Alea Form 47 - Sex Offender Registration

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CHECK ONE:
(
) New Registration
(
) Quarterly Registration
A
L
E
A
LABAMA
AW
NFORCEMENT
GENCY
(
) Yearly Registration
(
) Address Change
Sex Offender Registration
(
) Employment Change
(
) School Change
(
) Temporary Address
(
) Homeless
Offender Information
Last
First
Middle
Suffix
Full Name
Social Security Number
Birth Date
Place of Birth
Blood Type
Alternate SSN
Alternate DOB
Home/Cell Phone
Work Phone
Race
Gender
Hair Color
Eye Color
Height
Weight
Skin Tone
Aliases/Nicknames/Ethnic/Tribal Names
Registration
( ) Absconded
( ) Unknown
Status
( ) Compliant
( ) Non-compliant
Name
Relationship
Phone Number
Nearest
Relative
Mailing Address
Check if temporary
List Date Range:
Street Address (if different)
Apartment #
Time at this residence
City
County
State
Zip Code
Offender’s
Are there any minors living at this address? (List names/age/relationship)
Address
Previous Address
Street
Apartment #
City
County
State
Zip Code
Y 
N 
Y 
N 
Checked for warrants
Outstanding warrants
FBI Number
SID Number
AIS Number
Any Cautions/Medical Conditions
Scars/Marks/Tattoos
Employment / School Information
including day labor, volunteer, unpaid internship, etc.
Offender’s Position or Job Title
Is this employment within 2,000 ft of a
Occupation
school or daycare? Y
N
Name
Address
Employer
Work Location (if different than employer address)
School Name
School Address
School
ALEA Form 47
8/1/2017

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