Dps 125C Form PDF Details

In today's world, the importance of a thorough background check cannot be overstated, particularly when it comes to understanding an individual's criminal history. The State of Connecticut Department of Emergency Services and Public Protection, Division of State Police, provides a streamlined process for requesting such information through the DPS 125C form, officially titled the State of Connecticut Criminal History Record Request Form. This form caters to various needs by offering different types of background searches, including a basic search by name and date of birth, a more detailed criminal conviction history record search, and a fingerprint-based search for those seeking the highest level of accuracy and detail. With fees structured according to the depth of the search—from $36.00 for a basic check to $75.00 for a comprehensive review, plus a potential additional fee for fingerprinting—requesters are advised to choose the option that best suits their requirements. Of particular note, the process mandates clarity and precision from applicants, requiring typed or clearly printed submissions to avoid any potential delays or inaccuracies. Payments, made payable to the Treasurer-State of CT, along with the completed form and any necessary additional information like a fingerprint card, if applicable, are to be mailed directly to the designated office. This form is crucial for individuals and entities needing to verify criminal backgrounds for employment, licensing, or other significant reasons, and the State of Connecticut provides this service with an assurance of confidentiality and accuracy, though it also makes clear the dynamic nature of criminal history records, which may change over time due to various factors. Whether for personal, legal, or employment-related purposes, the DPS 125C serves as a valuable tool in navigating the complexities of background checks within Connecticut, emphasizing the state's commitment to public safety and individual rights.

QuestionAnswer
Form NameDps 125C Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdps 125 form, dps 125c fingerprint form, dps 125c fingerprint card fillable pdf, dps 125c

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STATE OF CONNECTICUT

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

DIVISION OF STATE POLICE

STATE POLICE BUREAU OF IDENTIFICATION

STATE OF CONNECTICUT

CRIMINAL HISTORY RECORD REQUEST FORM

(PLEASE TYPE OR PRINT CLEARLY)

Check Type of Background Search Requested:

() CT Only search by Name/Date of Birth-$36.00 (will only provide existence of a record and not actual record)

() CT Only Criminal Conviction History Record Search-$75.00 (Name/DOB Search will provide a copy only if a record exists)

() CT Only Criminal Conviction History Record searched by Fingerprint-$75.00*

*Fingerprinting completed at a Connecticut State Police location - $15.00

Name of Requester:____________________________________Date:____________________

Requester Address:____________________________________________________________

City:___________________State:______Zip:________Phone Number:___________________

E-Mail Address:________________________________________________________________________

(NOTE: If e-mail address is provided, results will be sent solely via e-mail)

1.Print full name and date of birth, maiden or alias names for each subject requested.

2.If a fingerprinted criminal history record check is required submit a Fingerprint card along with this form.

3.Enclose a Check or Money Order for the applicable amount made payable to:

“Treasurer-State of CT”

4.If you are requesting more than one name please submit one check for the total dollar amount of all subjects requested. A separate form will be required for each search requested.

5. Mail Request with Check or Money Order to:

DESPP-SPBI

 

1111 Country Club Road

 

Middletown, CT 06457-2389

___________________________________________________________________/___/_______

Subject’s Last Name

First

Middle

Date of Birth

List any alias or maiden names and dates of births used:

______________________________________________________________________________________________

The result of this search is based on name and date of birth or fingerprint card submission and contains State of Connecticut criminal conviction history record information ONLY. Please be advised that the criminal history record information may change daily due to erasures, corrections, pardons or other modifications to individual criminal history record information, the Department of Emergency Services and Public Protection (DESPP) cannot guarantee the accuracy of the information except with respect to the date the information is disclosed or obtained. DESPP and the State of Connecticut are not responsible for any errors or omissions resulting from subsequent dissemination of this data. The subject and/or requester assumes all liability in the use of data obtained from this database.

**A COPY OF THIS FORM MAY BE USED**

Phone: (860) 685-8480 Fax: (860) 685-8361

1111 Country Club Road

Middletown, CT 06457-2389

An Affirmative Action / Equal Opportunity Employer

DPS-0846-C (REV. 12/01/17)

Form Available @ www.ct.gov/despp