Indiana Limited Criminal History Record Check Form
This form allows individuals to request a limited criminal history check in the State of Indiana. It includes essential details for filling out the form and associated fees. Understanding the requirements and submission process is key for potential users.
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How do I fill this out?
To fill out this form, begin by accurately entering your personal information in the required fields. Ensure that all data, including Social Security Number and date of birth, is correctly typed or printed. Once completed, review your information before submitting the form to avoid errors.
How to fill out the Indiana Limited Criminal History Record Check Form?
1
Gather all necessary personal information such as name, birth date, and Social Security Number.
2
Complete the required fields on the form, ensuring accuracy.
3
Select your reason for the record check by marking the appropriate box.
4
Include payment for the record check if mailing the form.
5
Submit the completed form to the Indiana State Police as instructed.
Who needs the Indiana Limited Criminal History Record Check Form?
1
Employers who require a background check for potential hires.
2
Individuals applying for a public office position needing background clearance.
3
Organizations conducting volunteer background checks for adult volunteers.
4
Individuals undergoing a legal process who need to prove their criminal history.
5
Schools needing to verify staff backgrounds to ensure student safety.
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What are the instructions for submitting this form?
To submit this form, ensure all fields are completed and accurate. You can mail the form to the Indiana State Police at P.O. Box 6188, Indianapolis, Indiana 46206-6188. Ensure proper payment methods are followed, and double-check that your personal information is clearly stated before sending.
What are the important dates for this form in 2024 and 2025?
Be aware of deadlines for submissions, especially if applying for employment or school positions. Important dates include quarterly review periods for updated background checks. Check with the Indiana State Police for any ongoing relevant timelines.
What is the purpose of this form?
The purpose of this form is to provide a standardized method for individuals and organizations to request limited criminal history information from the Indiana State Police. It ensures compliance with state regulations regarding background checks. This form facilitates the hiring process, volunteer verification, and other legal requirements connected to criminal history.
Tell me about this form and its components and fields line-by-line.
- 1. Last Name: The last name of the individual requesting the check.
- 2. First Name: The first name of the individual.
- 3. Middle Initial: The middle initial (if applicable).
- 4. Social Security Number: Mandatory for identification purposes.
- 5. Date of Birth: The birthdate of the requester in MM/DD/YYYY format.
- 6. Sex: Gender of the individual.
- 7. Place of Birth: City and state of birth.
- 8. Mailing Address: Complete address where the request will be sent.
- 9. Telephone Number: Daytime contact number.
- 10. Reason for Search: Specify the reason for requesting the criminal history.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in obtaining necessary background checks. Missing or incorrect information could also lead to a rejection of the application. It's crucial to ensure completeness to avoid complications.
- Delays in Processing: Incomplete submissions can lead to delays in background check results.
- Rejection of Application: Errors or missing information may result in the rejection of your request.
- Extra Costs: You may incur additional costs if you need to resubmit in case of a failure.
How do I know when to use this form?
- 1. Employment Background Checks: When seeking employment with organizations that require a background check.
- 2. School Applications: For positions in schools requiring a criminal history verification.
- 3. Volunteer Work: Individuals applying for volunteer roles that necessitate background checks.
- 4. Legal Proceedings: When involved in legal matters necessitating proof of criminal history.
- 5. Licensure Requirements: Individuals applying for licenses that require background checks.
Frequently Asked Questions
What is the purpose of this form?
This form is used to request a limited criminal history check in the state of Indiana.
How do I fill out this form?
Complete the form by entering the required personal information and reasons for the record check.
How much does it cost to process this form?
The processing fee is $7.00, payable via certified check or money order.
Where do I submit the form?
Mail the completed form to Indiana State Police, Criminal History Limited Check, P.O. Box 6188, Indianapolis, Indiana 46206-6188.
Can I use personal checks for payment?
No, personal checks are not accepted; only certified checks or money orders are viable payment options.
What happens if I don’t provide my Social Security Number?
While it is requested, providing your Social Security Number is voluntary and not disclosing it will not penalize you.
How long does it take to get a response?
The response time may vary; however, ensure your contact information is correct to avoid delays.
Is the information I provide confidential?
Yes, the information requested is for internal use only and handled in accordance with applicable laws.
Can I edit this PDF after filling it out?
Yes, you can edit and make changes to the PDF using PrintFriendly before finalizing it.
What are the consequences of misuse of this information?
Misusing the limited criminal history information can lead to a Class A misdemeanor offense.
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