Form Sp 230 PDF Details

The SP-230 form serves a critical function in Virginia, facilitating the request for a Criminal History Record/Sex Offender and Crimes Against Minors Registry search through the Virginia State Police. Specifically designed for different types of background checks, including those for Virginia public schools, child care, various forms of adoption, foster care, adult care employment, nursing homes, home health, among others, this document plays a pivotal role in ensuring safety and compliance in environments where trust and security are paramount. The requester must specify the purpose, provide detailed information about the individual to be searched, and agree to use the information obtained for authorized purposes only, acknowledging the legal implications of misuse. With options for payment detailed and a clear directive on how to submit the form, along with a set fee structure that includes discounted rates for volunteers of non-profit organizations, the SP-230 form embodies a structured approach to obtaining sensitive information lawfully. Importantly, this process is governed by specific codes within the Virginia legal framework, emphasizing the importance of accuracy and legality in handling such requests. This comprehensive approach ensures that the request for criminal history and related searches is handled efficiently and ethically, reinforcing the balance between individual rights and public safety.

QuestionAnswer
Form NameForm Sp 230
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesva sp 230, virginia sp230, virginia state police background check form sp 230 form, va state police forms printable

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SP-230 (Rev. 12-01-2012)

CRIMINAL HISTORY RECORD/SEX OFFENDER AND CRIMES AGAINST MINORS REGISTRY SEARCH FORM

 

Virginia State Police

 

Mail Request To:

CCRE – Attention New Form

 

P.O. Box 85076

 

 

 

 

Richmond, Virginia 23261-5076

 

PURPOSE OF THIS REQUEST (Check only one):

VIRGINIA PUBLIC SCHOOLS

 

 

 

CHILD CARE

INTERNATIONAL ADOPTION COUNTRY:

 

 

DOMESTIC ADOPTION

FOSTER CARE

 

ADULT CARE

EMPLOYMENT

 

NURSING HOME OR HOME HEALTH

OTHER (Please Specify)

 

 

NAME TO BE SEARCHED:

LAST NAME

 

 

FIRST NAME

MIDDLE NAME

MAIDEN NAME

 

 

 

 

 

 

RACE

SEX

DATE OF BIRTH

 

SOCIAL SECURITY NUMBER

 

 

 

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

 

I certify I am entitled by law to receive the requested record and that the record provided shall be used only for the screening of the current or prospective employees. I understand that further dissemination of Criminal History Records or their use for purposes not authorized by law is prohibited and constitutes a violation punishable as a class 1 or class 2 misdemeanor. If I am an employer or prospective employer, I have obtained the written consent on whom the data is being obtained, and have personally been presented the same person’s valid photo-identification.

Date of Request:

 

 

 

 

 

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Person Making Request:

 

 

 

 

 

 

 

Printed Name:

 

 

 

 

 

 

 

 

 

 

 

 

NAME AND MAILING ADDRESS OF AGENCY, INDIVIDUAL OR AUTHORIZED AGENT MAKING REQUEST:

 

 

 

Mail Reply To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEES FOR SERVICE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEES:

 

 

 

 

 

 

 

 

 

* FEES For Volunteers with Non-Profit Organizations:

 

$15.00 CRIMINAL HISTORY SEARCH

 

 

 

 

 

 

$8.00 CRIMINAL HISTORY SEARCH

 

 

 

$20.00 COMBINATION CRIMINAL HISTORY & SEX OFFENDER SEARCH

 

$16.00 COMBINATION CRIMINAL HISTORY & SEX OFFENDER SEARCH

* To be entitled to reduced price, services must be on volunteer basis for a non-profit organization with a tax exempt number. Attach documentation to form which supports volunteering

 

status and include organization’s name, address, and your tax exempt identification number.

 

 

 

 

 

METHOD OF PAYMENT: (Note: Personal Checks Not Accepted)

 

 

 

 

 

CHARGE CARD:

MasterCard

 

OR

 

Visa

 

 

 

Certified Check or Money Order (attached, payable to Virginia State Police)

Account Number:

 

-

 

-

-

 

 

 

 

 

Virginia State Police Charge Account Number:

 

 

Expiration Date:

 

/

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Cardholder:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR STATE POLICE USE ONLY – DO NOT WRITE BELOW THIS LINE

 

 

 

Response based on comparison of name information submitted in request against a master name index maintained in the Central Criminal Records Exchange only.

 

No Conviction Data – Does Not Preclude the Existence of an Arrest Record

Purpose code:

C

No Criminal Record – Name Search Only

 

 

No Criminal Record – Fingerprint Search

 

 

N

 

 

 

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No Sex Offender Registration

Record

 

 

Criminal Record Attached

 

 

 

Date ___________________________ By CCRE/ ___________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SP-230 (Rev. 12-01-2012)

Instructions for completing the Criminal History Record/Sex Offender and Crimes Against Minors Registry Request Form

 

(Please read the following General Instructions)

PURPOSE OF THIS REQUEST:

Check type of name search(es) requested for Criminal History Search. Dissemination of criminal history records

 

are processed in accordance with Section 19.2-389, Code of Virginia, governing the program for which the search

 

is requested.

NAME TO BE SEARCHED:

NAME AND MAILING ADDRESS OF AGENCY, INDIVIDUAL OR AUTHORIZED AGENT MAKING REQUEST:

FEES FOR SERVICE:

METHOD OF PAYMENT:

Type the full name (last, first middle [no initials] and maiden name (if applicable), sex, race, date of birth, and complet address of person whose name is to be searched against the master criminal name file and/or the Sex Offender and Crimes Against Minors Registry. Note: Signature of person making request is required.

Providing the social security number is voluntary; however, it is a screening tool that is used for this request to be processed in a more timely manner. Failure to provide this number may result in an inability to process this request due to multiple records with similar names and demographics. Without this additional identifier, the form may be returned to the requestor unprocessed, and the applicant will be required to submit a set of fingerprints along with this request form to determine if this applicant has a criminal record. Social Security Numbers provided will be used to help identify the proper record and will be used for no other purpose.

Agency, Individual or Authorized Agent Making Request: Your agency identification serves as the mailing label for the State Police to return the search results. This information is also reviewed to ensure requestor is statutorily entitled to use this form to request a criminal name search.

Indicate the fee for the service requested.

Method of Payment: Certified Check, Money Order, Company/Business check, MasterCard or Visa.

For charge account: provide charge account number issued by Virginia State Police.

Effective November 1, 2010, the public is hereby placed upon notice that returned checks or dishonored money orders and/or credit card payment denials will incur a handling fee of $50 in addition to the amount of the original payment. Requesting goods or services will be deemed to be acceptance of these terms.

Code of Virginia §2.2-4805.

Mailing Instructions:

Mail to:

Virginia State Police

 

CCRE – Attention: New Form

 

P.O. Box 85076

 

Richmond, Virginia 23261-5076

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CRIMINAL HISTORY SEARCH, To be entitled to reduced price, and Certified Check or Money Order of virginia sp 230 form

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