Form Dci-44 - Iowa User Agreement - Iowa Division Of Criminal Investigation Page 4

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IOWA USER AGREEMENT
IN WITNESS HEREOF, the parties hereto have caused this agreement to be executed by the proper officials.
Name of Qualified Entity (QE):
Qualified Entity Head:
Title:
Point of Contact (POC):
Title:
QE Head or POC Signature:
Date:
Iowa Division of Criminal Investigation
By:
Title:
Signature:
Date:
Assigned OCA:
Please mail, fax, or email the signed Iowa User Agreement to:
Iowa Division of Criminal Investigation
Support Operations Bureau
Fax: 515-725-6080
Dissemination Section, 1st Floor
215 E. 7th Street
Email: dciaccounts@dps.state.ia.us
Des Moines, IA 50319
DCI-44 (07/15/15)
4

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