Transcription of SHP-158, Request for Criminal Record Check - …
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SHP-158, Request for Criminal Record Check - …
Reset Form Print Form missouri STATE highway patrol SHP-158R 08/16. Request FOR Criminal Record Check . PLEASE PRINT OR TYPE. GENERAL INFORMATION. APPLICANT'S LAST NAME FIRST MIDDLE JR / SR. MAIDEN / ALIAS LAST NAME FIRST MIDDLE JR / SR. SEX DATE OF BIRTH (MM/DD/YYYY) SOCIAL SECURITY NUMBER RACE. MALE BLACK INDIAN OTHER. FEMALE WHITE ASIAN. ADDRESS STREET - BOX CITY STATE ZIP CODE. fold TYPE OF Record Check PROCESSING FEE METHOD OF PAYMENT fold (per Sections and , RSMo.). $ NAME SEARCH $ FINGERPRINT SEARCH $ NOTARY LETTER. Based on NAME, DATE OF BIRTH, Open Records AND SOCIAL SECURITY NUMBER. Open and Closed Records Response will be returned with all open records and records of conviction.
REQUEST FOR CRIMINAL RECORD CHECK PLEASE PRINT OR TYPE. Telephone (include area code) SEND REPLY TO (Print or type your mailing label below.) Missouri State Highway Patrol ...
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