Asp-122 - Individual Record Check Form printable pdf download

Asp-122 - Individual Record Check Form

ARKANSAS STATE POLICE

ASP-122

(Rev. 04/00)

Identification Bureau

Individual Record Check Form

Procedure For Criminal History Check for volunteers

1. The ASP form 122, Individual Record Check Form, must be completed in its entirety.

2. A check or money order in the amount of $10.00 for volunteers made payable to the Arkansas

State Police, must be included.

3. If the request is presented in person, the person requesting must present a photo I.D. issued by

a government agency.

4. If the request is made by mail, the signature on the ASP form 122 must be notarized.

5. If the request is made by mail, a self-addressed envelope with sufficient return postage must

be included.

6. If the request is made by a third party, such as an employment agency or employer, the ASP

form 122 must be notarized.

7. If you are requesting an FBI checks also the cost is $18.00 each. Prior approval by ASP and a

completed legible fingerprint card is necessary.

Send requests to:

Arkansas State Police

Identification Bureau

#1 State Police Plaza Dr.

Little Rock, AR 72209

To contact the Identification Bureau, you may call 501-618-8500.

SEE OTHER SIDE FOR APPLICATION

Asp-122 - Individual Record Check Form