Instructions(For(Completing(Clearance(Forms

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Literary   A rts   B oom   [ The   L AB]  
Instructions   f or   C ompleting   C learance   F orms    
(for   v olunteers)  
 
Act   3 4   P ennsylvania   S tate   P olice   R equest   f or   C riminal   R ecord   C heck    
NOTE:   T his   f orm   c an   b e   c ompleted   a nd   p aid   f or   o nline   u sing   a   c redit   c ard   O R   s ent   v ia   m ail   a long   w ith   a   $ 10   m oney  
order:  
Online:   V isit   h
ttps://epatch.state.pa.us/Home.jsp  
 
o Where   i t   s ays,   " Welcome   t o   P ennsylvania   A ccess   T o   C riminal   H istory",   p lease   c lick   " Submit   a   N ew  
Record   C heck"   u nder   t he   h eading   " Credit   C ard   U sers".    
On   t his   p age,   p lease   r eview   t he   " Terms   a nd   C onditions   f or   t he   u se   o f   P ATCH".   S croll   t o   t he   b ottom  
of   t he   p age.   H ere,   b y   c licking   t he   " Accept"   b utton,   y ou   w ill   m ove   i nto   t he   p age   t o   b egin   t he   p rocess.  
If   y ou   c lick   " Decline"   y ou   c annot   g o   f urther   a nd   g et   y our   c learances   o nline.    
o From   t his   p oint   y ou   w ill   n eed   t o   m ove   t hrough   t he   r emaining   p ages   a s   d irected   t o   p ay   f or   a nd  
receive   y our   c learance   p rintout.   W E   S UGGEST   M AKING   S EVERAL   C OPIES   O F   T HE   R ESULTS   A S   Y OU  
MAY   B E   R EQUIRED   T O   H AVE   T HEM   F OR   V ARIOUS   C IRCUMSTANCES   I N   T HE   F UTURE.    
You   w ill   r eceive   t he   c learance   p rintout   a fter   t he   a pplication   h as   b een   c ompleted   o nline   u nless   t here  
is   a   n eed   f or   e xtensive   r esearch   b y   t he   P SP.   A   c redit   c ard   i s   r equired   f or   p ayment   f or   e ach   c learance  
request.  
Via   M ail:    
Download   t he   f orm:   h ttp://  
In   t he   f irst   s eries   o f   b oxes,   c learly   p rint   y our   n ame   a nd   a ddress   ( The   a ddress   y ou   p ut   d own   w ill   b e  
o
where   r esults   a re   s ent).
 
In   t he   n ext   s eries   o f   b oxes,   c learly   p rint   y our   t elephone   n umber,   n ame,   m aiden   n ame   o r   a liases,  
o
social   s ecurity   n umber,   D OB,   s ex,   a nd   r ace.
 
Under   " Reason   f or   R equest"   c heck   " Volunteer"  
 
o
In   t he     b ox   i n   t he   u pper   r ight   c orner,   c heck   “ Individual/noncriminal   j ustice   a gency…”
 
o
o Send   t he   c ompleted   a pplication   a long   w ith   a   $ 10.00   m oney   o rder   ( do   n ot   s end   c ash   o r   a   p ersonal  
check)   m ade   p ayable   t o   P ennsylvania   S tate   P olice   t o:  
Pennsylvania   S tate   P olice   C entral   R epository  
164   1 800   E lmerton   A venue  
Harrisburg,   P A   1 7110-­‐9758  
 
IMPORTANT   I NFORMATION  
1. You   w ill   r eceive   y our   c learance   v ia   m ail   a t   t he   a ddress   y ou   l isted   u nder   " Requester   n ame."   T his   p rocess  
will   t ake   a pproximately   1 4   b usiness   d ays.  
2. We   s uggest   m aking   s everal   c opies   o f   y our   c learance   a s   y ou   m ay   b e   r equired   t o   h ave   t hem   f or   v arious  
circumstances   i n   t he   f utures.   B e   s ure   t o   s ubmit   a   c opy   t o   L iterary   A rts   B oom.    
3. How   t o   O btain   a   M oney   O rder:  
Money   o rders   c an   b e   p urchased   w ith   c ash,   d ebit   c ards   o r   t ravelers   c hecks.   S ome   p laces   a ccept   c redit  
cards,   a s   w ell,   b ut   s ome   m ay   n ot   t ake   d ebit   c ards   o r   t ravelers   c hecks.   C ash   i s   a ccepted   e verywhere.  
Clearances  
1  

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