Fingerprint Notary Request Form
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FINGERPRINT NOTARY REQUEST
IDENTIFICATION AND CRIMINAL HISTORY SECTION
PO BOX 42633
OLYMPIA, WA 98504-2633
(360) 534-2000
Complete this form when requesting a notarized letter to be attached to a Washington
State fingerprint-based background check. Request must have the appropriate fee of
$48.00 to process.
Washington State fingerprint-based background check
$38.00
Notary letter
$10.00
Total
$48.00
All information must be complete in order to process your request.
Mail results to: (Please type or print clearly)
Name
Address
City
State
Zip
Telephone
Mail this form with fingerprint card and fee to:
WSP Identification Section
PO Box 42633
Olympia WA 98504-2633
NOTE:
Requests with completed documents may also be hand-delivered to our office at
3000 Pacific Avenue Suite 202, Olympia, Washington.
3000-240-030 (R 7/15)
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