"Public Request for Criminal History Record Information" - Colorado

Public Request for Criminal History Record Information is a legal document that was released by the Colorado Department of Public Safety - a government authority operating within Colorado.

Form Details:

  • Released on July 13, 2015;
  • The latest edition currently provided by the Colorado Department of Public Safety;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Public Safety.

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Download "Public Request for Criminal History Record Information" - Colorado

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IDENTIFICATION UNIT | 690 Kipling Street, Suite 3000 | Denver, CO 80215 | (303) 239-4208 | www.colorado.gov/cbi
Public Request for Criminal History Record Information
Please type or print clearly | $13.00 per name (no personal checks) | Reply will be mailed in 3-5 business days
Please call (303) 239-4208 with any inquiries. Discrepancies must be reported within 30 days.
NAME TO BE CHECKED
Last Name:
First Name:
Middle Name:
Date of Birth
:
Gender
:
Social Security Number
:
(required)
(optional)
(optional)
/
/
-
-
MALE
FEMALE
MM/DD/YYYY
SEND REPLY TO
Name of Business and/or Person
Street Address or P.O. Box
Apt/Unit Number
City
State
ZIP Code
Phone Number
PURPOSE FOR REQUEST
Public Request/General Inquiry
Emergency Medical Technician
Security Guard
Housing
P.O.S.T. Board
Adoption
Visa / International Travel
Immigration
Guardian/Conservator
NOTARIZING
Do you need the response notarized?
YES
NO
Notarizing may add up to three business days to your processing time.
PLEASE READ AND SIGN BELOW
The record you may receive is for lawful use only and summarizes information sent to the Colorado Bureau of Investigation from fingerprint
contributors in the state of Colorado. Unless fingerprints accompanied your inquiry, the Colorado Bureau of Investigation cannot guarantee this
record relates to the person in whom you have an interest. If the disposition is not shown, or further explanation of an arrest charge or disposition is
desired, that information may be obtained from the agency who furnished the arrest information. Only the court of jurisdiction or the respective
District Attorney's office wherein the final disposition occurred can provide an official copy to any specific disposition. State law governs access to
sealed records. Because additions and deletions to a criminal history record may be made at any given time, a new inquiry should be requested when
needed for subsequent use. Any report received from the Colorado Bureau of Investigation as the result of this inquiry shall not be used for the direct
solicitation of business for pecuniary (monetary) gain.
X
Signature of Requesting Party (required per State law)
Revised 7/13/2015
DF3
IDENTIFICATION UNIT | 690 Kipling Street, Suite 3000 | Denver, CO 80215 | (303) 239-4208 | www.colorado.gov/cbi
Public Request for Criminal History Record Information
Please type or print clearly | $13.00 per name (no personal checks) | Reply will be mailed in 3-5 business days
Please call (303) 239-4208 with any inquiries. Discrepancies must be reported within 30 days.
NAME TO BE CHECKED
Last Name:
First Name:
Middle Name:
Date of Birth
:
Gender
:
Social Security Number
:
(required)
(optional)
(optional)
/
/
-
-
MALE
FEMALE
MM/DD/YYYY
SEND REPLY TO
Name of Business and/or Person
Street Address or P.O. Box
Apt/Unit Number
City
State
ZIP Code
Phone Number
PURPOSE FOR REQUEST
Public Request/General Inquiry
Emergency Medical Technician
Security Guard
Housing
P.O.S.T. Board
Adoption
Visa / International Travel
Immigration
Guardian/Conservator
NOTARIZING
Do you need the response notarized?
YES
NO
Notarizing may add up to three business days to your processing time.
PLEASE READ AND SIGN BELOW
The record you may receive is for lawful use only and summarizes information sent to the Colorado Bureau of Investigation from fingerprint
contributors in the state of Colorado. Unless fingerprints accompanied your inquiry, the Colorado Bureau of Investigation cannot guarantee this
record relates to the person in whom you have an interest. If the disposition is not shown, or further explanation of an arrest charge or disposition is
desired, that information may be obtained from the agency who furnished the arrest information. Only the court of jurisdiction or the respective
District Attorney's office wherein the final disposition occurred can provide an official copy to any specific disposition. State law governs access to
sealed records. Because additions and deletions to a criminal history record may be made at any given time, a new inquiry should be requested when
needed for subsequent use. Any report received from the Colorado Bureau of Investigation as the result of this inquiry shall not be used for the direct
solicitation of business for pecuniary (monetary) gain.
X
Signature of Requesting Party (required per State law)
Revised 7/13/2015
DF3