Cid Name Check Request Form PDF Details

In an era where security and accurate identification are paramount, the Cid Name Check Request Form emerges as a critical tool for commanders and law enforcement officials. Designed within the framework provided by Title 10 and Title 5 of the United States Code, along with Executive Order 9397, this form serves a dual purpose. Its primary intent is to facilitate the accurate identification of individuals, thereby supporting the security measures within military and associated civilian environments. To accomplish this, the form utilizes an individual’s social security number as a unique identifier, enhancing the efficacy of filing and retrieval processes. While participation is voluntary, the disclosure of one's social security number significantly streamlines the process. Originating from the Department of Defense Education Activity (DDESS) Kentucky Schools in Fort Knox, the form is meticulously structured to gather comprehensive information about the individual, ranging from basic identification details such as name and date of birth, to more specific data including place of birth and any aliases used. This thorough approach is not only about gathering data but ensuring that any request for a name check is solidly justified, with references to applicable Army Regulations. Additionally, the form outlines the steps for those acting on behalf of another, requiring a Power of Attorney where necessary. Beyond its primary function, the form acts as a tangible touchpoint between the requesting entities and the Crime Records Center, ensuring a clear, accountable pathway for information requests and their outcomes, which are succinctly noted on the form’s conclusion.

QuestionAnswer
Form NameCid Name Check Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescid template, cid form 10, cid verification form, cid ka form

Form Preview Example

CID NAME CHECK REQUEST FORM

PRIVACY ACT STATEMENT

AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 295-1; E.O. 9397 dated November 22, 1943 (SSN).

PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately identified.

ROUTINE USE: Your social security number is used as an addition/alternate means of identification to facilitate filing and retrieval.

DISCLOSURE: Disclosure of your social security number is voluntary.

FORM MUST BE TYPED

 

FROM: DDESS KY Schools

 

Crittenberger Central Office

 

Ft. Knox, KY.

Requesting Date: _____________________

PHONE 502.624.2345

 

TO: 280th MP DET (CID) – (CIRC-CFK)

 

3d MP Group, USACIDC

 

Building 1467, 3rd Avenue

 

Request a name check through Crime Records Center on the following individual:

LAST NAME: ____________________ FIRST NAME:____________________________

FULL MIDDLE NAME: ____________________ MAIDEN NAME: _________________

ALIAS (Nick Names/Other Names Used): ________________________________________

SOCIAL SECURITY NUMBER: _______________________________________________

DATE OF BIRTH:__(Month)_______________(Day)___________________(Year)________

PLACE OF BIRTH: City______________________________State________Country______

REASON with Army Regulation justification: Army Regulation 608-1, Chapter 1, Section 5-9

(F)of the Army Community Service Center Manual

_____________________________________

APPLICANT: If signing for someone other than self, please provide a copy of Power of Attorney.

 

________________________________________

 

Requesting Official’s Signature

______________________________________________________

________________________________________

Applicant’s Signature

Typed Name

______________________________________________________

502.624.2345, Administrative Support Spc.

Typed Name

Phone Number & Typed Title

 

 

CIRC-CFC (195-2b6)

Date Results Received_________________________

_____ No Derogatory Information Found by Criminal Records Center

_____ Derogatory Information Found and has been made available for review

___________________________________________

Signature of CID Representative

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