DPS-0846-C at a glance
What it is: State of Connecticut Criminal History Record Request Form of the Department of Emergency Services and Public Protection, Division of State Police, State Police Bureau of Identification.
Where and when to file: Mail Request with Check or Money Order to: DESPP-SPBI 1111 Country Club Road Middletown, CT 06457-2389
What to bring and attach to DPS-0846-C
If a fingerprinted criminal history record check is required submit a Fingerprint card along with this form.
Enclose a Check or Money Order for the applicable amount made payable to: “Treasurer-State of CT”
If you are requesting more than one name please submit one check for the total dollar amount of all subjects requested.
A filled-in DPS-0846-C example: a conviction history search by name
How to fill out DPS-0846-C, box by box
Check Type of Background Search Requested
Check CT Only search by Name/Date of Birth-$36.00, which will only provide existence of a record and not actual record. (checked November 12, 2026)
Check CT Only Criminal Conviction History Record Search-$75.00; the Name/DOB Search will provide a copy only if a record exists. (checked November 12, 2026)
Check CT Only Criminal Conviction History Record searched by Fingerprint-$75.00*; *Fingerprinting completed at a Connecticut State Police location - $15.00. (checked November 12, 2026)
A separate form will be required for each search requested.
Name of Requester, Address and E-Mail Address
Type or print clearly the Name of Requester and Date, then Requester Address, City, State, Zip and Phone Number, and E-Mail Address.
If e-mail address is provided, results will be sent solely via e-mail.
Subject's Last Name, First, Middle and Date of Birth
Print full name and date of birth, maiden or alias names for each subject requested.
Under Subject's Last Name, First, Middle and Date of Birth, list any alias or maiden names and dates of births used.
More rules for DPS-0846-C
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.
Common questions about DPS-0846-C
Where do I file it?
Mail Request with Check or Money Order to: DESPP-SPBI 1111 Country Club Road Middletown, CT 06457-2389
Sources
[1] DPS-0846-C (Rev. 12/01/17), State of Connecticut Criminal History Record Request Form, Department of Emergency Services and Public Protection (the Official source link on this page).