Virginia Criminal History Record Name Search Request

Form Template

The Virginia Criminal History Record Name Search Request app will provide a release of criminal history information on an applicant.

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The full information of the subject including the full name, gender, race, date of birth, and social security number must be provided. The applicant will provide consent for the Virginia State Police to release the information and files from the Central Criminal Records Exchange.

The name and contact information of the agencies, individuals, or authorized agent receiving the criminal history records will be provided, along with a signature acknowledging the request. The purpose for the request for the criminal history records will be noted including international travel or domestic or international adoption.

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