Please rate Form Sp 4 164 12-2020
If this form is not legible or not properly completed, it will be returned unprocessed to the requester.
Mailed to: Information will be mailed to the requester only.
International adoption: International adoption must be notarized and mailed in.
Money orders: Make all money orders payable to: Commonwealth of Pennsylvania. Do not send cash or personal check.
Warning: Misidentification or false statements of identity to obtain criminal history information of another is punishable as authorized by law.
| Question | Answer |
|---|---|
| Form Name | SP 4-164 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 14 |
| Avg. time to fill out | 3 min |
| Edition | 12-2020 |
| Issuing agency | Pennsylvania State Police |
| Where to send | Pennsylvania State Police Central Repository - 164, 1800 Elmerton Avenue, Harrisburg, PA 17110-9758 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | SP 4-164, SP4-164, Form 164, Request for Criminal Record Check |
| Official source | SP 4-164 (Rev 12-2020), Pennsylvania State Police |
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Please rate Form Sp 4 164 12-2020
