Washington > Statewide > Domestic Relations > Nonparental Custody
Request For Conviction Criminal History Record - Washington
| Request For Conviction Criminal History Record Form. This is a Washington form and can be used in Nonparental Custody Domestic Relations Statewide . |
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WASHINGTON STATE PATROL Identification and Criminal History Section PO Box 42633 Olympia WA 98504-2633 (360) 534-2000 http://watch.wsp.wa.gov REQUEST FOR CONVICTION CRIMINAL HISTORY RECORD (RCW 10.97) INSTRUCTIONS: PLEASE COMPLETE THIS FORM WHEN REQUESTING CONVICTION CRIMINAL HISTORY RECORD INFORMATION BASED ON NAME AND DATE OF BIRTH. MAIL REQUEST TO ADDRESS NOTED ABOVE WITH $17.00 CHECK OR MONEY ORDER. FOR REQUEST BASED ON FINGERPRINTS, MAIL A COMPLETED FINGERPRINT CARD AND FEE OF $26.00. YOU MAY ALSO COME TO OUR OFFICE AT 3000 PACIFIC AVENUE, OLYMPIA, WA. NOTE: IT MAY TAKE 7 TO 14 BUSINESS DAYS FOR RESPONSE WHEN MAILED. FOR AN IMMEDIATE RESPONSE, ACCESS OUR WEB SITE LISTED ABOVE TO CONDUCT YOUR CRIMINAL HISTORY REQUEST BY NAME AND DATE OF BIRTH FOR $10.00 USING A CREDIT CARD. NOTARIZED LETTERS ARE AN ADDITIONAL $10.00 PER NOTARY SEAL Notarized Letter(s) NOTE: The requested record information is furnished solely on the basis of name and/or description similarity with the subject of your inquiry. Positive identification or non-identification can only be effected upon receipt of fingerprints. Applicant may be advised of inquiry. A SUBJECT INFORMATION: (Please type or print clearly) Applicant's Name: Last First Middle Alias/Maiden Name: Date of Birth: Month/Day/Year Sex: Race: B DATE: REQUESTOR INFORMATION: (Please type or print clearly) / Mo. Day / Yr. (print) Name/Title of Requestor Requestor's Signature Provide e-mail to receive background results electronically. Phone No. ( ) ___________________________________________ E-mail address REQUESTOR'S ADDRESS: (type or print clearly) ______________________________ Password (must be at least 8 characters) Subject's Right Thumb Print (Optional) Name Address City State ZIP Code 3000-240-569 (R 7/12) American LegalNet, Inc. www.FormsWorkFlow.com
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