Form Cj-022 - Criminal Record Check
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1CRIMINAL RECORD CHECK
Please print your completed form and submit to SLED. You may want to print a copy for your records
(
.)
FULL NAME (with middle name):
AKA and/or MAIDEN NAMES:
DOB:
SSN:
(Federal law permits governmental agencies to require a social security number in order to conduct official
business; however, private entities may only obtain social security numbers if given voluntarily).
(A self addressed stamped envelope is required for the return of background
CHARITABLE ORGANIZATIONS AND SCHOOL DISTRICTS ONLY
NAME OF ORGANIZATION: _____________________________________________________________________
VERIFICATION NUMBER
:________________________________
(
)
as provided by SLED for online checks
SCHOOL DISTRICTS ONLY – POSITION APPLIED FOR:_______________________________
(A self addressed stamped envelope is required for the return of background check)
PLEASE NOTE:
The fee is twenty-five dollars ($25) unless you are a charitable organization approved for a fee of eight dollars ($8). A charitable
organization must include its name and User ID number or the request may not be processed. Payment must be business check,
certified/cashier’s check or money order payable to SLED. PERSONAL CHECKS and CASH WILL NOT BE ACCEPTED. This
report contains records of arrests and convictions made by state/local agencies in South Carolina only. Alteration of a completed
criminal record check may subject a person to criminal prosecution. A completed criminal records check should not be accepted
unless it bears an original SLED stamp.
*SLED RECORDS SECTION HAS BEEN CLOSED TO THE PUBLIC SINCE DECEMBER 15, 2008.
(CJ-022) Revised 09/25/15
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