The DPS-125C form is an important document for businesses and organizations in the state of Texas. This form is used to report workforce information to the Texas Workforce Commission. It is important to ensure that all information reported on this form is accurate, as it can be used by the commission to determine eligibility for various programs and assistance. Businesses and organizations should contact the TWC if they have any questions about this form or its requirements.
Question | Answer |
---|---|
Form Name | Dps 125C Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | dps 125 form, dps 125c fingerprint form, dps 125c fingerprint card fillable pdf, dps 125c |
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
() CT Only Criminal Conviction History Record
() CT Only Criminal Conviction History Record searched by
*Fingerprinting completed at a Connecticut State Police location - $15.00
Name of Requester:____________________________________Date:____________________
Requester Address:____________________________________________________________
City:___________________State:______Zip:________Phone Number:___________________
(NOTE: If
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:
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: |
|
|
1111 Country Club Road |
|
Middletown, CT |
___________________________________________________________________/___/_______
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)
1111 Country Club Road
Middletown, CT
An Affirmative Action / Equal Opportunity Employer
Form Available @ www.ct.gov/despp