OKLAHOMA STATE BUREAU OF INVESTIGATION
Criminal History Record Information Request
6600 North Harvey Place
Oklahoma City, OK 73116
(405) 848-6724
(405) 879-2503 FAX
https://osbi.ok.gov/
SEARCH RESULTS (Please do not write in the spaces below):
Unless fingerprint cards are provided, record information is furnished solely on the basis of name or description similarity with the subject of your inquiry.
For questions on the Sex Offender / Violent Offender Registry, please contact the Oklahoma Department of Corrections.
SUBJECT INFORMATION: (Type or print clearly in blue or black ink)
Forms with corrections made with white out or by striking through the fields in this section will not be processed.
NAME
LAST FIRST MIDDLE
ALIAS/MAIDEN NAME(S)
MAXIMUM OF THREE ALIAS NAMES PER REQUEST
DATE OF BIRTH (MM/DD/YYYY). If date of birth is unavailable, include exact age of subject.
RACE SEX SOCIAL SECURITY NUMBER
REQUESTOR INFORMATION: (Type or print clearly in blue or black ink) Results will only be returned to the original requestor
REQUESTOR’S
NAME
SIGNATURE OF REQUESTING PARTY
STREET ADDRESS
CITY STATE ZIP
PHONE NUMBER E-MAIL ADDRESS
Requestors outside of the United States are strongly encouraged to provide an e-mail address for purposes of correspondence.
PURPOSE OF REQUEST
Oklahoma State Bureau of Investigation
Computerized Criminal History
ACCEPTABLE FORMS OF PAYMENT: CASH CASHIER’S CHECK / MONEY ORDER
BUSINESS CHECK No Personal Checks Accepted. CREDIT CARD
CREDIT CARD # EXPIRATION DATE SECURITY CODE _____
CARD HOLDER
Please print the name of the individual card holder as it appears on the credit card.
CARD HOLDER SIGNATURE (REQUIRED)
DATE
Request Submitted via:
Fax Mail In Person
REQUESTS WILL BE RETURNED
IN THE MANNER RECEIVED.
Mail requests should include postage-paid reply envelope.
Fax requests must include payment by credit card and a
dedicated Fax Phone Line for return of completed search:
Type Of Search Requested:
Name Based - $15.00
Sex Offender - $2.00
Mary Rippy Violent Offender - $2.00
State Fingerprint-based - $19.00
* Must provide fingerprint card.
* Includes name based search.
Oklahoma Department of Corrections
Sex Offender
Oklahoma Department of Corrections
Violent Offender
For Visa, MasterCard and Discover, security code is 3 digits on back of card.
For Amex, security code is 4 digits on front. These are the only cards accepted.
