Request For Acic "Hot File" Information Form (Page 3 of 3) in pdf

Person

Name ______________________________________________________________________________

Date of Birth _____________________Sex ____________ Race _________ Height _________ Weight ________

Hair Color __________________Scars, Tattoos, etc. ______________________________________________________

Driver License Number _________________________________ Driver License State ______________

Street Address _______________________________________________________________________________________

City _________________________________________________________State ___________ Zip ___________________

Place of Employment ____________________________________________________________________

Employer’s Address:

Street ______________________________________________________________________________________________

City _________________________________________________________State ___________ Zip ___________________

Additional Information ________________________________________________________________________________

This section to be completed by criminal justice official releasing the information:

Based on the information provided by the requestor, a check of the ACIC/NCIC files at ____________hours on

__________________________ indicates the following:

date

Circle One

Property IS reported stolen

Subject IS reported wanted

Property is NOT reported stolen

Subject is NOT reported wanted

Gun IS reported stolen

Vehicle IS reported stolen

Gun is NOT reported stolen

Vehicle is NOT reported stolen

Comments: ____________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________

___________________

Signature of criminal justice official

Date

I understand that the information provided to me has been provided in good faith and is based upon descriptive information I

provided. I understand that new stolen property and wanted person records are constantly being entered into the ACIC/NCIC

systems. The fact that a person or item of property is not in the ACIC/NCIC databases does not necessarily mean that the

person is not wanted or the property is not stolen. I understand that false information entered on this request for ACIC Hot File

Information may constitute violations of Federal and State Criminal Laws.

_________________________________________

______________________

Signature of requestor

Date

Arkansas Crime Information Center

7-18-00

Request For Acic "Hot File" Information Form Page 3