NOC Request Form
NOTE: One NOC Request per form
Required Requestor Information:
Date -
Contact Information - Preferred contact Method -
Requestor Name: Agency Name:
eMail
Phone
Reason for NOC Request -
Yes No
Description of Crime -
Statute/Code Reference (Provide full NRS/County or City code # - may have multiple reference #s)
(Please provide a copy of the NRS/County or City code being referenced)
Provide Crime Class/Severity -
Class A Felony Class B Felony Class C Felony Class D Felony Class E Felony
Gross Misdemeanor Misdemeanor
Response from DPS/AOC
NoYes
NOC
Create New NOC
Research/Recommendation from DPS -
Research AOC Discuss
Retainable as Criminal History -
Results -
Resolution Date -
New NOC
50,000 Series 11 Digit
Denied -
Reason for denial -
Systems/Synch -
DPS
AOC/Flags
MCIJIS/NCS
2009-05-04_NOC_Request_Form_v006
NOC Exists -
Track-It Number
Submit by Email