Fillable APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION (Alabama Law Enforcement Agency)

Fill Online, Printable, Fillable, Blank APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION (Alabama Law Enforcement Agency) Form

Use Fill to complete blank online ALABAMA LAW ENFORCEMENT AGENCY (AL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION (Alabama Law Enforcement Agency)

On average this form takes 21 minutes to complete

The APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION (Alabama Law Enforcement Agency) form is 2 pages long and contains:

  • 3 signatures
  • 12 check-boxes
  • 67 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Alabama Law Enforcement Agency

BROWSE ALABAMA LAW ENFORCEMENT AGENCY (AL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
ALABAMA LAW ENFORCEMENT AGENCY
ALABAMA LAW ENFORCEMENT AGENC
Y
____
____
APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION
Full Name (First, Middle, Last, Suffix): Sex/Gender: Male Female
Aliases/Nickname:
Applicant Current Address:
City: State: Zip Code: SSN:
Date of Birth: (MM/DD/YYYY) Driver’s License Number: Issuing State:
Race: White Black Asian Indian Other (please specify)
Home Phone: ( ) Mobile Phone: ( ) Work Phone: ( )
Employer Name: Employer Phone: ( )
Contractor Name: Contractor Phone: ( )
State Agency: Agency Phone: ( )
Work Email Address:
Job Role/Classification: Supervisor Name:
Included with my Release are the following items:
Completed Application signed by applicant and two witnesses OR notarized.
The required copy of my valid photo identification.
A classifiable copy of my own fingerprints taken by an authorized law enforcement agency as required.
If applying for state employment/licensure/certification, reference that agency’s fee requirements for a background check.
PERSONAL REQUESTS ONLY: The required $25.00 administrative fee (must be in the form of a money order or Cashier’s check
made payable to the ALEA, Criminal Records and Identification Unit).
I hereby authorize the Alabama Law Enforcement Agency to release any and all criminal history information to:
Name & Address of Requesting Agency or Authorized Agent*
I, the above referenced individual, hereby request to release any and all criminal history record information (CHRI) maintained by both the Alabama Law Enforcement
Agency, the Federal Bureau of Investigation, and any information relating to my past record and character whether it be financial, academic, military, employment,
judicial, or personal reference. I hereby release all parties contributing such information from any charges or liability whatsoever because of furnishing said information.
By signing below and submitting this application, I hereby verify that the information listed in my application and in the attached documentation is correct. I also
acknowledge that I understand that, in accordance with Section 41-9-601 of the Code of Alabama 1975, that any person who willfully requests, obtains or seeks to
obtain criminal offender record information under false pretenses, or who willfully communicates or seeks to communicate criminal offender record information to any
agency or person without authorization, may be guilty of a felony, and shall be fined not less than $5,000 nor more than $10,000 or imprisoned in the state penitentiary
for not more than five years or both. § 41-9-601, Code of Ala. (1975). Furthermore, as set forth at Title 28, Code of Federal Regulations (CFR), Section 16.34 I have the
right to challenge or appeal any portion of my state and/or federal CHRI that I believe to be inaccurate (see “Appendix A” for contact information).
Applicant Signature Date
Name of Witness Name of Witness
Address of Witness Address of Witness
City, State and Zip City, State and Zip
Sworn to and subscribed before me this day of , 20 .
Notary Signature My Commission Expires , 20 .
SBI Form 46 Rev. 10-01-17
Billed: Paid: No Charge:
Check#:
Background Check Qty: Total: $
Certified Letter Qty: Total: $
FOR ALEA OFFICIAL USE ONLY: TCN: SID: AL
Received By (Initials): /Date: / / Processed By (initials): _/Date: / _/
Walk-in/Hand Delivered Mailed Status: Initials: Date: _/ /
PERSONAL INFORMATION
WORK INFORMATION
AFFIDAVIT FOR RELEASE INFORMATION
click to sign
signature
click to edit
click to sign
signature
click to edit
ALABAMA LAW ENFORCEMENT AGENCY
SBI Form 46 Appendix A Rev. 10-01-17
APPLICATION TO CHALLENGE
Alabama Criminal History Record Information
Appendix A
An individual may Challenge or Appeal any portion of his or her own Criminal History Record Information (CHRI) maintained by
the ALEA Criminal Records and Identification Unit that he or she believes to be inaccurate. To submit a challenge regarding
criminal history record information (CHRI) provided by the Alabama Law Enforcement Agency, Criminal Records and Identification
Unit. Please complete the steps described below and mail this form and all supporting documentation to:
ALEA Criminal Records and Identification Unit – P.O. Box 1511 – Montgomery, AL 36102-1511 – ATTN: Record Challenge.
Failure to properly complete the form or provide the appropriate documentation, may cause a delay in processing your request.
I, , wish to challenge my Alabama CHRI provided to me by the
Alabama Law Enforcement Agency Criminal Records and Identification Unit on / / .
•
I understand that I must return this challenge form, along with the documentation required below, to the ALEA Criminal
Records and Identification Unit no later than one year in order to challenge this information under this request. I further
agree and understand that I must submit a new Request to Review or Challenge my criminal history record information in
accordance with the procedure established by the Alabama Justice Information (AJI) Commission should I wish to challenge
my Alabama criminal history after that date.
•
I understand that I must provide below or ATTACH IN WRITING TO THIS FORM the following information regarding EACH
arrest and/or disposition I am challenging before my challenge can be reviewed or processed by the ALEA Criminal Records
and Identification Unit. I also understand that I should attach copies of the official documentation from the arresting agency
or court (if applicable) to support each arrest or disposition being challenged.
•
I understand that my challenge will be reviewed by an ALEA Criminal Records and Identification Unit official, along with the
documentation provided. I also understand that my challenge may also be sent to the originating criminal justice agency with
custody over the challenged information for their review, and that this process may take several weeks or longer to
complete.
Please list the SPECIFIC charge, date, and Arresting Agency/Court for each arrest or disposition being challenged:
DATE
AGENCY
ARREST CHARGE/DISPOSITION CHALLENGED
1.
2.
3.
4.
5.
Please also provide the following details:
A.
The details related to why each specific arrest or disposition listed above is inaccurate:
B.
The information believed to be correct information for each arrest or disposition being challenged:
C.
The agency and/or court where I obtained what I believe to be the correct supporting information (if applicable) from is:
Signature: Date:
click to sign
signature
click to edit
SBI Form 46 Appendix B Rev. 10-01-17
Applicant Instructions
For completing the ALEA Application to Review Alabama Criminal History Record
Information or to Challenge Alabama Criminal History Record Information
Appendix B
In order for your request to review, challenge or appeal your Alabama Criminal History Record Information to be processed by the Alabama Law
Enforcement Agency (ALEA), you must complete the ALEA Application to Review (SBI Form 46) or to Challenge Alabama Criminal History Record
Information (SBI Form 46 Appendix A) in accordance with the following instructions:
1. Your application must include ONE COPY of at least one of the following forms of your own valid photo identification:
a. A valid unexpired United States state-issued photo driver license or photo ID (non-driver) card;
b. A valid unexpired United States Citizenship and Immigration Service Document, which may include either:
i. Certificate of Naturalization N-550
ii. Replacement Certificate of Naturalization N-570
iii. Special Certificate of Naturalization N-578
iv. Certificate of Citizenship N-560
v. Replacement Certificate of Citizenship N-561
vi. Certificate of Citizenship (Posthumous) N-645, N-645A
c. A valid unexpired United States Passport; or
d. A valid unexpired Foreign Passport which meets the following requirements:
i. A foreign passport must contain a Valid United States Visa or I-94 to be used as a primary proof of identification; or
ii. A foreign passport, not issued in English, must be translated and accompanied by a Certificate of Accurate Translation.
Passports are not acceptable if un-translated into English and/or expired.
2. Your application must include the required $25.00 administrative fee in the form of only a cashier's check or a money order made payable to
the “Criminal Records & Identification Unit” (sorry – personal and/or business checks are not accepted).; and
3. Your application must include a classifiable set of your own fingerprints, taken by an authorized law enforcement agency with an FBI-issued
Originating Agency Number (ORI).
a. The fingerprints accompanying your application should be provided to ALEA on an official FBI-approved “Applicant” fingerprint card or a
FBI-approved AFIS printout of an official “Applicant” fingerprint card (i.e., FBI blue card). This ensures positive identification and insures
that the proper criminal record is reviewed.
b. Details for the fingerprinting agency may be found in APPENDIX C.
4. Your completed request and all of the required documentation should be mailed to:
Alabama Law Enforcement Agency
Criminal Records and Identification Unit
ATTN: Background Checks
P.O. Box 1511
Montgomery, Alabama 36102-1511
5. If your application is to CHALLENGE any part of your CHRI maintained by ALEA, the application must include, at a minimum:
a. A copy of the Alabama Criminal History Record being challenged;
b. The charge and DATE of each specific arrest or disposition being challenged;
c. The Name of the ARRESTING AGENCY OR COURT for each arrest or disposition being challenged;
d. A listing of each specific arrest or disposition being challenged;
e. The details related to why each specific arrest is inaccurate;
f. What the applicant believes to be the correct information for each arrest or disposition being challenged;
g. Where the applicant obtained what he/she believes to be the correct supporting information (if applicable); and
h. Official documentation from the arresting agency or court (if applicable) to support each arrest or disposition being challenged.
6. Your completed request and all of the required documentation should be mailed to:
Alabama Law Enforcement Agency
Criminal Records and Identification Unit
ATTN: Record Challenge
P.O. Box 1511
Montgomery, Alabama 36102-1511
Please allow a minimum of 4-5 weeks from the date the application is received by ALEA for ALEA to process your request for review. Requests to
Challenge CHRI information do NOT fall under this timeframe, as they require additional research, contact and verification with the arresting agencies,
etc. If you have any questions concerning this procedure, you may contact ALEA by calling
334-353-4340 or 1-866-740-4762.
SBI Form 46 Appendix C Rev. 10-01-17
Instructions for Law Enforcement Official
Taking the applicant’s fingerprints on FBI “Applicant” Fingerprint Card
FD-258 (Rev 12-10-07)
Appendix C
In accordance with Alabama law and the procedures established in Section 265-X-2 of the Alabama Administrative Code,
individual citizens may request and may be provided with classifiable sets of their own fingerprints to accompany a
request for his/her own Alabama Criminal History Record Information (CHRI) from the Alabama Law Enforcement Agency
(ALEA).
One of the requirements for an individual to request their own criminal history record information is that the individual to
provide ALEA with a classifiable set of his or her own fingerprints (taken by an authorized law enforcement agency with an FBI-
issued ORI) with his or her application to Review or Challenge his or her own Alabama criminal history. This ensures positive
identification and insures that the proper criminal record is reviewed and/or challenged.
1.
The individual you are fingerprinting should provide proper identification to your agency upon request.
2.
The individual’s fingerprints should be taken by law enforcement on an FBI “Applicant” Fingerprint Card (i.e. blue card).
Please ensure that your agency’s name and ORI, AND your name and telephone number, are included on the completed
fingerprint card. A sample of the FBI “Applicant” Fingerprint Card FD-258 (Rev 12-10-07) for your reference purposes is provided
below.
3.
Please return the completed fingerprint card to the applicant, as it is the APPLICANT’s responsibility to mail the completed CHRI
Release Form (SBI Form 46), along with his/her own fingerprint card and the other required documents. See SBI Form 46 Appendix
B for mailing instructions.
4.
If you have any questions, please call ALEA at 334-353-4340 or 1-866-740-4762. To request blank FBI APPLICANT cards, your law
enforcement agency may contact the FBI Customer Service Group, CJIS Division Biometric Section at (304) 625-5590 or by e-mail at
identity@ic.fbi.gov.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

APPLICATION TO REVIEW ALABAMA CRIMINAL HISTORY RECORD INFORMATION (Alabama Law Enforcement Agency)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document