Form Bcia 8705 - Application To Obtain Copy Of State Summary Criminal History Page 3

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STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BCIA 8705
PAGE 3 of 3
(Orig. 07/2000; Rev. 02/2017)
APPLICATION TO OBTAIN COPY OF
STATE SUMMARY CRIMINAL HISTORY
(HARD CARD FD-258)
Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information. The California Justice Information Services (CJIS) Division in the
Department of Justice collects the information requested on this form as authorized by Penal Code sections 11120
through 11127. The CJIS Division uses this information to afford persons an opportunity to obtain a copy of their record,
if any, contained in the files of the Department of Justice, Bureau of Criminal Information & Analysis, and refute any
erroneous or inaccurate information contained therein. In addition, any personal information collected by state agencies
is subject to the limitations in the Information Practices Act and state policy. The Department of Justice's general privacy
policy is available at:
Providing Personal Information. All the personal information requested in the form must be provided.
Access to Your Information. You may review the records maintained by the CJIS Division in the Department of Justice
that contain your personal information, as permitted by the Information Practices Act. See below for contact information.
Possible Disclosure of Personal Information. In order to afford persons an opportunity to obtain a copy of their record,
if any, contained in the files of the Department of Justice, Bureau of Criminal Information & Analysis, and refute any
erroneous or inaccurate information, we may need to share the information you give us with other government agencies.
The information you provide may also be disclosed in the following circumstances:
With other persons or agencies where necessary to perform their legal duties, and their use of your information is
compatible and complies with state law, such as for investigations or for licensing, certification, or regulatory
purposes;
To another government agency as required by state or federal law.
Contact Information. For questions about this notice or access to your records, you may contact the Record Review
Section manager by e-mail at recordreview@doj.ca.gov, by phone at (916) 227-3835, or via mail at:
Department of Justice
Bureau of Criminal Information & Analysis
Record Review and Challenge Program
P.O. Box 903417
Sacramento, CA 94203-4170

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