"Name Based Criminal Background Check Form" - Idaho

Name Based Criminal Background Check Form is a legal document that was released by the Idaho State Board of Accountancy - a government authority operating within Idaho.

Form Details:

  • Released on June 1, 2021;
  • The latest edition currently provided by the Idaho State Board of Accountancy;
  • 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Idaho State Board of Accountancy.

ADVERTISEMENT
ADVERTISEMENT

Download "Name Based Criminal Background Check Form" - Idaho

Download PDF

Fill PDF online

Rate (4.8 / 5) 10 votes
IDAHO STATE POLICE
BUREAU OF CRIMINAL IDENTIFICATION
NAME BASED CRIMINAL BACKGROUND CHECK FORM
of the Idaho Central Repository of Criminal History Records
A $20 processing fee must be included
. Each field marked with an asterisk (*) must be completed. A separate form must be used for each request.
Do not use staples on the forms. Make checks or money orders payable to the Idaho State Police. A personal check will only be accepted if issued by the
requestor or requesting agency. A $20.00 fee will be charged for any returned checks.
Please print clearly in blue or black ink only. Illegible forms will be returned for clarification.
REQUEST
Please provide an Idaho Criminal History on the individual named below.
*Last Name
*First Name
*Middle Name
Alias Names (Include Maiden/prior Married Names) Please provide both first and last name.
*Date of Birth (mm/dd/yyyy)
Social Security Number (optional)
*Sex
*Race
LAST 4 DIGITS ONLY
*City
*State
*Address
*Zip
WAIVER
Idaho law does not require a waiver. However, without a signed waiver from the subject of the record, any arrest more than 12 months old, without a disposition, cannot be
given to a non-criminal justice agency. Any waiver other than this waiver will not be accepted.
I hereby give permission for the requester, named below, to receive any information maintained by the Idaho Bureau of Criminal Identification concerning myself.
*Signature
*Date
This signature on the waiver must be within 180 days of the name check submission.
*TO BE COMPLETED BY COMPANY OR PERSON REQUESTING BACKGROUND INFORMATION *
Requesting Person or Company *
Address of Requester (Results will be mailed to this address)*
Idaho State Board of Accountancy
PO Box 83720 – Boise ID 83720-0002
Signature of Requester *
Phone Number of Requester *
Printed Name of Requester (Print Legibly) *
208-334-2490
General Information:
Idaho law does not require a person to give consent. However, without a signed release from the subject of record, any arrest more than 12 months old, without a
Results of a Name Based Criminal Background check cannot be notarized.
disposition, cannot be given to a non-criminal justice agency.
Criminal history record information furnished as a result of a non-fingerprint based computerized search is based solely on a search of identifiers provided in the request. Be
aware it is not uncommon for criminal offenders to use alias names and false dates of birth, which would adversely affect the completeness and accuracy of a non-fingerprint
based search of the Idaho Central Repository of Criminal History Records. No other state or federal agency records can be searched under current law. The bureau does not
telephone or fax responses. Please allow ample time for processing this request. Requests are processed on a first come basis.
The records maintained by the Idaho Bureau of Criminal Identification (BCI) are based upon the felony and serious misdemeanor arrests reported to BCI from other Idaho
criminal justice agencies. If a person disputes the accuracy of information obtained, that person may challenge the information by writing to the address on this form.
Idaho code 67-3008 (6) states, “A person or private agency or public agency, other than the department, shall not disseminate criminal history record information obtained
from the department to a person or agency that is not a criminal justice agency or court without a signed release of the subject of record unless otherwise provided by law.
700 S. STRATFORD DR. STE. 120 • MERIDIAN, ID 83642
(208) 884-7130 • FAX (208) 884-7193
Rev. 06/2021
IDAHO STATE POLICE
BUREAU OF CRIMINAL IDENTIFICATION
NAME BASED CRIMINAL BACKGROUND CHECK FORM
of the Idaho Central Repository of Criminal History Records
A $20 processing fee must be included
. Each field marked with an asterisk (*) must be completed. A separate form must be used for each request.
Do not use staples on the forms. Make checks or money orders payable to the Idaho State Police. A personal check will only be accepted if issued by the
requestor or requesting agency. A $20.00 fee will be charged for any returned checks.
Please print clearly in blue or black ink only. Illegible forms will be returned for clarification.
REQUEST
Please provide an Idaho Criminal History on the individual named below.
*Last Name
*First Name
*Middle Name
Alias Names (Include Maiden/prior Married Names) Please provide both first and last name.
*Date of Birth (mm/dd/yyyy)
Social Security Number (optional)
*Sex
*Race
LAST 4 DIGITS ONLY
*City
*State
*Address
*Zip
WAIVER
Idaho law does not require a waiver. However, without a signed waiver from the subject of the record, any arrest more than 12 months old, without a disposition, cannot be
given to a non-criminal justice agency. Any waiver other than this waiver will not be accepted.
I hereby give permission for the requester, named below, to receive any information maintained by the Idaho Bureau of Criminal Identification concerning myself.
*Signature
*Date
This signature on the waiver must be within 180 days of the name check submission.
*TO BE COMPLETED BY COMPANY OR PERSON REQUESTING BACKGROUND INFORMATION *
Requesting Person or Company *
Address of Requester (Results will be mailed to this address)*
Idaho State Board of Accountancy
PO Box 83720 – Boise ID 83720-0002
Signature of Requester *
Phone Number of Requester *
Printed Name of Requester (Print Legibly) *
208-334-2490
General Information:
Idaho law does not require a person to give consent. However, without a signed release from the subject of record, any arrest more than 12 months old, without a
Results of a Name Based Criminal Background check cannot be notarized.
disposition, cannot be given to a non-criminal justice agency.
Criminal history record information furnished as a result of a non-fingerprint based computerized search is based solely on a search of identifiers provided in the request. Be
aware it is not uncommon for criminal offenders to use alias names and false dates of birth, which would adversely affect the completeness and accuracy of a non-fingerprint
based search of the Idaho Central Repository of Criminal History Records. No other state or federal agency records can be searched under current law. The bureau does not
telephone or fax responses. Please allow ample time for processing this request. Requests are processed on a first come basis.
The records maintained by the Idaho Bureau of Criminal Identification (BCI) are based upon the felony and serious misdemeanor arrests reported to BCI from other Idaho
criminal justice agencies. If a person disputes the accuracy of information obtained, that person may challenge the information by writing to the address on this form.
Idaho code 67-3008 (6) states, “A person or private agency or public agency, other than the department, shall not disseminate criminal history record information obtained
from the department to a person or agency that is not a criminal justice agency or court without a signed release of the subject of record unless otherwise provided by law.
700 S. STRATFORD DR. STE. 120 • MERIDIAN, ID 83642
(208) 884-7130 • FAX (208) 884-7193
Rev. 06/2021