fee amount next to your selected option.
- Complete the subject of the record check section by providing the individual’s first name, middle name, last name, maiden name, and any aliases. Also, include their social security number, date of birth in MM/DD/YYYY format, sex, and race.
- Select the reason for your request from the provided options. This ensures the Pennsylvania State Police can categorize your request appropriately.
- Review all completed sections for accuracy and legibility. Incorrect or unclear submissions may lead to processing delays or rejection.
- Save your changes to the form. After saving, you will have the option to download, print, or share the completed form as necessary.
- Mail the completed form to the Pennsylvania State Police Central Repository at the address specified on the form.
Begin your request by completing the PA SP 4-164 form online today.
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Get answers to your most pressing questions about US Legal Forms API.
Where can I get Act 34 clearance?
To access your Official Clearance you will see a blue text "CERTIFICATION PAGE". Click on the blue text to access your Act 34 Pennsylvania State Police Clearance. Print and save the official clearance for your records and submit a copy to the Human Resources Department.
How long does it take to get clearances in PA?
How long does it take to receive a Pennsylvania Child Abuse History Clearance? By law, all child abuse history clearance applications must be processed no later than 14 days from the receipt of the application (CY 113 form).
How long are PA clearances good for?
Clearances must be obtained every 60 months. Any employee with current clearances issued prior to July 1, 2015, must renew their clearances within 60 months from the date of their oldest clearance or if their current clearance is older than 60 months, by December 31, 2015.
How long does it take to get Act 33 clearance?
The PA Department of Human Services will process your application and you will receive an email notification of the outcome within 14 days.
How do I get my PA clearances?
The PA Criminal History can be obtained over the internet at: https://epatch.state.pa.us/Home.jsp the cost is $10 and payable by credit card. You must fill out an application for a child abuse clearance which can be downloaded from the above link. The cost is $10 and must submitted by money order.
How do I get my act 33 clearance?
Go to https://www.compass.state.pa.us/cwis/public/home. Click "Create Individual Account." Read and click "Next." Follow the instructions for creating a new account. Copy the temporary password sent to your email. Return to https://www.compass.state.pa.us/cwis/public/home.
How long is an Act 33 clearance good for?
In order to comply with Pennsylvania legislation (ACT 153), your position requires that you secure a new Act 33 Pennsylvania Child Abuse History Clearance every 60 months.
What are the 3 clearances?
The following three background checks are required: Department of Human Services Child Abuse History Clearance. Pennsylvania State Police Request for Criminal Records Check. Federal Criminal History Record Information (CHRI)
How do you get a 34 ACT clearance?
1) New users log onto https://epatch.state.pa.us/Home.jsp and select Submit a New Record Check under credit card users. 2) Provide required name and address information. 3) Enter credit card information to access clearance. The cost for the clearance is $10.00.
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