Fillable REQUEST FOR CLEARANCE LETTER

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REQUEST FOR CLEARANCE LETTER

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Country of origin: US
File type: PDF

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REQUEST FOR CLEARANCE LETTER
In order to comply with your request, you must complete this form and return it, along with an $11.00 fee to: Orange
County Sheriff’s Department, 320 N. Flower Street, Santa Ana, California 92703. Attention: Subpoena and
Administrative Services. NOTE: You must include a copy of a current, government-issued ID.
DATE
NAME: LAST FIRST MIDDLE MAIDEN NAME OR ALIASES
CITIZEN SEX
RACE
HEIGHT WEIGHT HAIR EYES
DATE OF BIRTH
PLACE OF BIRTH
RESIDENCE ADDRESS
TELEPHONE NUMBER
DRIVERS LICENSE NUMBER/IDENTIFICATION NUMBER
PURPOSE OF CLEARANCE LETTER: Please check one box
VISA Adoption
Immigration Mexican Hunting License
Note: Notarized letters cannot be emailed.
EMAIL TO:
MAIL TO:
SHF 3 (Rev. 6/2020)
OC #
FEES COLLECTED
NO
RECEIPT #
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REQUEST FOR CLEARANCE LETTER

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Completed 23 March 2021

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