Form MVD-389-C "Criminal History Request Application" - Maine

What Is Form MVD-389-C?

This is a legal form that was released by the Maine Department of the Secretary of State - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the Maine Department of the Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MVD-389-C by clicking the link below or browse more documents and templates provided by the Maine Department of the Secretary of State.

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Download Form MVD-389-C "Criminal History Request Application" - Maine

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STATE OF MAINE
Department of Public Safety
Maine State Police
State Bureau of Identification
45 Commerce Drive, Suite 1
42 State House Station
Augusta, Maine 04333-0042
207-624-7240
PAUL R LEPAGE
COL. PATRICK J. FLEMING
GOVERNOR
CHIEF
JOHN E. MORRIS
LT. COL. ROBERT A. WILLIAMS
COMMISSIONER
DEPUTY CHIEF
As authorized by 16 M.R.S.A. C.3, SubC. VIII, section 615, I request all conviction data on file
within the Maine State Bureau of Identification on the person listed below. (Please print clearly)
Purpose of Request: _____________________________________________________________
Name: _____________________________________________ Date of Birth: _______________
Aliases, Maiden Name, Married Names: _____________________________________________
Address _______________________________________________________________________
_______________________________________________________________________
Person Inquiring: ________________________________________________________________
Address:_______________________________________________________________________
Phone Number:
Signature: ___________________________________________ Date: _____________________
* Checks or Money Orders payable to: Treasurer, State of Maine ($31 per request or $41.00 per
request if you wish to have it notarized)
* Mail to the address given above.
______________________________________________________________________________
SBI USE ONLY
MVD-389-C (Rev. 7/12)
STATE OF MAINE
Department of Public Safety
Maine State Police
State Bureau of Identification
45 Commerce Drive, Suite 1
42 State House Station
Augusta, Maine 04333-0042
207-624-7240
PAUL R LEPAGE
COL. PATRICK J. FLEMING
GOVERNOR
CHIEF
JOHN E. MORRIS
LT. COL. ROBERT A. WILLIAMS
COMMISSIONER
DEPUTY CHIEF
As authorized by 16 M.R.S.A. C.3, SubC. VIII, section 615, I request all conviction data on file
within the Maine State Bureau of Identification on the person listed below. (Please print clearly)
Purpose of Request: _____________________________________________________________
Name: _____________________________________________ Date of Birth: _______________
Aliases, Maiden Name, Married Names: _____________________________________________
Address _______________________________________________________________________
_______________________________________________________________________
Person Inquiring: ________________________________________________________________
Address:_______________________________________________________________________
Phone Number:
Signature: ___________________________________________ Date: _____________________
* Checks or Money Orders payable to: Treasurer, State of Maine ($31 per request or $41.00 per
request if you wish to have it notarized)
* Mail to the address given above.
______________________________________________________________________________
SBI USE ONLY
MVD-389-C (Rev. 7/12)