Form Sp 4-218 - Sexual Offender Registration
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12SP 4-218 (12-2012)
PENNSYLVANIA STATE POLICE
SEXUAL OFFENDER REGISTRATION
MEGAN’S LAW
Instructions for Completing the Sexual Offender Registration Form
USE: This form is to be used by the registering official ONLY when the PA SORT system is unavailable for use or in
other unusual circumstances for registering/verifying/updating sexual offenders.
Check the appropriate box(es) indicating the reason (new registration, verification, etc.) for submission.
If completing this form for a New Registration, record all sections.
If completing this form for a Verification, Address Change, School Change, Employment Change, or Other
Change, record all sections except B, C, D, E, F, M, and N unless information in those specific sections has
changed.
NOTE: National Crime Information Center (NCIC) provides universal acceptable values for data fields such as hair color
and eye color. These values should be recorded in the fields as noted.
SECTION A - OFFENDER INFORMATION
This section is used to record the sexual offender’s information.
1. PA SID: Enter the sexual offender’s Pennsylvania State Identification Number (SID). Leave blank if the sexual
offender does not have a PA SID.
2. Social Security Number: Enter the 9-digit social security number.
3. Date of Birth: Enter the date of birth numerically by month, day, and 4-digit year.
4. First Name: Enter the first name.
5. Middle Name: Enter the middle name.
6. Last Name: Enter the last name.
7. Gender: Place an “X” in the appropriate box.
8. Suffix: Enter the suffix.
9. Does the Offender Have a Mobile Phone?: Place an “X” in the appropriate box.
10. Mobile Phone: If YES is selected in number 9 above, record the number, including the area code.
11. Other Phone: Enter any other phone number (not associated with an address) the sexual offender can be
reached at, including the area code.
SECTION B - REGISTRATION INFORMATION
This section is used to record the sexual offender’s registration information.
12. Offender Status: Place an “X” in the appropriate box.
13. Offender Type: Place an “X” in the appropriate box. If offender type is unknown, select “Tier Pending.”
SECTION C - PHYSICAL DESCRIPTION
This section is used to record the sexual offender’s physical description.
14. Does Offender Wear Glasses?: Place an “X” in the appropriate box.
15. Height: Enter the height in feet and inches.
16. Weight: Enter the weight in pounds.
17. Hair Color: Enter the hair color by using NCIC values.
18. Eye Color: Enter the eye color by using NCIC values.
19. Race: Place an “X” in the appropriate box.
20. Ethnicity: Place an “X” in the appropriate box.
21. Birth State/Territory: Enter the state in which the sexual offender was born. If born outside of the U.S., write
“unknown.”
22. Birth Country: Enter the country in which the sexual offender was born.
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