Louisiana Request for Criminal History Background Check

Form Template

The Louisiana Request for Criminal History Background Check app allows companies to request criminal history of an applicant.

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The company will provide the applicant's full information including their full name, address, social security number, gender, race, and date of birth. The company will provide their full information, name of a company official, and the applicant's signature allowing for the criminal background check to be released to them.

A copy of a driver's license or state identification card must be provided with the request and a fee to the Police Department Records Division. The applicant will provide a signature to release their arrest conviction records and waives any legal rights that might arise because of the release. Only charges that have resulted because of the conviction will be released to the company requesting the criminal history.

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