OREGON STATE POLICE FINGERPRINT BASED CRIMINAL BACKGROUND CHECK APPLICATION

Transcription

1 OREGON STATE POLICE FINGERPRINT BASED CRIMINAL BACKGROUND CHECK APPLICATION Oregon State Police Clearinghouse Unit 3772 Portland Rd NE, Bldg C Salem, Oregon FAX CLEARINGHOUSE UNIT Revised 1/15

2 Fingerprint Based Background Checks This process is only available to Oregon-based organizations. Organizations outside of Oregon must use the Open Records service. For an organization to be able to use this service, the organization must comply with Oregon Revised Statute ORS reads: Criminal records check; qualified entities; rules. (1) As used in this section: (a) Authorized agency means the Department of State Police or other governmental agency designated by the state to report, receive or disseminate criminal offender information. (b) Qualified entity means a business or organization that: (A) Provides care or placement services, or licenses or certifies others to provide care or placement services, for children, elderly persons or dependent persons; (B) Is not governed by a state regulatory or licensing agency; and (C) Has been determined by an authorized agency to meet the criteria established by the authorized agency by rule under subsection (9) of this section. (c) Subject individual means a person who is employed or seeks to be employed by a qualified entity or who is providing services or seeks to provide services to a qualified entity on a contractual or volunteer basis. (2) An entity may request from an authorized agency a criminal records check for purposes of evaluating the fitness of a subject individual as an employee, contractor or volunteer. The authorized agency may access state and federal criminal records under this subsection only through use of the subject individual s fingerprints. (3) Before an authorized agency may conduct a criminal records check under this section: (a) The authorized agency shall determine whether the entity requesting the criminal records check is a qualified entity; (b) The qualified entity must establish criteria to be used by the authorized agency in reviewing the criminal offender information for a final record check determination; (c) The qualified entity must provide the criteria established under paragraph (b) of this subsection to the authorized agency; and (d) The qualified entity must have informed the subject individual that the qualified entity might request a fingerprint-based criminal records check and that the subject individual may obtain a copy of the record check report from, or challenge the accuracy or completeness of the record check report through, the authorized agency or the Federal Bureau of Investigation. (4)(a) Upon receipt of a subject individual s criminal offender information, the authorized agency shall make a final record check determination by comparing the criminal offender information with the criteria provided to the authorized agency by the qualified entity under subsection (3)(c) of this section. In making the final record check determination, the authorized agency may consider only information that the Department of State Police may disclose under ORS (b) An authorized agency is immune from civil liability that might otherwise be incurred or imposed for making the final record check determination under this Rev. 1/15 2

3 subsection. (5) An authorized agency may not transfer a fingerprint card used to conduct the criminal records check unless the public agency or person receiving the fingerprint card agrees to destroy or return the fingerprint card to the authorized agency. (6) If the public agency or person returns a fingerprint card to the authorized agency, the authorized agency shall destroy the fingerprint card. The authorized agency may not keep a record of the fingerprints. (7) The authorized agency shall permit a subject individual to inspect the individual s Oregon and Federal Bureau of Investigation criminal offender information after positive identification has been established based upon fingerprints. (8) Challenges to the accuracy or completeness of information provided by the authorized agency, the Federal Bureau of Investigation and agencies reporting information to the authorized agency or bureau must be made through the authorized agency or bureau. (9) The authorized agency shall adopt rules to implement this section. The rules may include but are not limited to: (a) Criteria to be used by the authorized agency to determine whether an entity is a qualified entity; and (b) Fees to be charged for conducting criminal records checks under this section in amounts not to exceed the actual costs of acquiring and furnishing criminal offender information. [2001 c.871 1] Qualifying organizations must complete, at a minimum, the Oregon Qualified Organization Fingerprint Based Application and Criminal Record Criteria Section in this packet. Once completed, these forms must be returned to Oregon State Police, Clearinghouse Unit at the address on the application. Before a fingerprint based criminal record check can be completed, the Oregon State Police must determine whether the organization requesting the criminal record check is a qualified organization. The qualified organization must establish criteria to be used by the Oregon State Police in reviewing the criminal offender information for a final record check determination. The qualified organization must provide the established criteria to the Oregon State Police. Once the account and fingerprint criteria have been established, the qualified organization may then submit fingerprints of their volunteers or employees. The appropriate fee to conduct the criminal background check must accompany each request. The Department of State Police charge $65.50 for a volunteer and $66.75 for an employee. The Oregon State Police will then conduct a fingerprint based criminal record background check of both the Oregon and FBI criminal history records. The Oregon State Police will make a final record check determination by comparing any criminal offender information found within the criteria provided by the qualified organization. Any subject individual that has been denied may challenge the accuracy and completeness of their record check through the Oregon State Police Clearinghouse Unit. Rev. 1/15 3

4 Oregon Qualified Organization Fingerprint Based Application Please complete this form along with the Criminal Record Criteria Selection sheet and mail to Oregon State Police, Clearinghouse Unit, 3772 Portland Road NE, Bldg C, Salem, Oregon Organization/Business Name: Mailing Address: Telephone Number: Fax Number: Address: Contact Person: Is your organization regulated by any state agency? If so, which agency? Please describe your business/organization and how it interacts with children, the elderly or disabled persons. Rev. 1/15 4

5 Criminal Record Criteria Selection The Oregon State Police will use your criteria as the basis to decide if the person you are checking on is qualified. The Oregon State Police s response will be in letter form and merely state, approved or denied. You will not receive criminal offender information concerning the person you are checking on. The Oregon State Police will then destroy the fingerprint card. PLEASE CHECK THE OFFENSES THAT YOU WANT TO BE USED AS A DISQUALIFIER FOR YOUR ORGANIZATION ORGANIZATIONS MAY PUT TIME LIMITATIONS ON CHARGES. Example: Any Controlled Substance Conviction within the last 10 years. Write in any time limitations next to the charge(s) on which you wish to place limits. FOR ACTIVE WARRANTS CHECK THIS BOX FOR RESTRAINING ORDERS CHECK THIS BOX FOR SEX OFFENDER REGISTRATION CHECK THIS BOX FOR ANY FELONY CONVICTION CHECK THIS BOX FOR ANY MISDEMEANOR CONVICTION CHECK THIS BOX FOR ANY SEX OFFENSE CONVICTION CHECK THIS BOX FOR ANY CONTROLLED SUBSTANCE CONVICTION CHECK THIS BOX FOR THREE OR MORE CONVICTIONS OF ANY TYPE (shows pattern of behavior) CHECK THIS BOX FOR ANY CONVICTION OF ANY TYPE CHECK THIS BOX -OR- Your organization may use the following list of Oregon Criminal Charges as your criteria. Please check off the charges that your organization would like to use as their criteria for disqualifying the applicant. To find complete definitions of each charge go to: Rev. 1/15 5

6 ORS OFFENSE CLASS Time Limit? F: Felony Charge If so How Long? Example: within last 10 years ABANDONMENT OF A CHILD F ABUSE OF CORPSE 1ST DEG F ABUSE OF CORPSE 2ND DEG F AGGRAVATED ANIMAL ABUSE I F ALTER APPL FOR ABSENTEE BALLOT F ALTER IDENTIFICATION-FIREARMS F ALTER VOTER REGISTRATION CARD F ARSON 1ST DEG F ARSON 2ND DEG F ASSAULT 1ST DEG F ASSAULT 2ND DEG F ASSAULT 3RD DEG F ASSAULT LAW ENFORCEMENT ANIMAL F ASSAULT PUBLIC SAFETY OFFICER F ATT USE/CARRY DANGEROUS F WEAPON BIGAMY F BRIBE GIVING F BRIBE RECEIVING F BRIBE RECEIVING BY WITNESS F BRIBING A WITNESS F BURGLARY 1ST DEG F BURGLARY 2ND DEG F BUY OR SELL PERSON UNDER 18 F CAUSE PERSON-INGEST CONT SUBST F CELLULAR COUNTERFEIT 1ST DEG F CELLULAR COUNTERFEIT 2ND DEG F CHEATING F CHILD NEGLECT 1ST DEG F COERCION F COMM FISH OFFENSE-FELONY F CONTRIBUTIONS IN FALSE NAME F COUNTERFEIT VEHICLE TITLE F CRIM POSS FORG INST 1ST DEG F CRIM POSS OF FORGERY DEVICE F CRIMINAL IMPERSONATE PEACE F OFFICER CRIMINAL MISCHIEF 1ST DEG F CRIMINAL MISTREATMENT 1ST DEG F CRIMINAL NONSUPPORT F CRIMINALLY NEGLIGENT HOMICIDE F CUSTODIAL INTERFERENCE 1ST DEG F CUSTODIAL INTERFERENCE 2ND DEG F DANGEROUS OFFENDER F Rev. 1/15 6

7 DISPLAY CHILD-SEXUAL CONDUCT F DIVULGE TAX RETURN INFO F DOGFIGHTING F ENCOURAGE CHILD SEX ABUSE 1ST F ENCOURAGE CHILD SEX ABUSE 2ND F ENDANGERING AIRCRAFT F ENGAGE FINANCIAL TRANS-UNL ACT F ENVIRONMENTAL ENDANGERMENT F ESCAPE 1ST DEG F ESCAPE 2ND DEG F FAIL TO APPEAR 1ST DEG F FAIL TO GIVE AID-RIOT F FALSE CLAIM HEALTHCARE PAYMENT F FALSE STATEMENT-PETITION F FALSE SWEARING-VEH BUSN CERT F FELON IN POSSESSION OF WEAPON F FELON POSSESS BODY ARMOR F FEMALE GENITAL MUTILATION F FOREST PROD BRAND OFF-FELONY F FORGE/ALTER VEHICLE TITLE/REG F FORGERY 1ST DEG F FURNISH FIREARM USED IN FELONY F HINDERING PROSECUTION F HIT AND RUN-VEHICLE-INJURY F IDENTITY THEFT F INCEST F INTIMIDATION 1ST DEG F KIDNAPPING 1ST DEG F KIDNAPPING 2ND DEG F LAUNDER MONETARY INSTRUMENT F MANSLAUGHTER 1ST DEG F MANSLAUGHTER 2ND DEG F MANU/IMPORT/SELL-FIREARMS F MANUFACTURE DESTRUCTIVE DEVICE F MURDER F MURDER-AGGRAVATED F ORGANIZING SPEED RACING EVENT F PAROLE VIOLATION F PERJURY F POSS FRAUDULENT COMM DEVICE F POSS GAMBLING RECORDS 1ST DEG F POSS INDIAN ARTIFACTS-REMAINS F POSS MAT/SEX COND CHILD 1ST DEG F POSS MAT/SEX COND CHILD 2ND DEG F POSS SUBST W/INTENT TO MANUF F POSSESS DESTRUCTIVE DEVICE F POSSESS FIREARM/DEVISE-PUB BLD F POSSESS PROHIBITED FIREARM F POSSESS STOLEN VEHICLE F POSSESSION OF WEAPON BY INMATE F Rev. 1/15 7

8 POST PRISON SUPV SANCTION F PRACTICE MEDICINE W/O LICENSE F PROHIBITED FEES-ADOPTION F PROSTITUTION-COMPELLING F PROSTITUTION-PROMOTING F PUBLIC INVESTMENT FRAUD F RACKETEERING F RAPE 1ST DEG F RAPE 2ND DEG F RAPE 3RD DEG F RIOT F ROBBERY 1ST DEG F ROBBERY 2ND DEG F ROBBERY 3RD DEG F SECURITIES FRAUD F SEXUAL ABUSE 1ST DEG F SEXUAL ABUSE 2ND DEG F SEXUAL PEN W/OBJECT 1ST DEG F SEXUAL PEN W/OBJECT 2ND DEG F SIMULATING LEGAL PROCESS F SODOMY 1ST DEG F SODOMY 2ND DEG F SODOMY 3RD DEG F SPORTS BRIBE RECEIVING F SPORTS BRIBERY F SPREAD COMMUNIC DISEASE F SUBM FALSE CLAIM/BILL-PUB ASST F SUBMIT FALSE ODOMETER READING F SUPPLY FALSE INFO-ENVIRONMENTAL F SUPPLYING CONTRABAND F TAMPER/INJURE VOTING MACHINE F TAMPERING WITH A WITNESS F TAMPERING WITH DRUG RECORDS F TAX EVASION F THEFT 1ST DEG F THEFT 1ST DEG - AGGRAVATED F THEFT BY EXTORTION F THREATEN/EXTORT-PETITION F THROW OBJ OFF OVERPASS I F TRADEMARK COUNTERFEIT 1ST DEG F TRADEMARK COUNTERFEIT 2ND DEG F TRAFFICK IN STOLEN VEHICLES F TREASON F UNAUTHORIZED USE MOTOR VEHICLE F UNDUE INFLUENCE F UNL DISP/STOR/TRT HAZ WASTE 1ST F UNL POSSESS FICTITIOUS ID F UNL POSSESS PERSONAL ID DEVICE F UNL TRANSPORT HAZ WASTE 1 F UNLAW WATER POLLUTION 1ST DEG F Rev. 1/15 8

9 UNLAWFUL AIR POLLUTION 1ST DEG F UNLAWFUL FACTORING CREDIT CARD F UNLAWFUL GAMBLING 1ST DEG F UNLAWFUL LABEL SOUND RECORDING F UNLAWFUL OBT PUBLIC ASSISTANCE F UNLAWFUL ODOMETER TAMPERING F UNLAWFUL PARAMILITARY ACTIVITY F UNLAWFUL POSSESS BODY ARMOR F UNLAWFUL REC PUBLIC ASSISTANCE F UNLAWFULL POSSESS GRAY MACHINE F UNLAWFULLY OBT/USE FOOD STAMPS F UNLICENSED SECURITY TRANSACTION F UNREGISTERED SECURITIES F USE STUN GUN/TEAR GAS/MACE 1ST F VIOLATE ELECTION LAWS-GENERAL F WILDLIFE OFFENSE-FELONY F M: Misdemeanor Charge ABUSE MEMORIAL TO DEAD M ABUSE VENERATED OBJECT M AGENT USE INFO-TELEGRAPH MSG M ALLW INTOX PERS TO CONSUME LIQ M ALTER POLLUTION CONTROL SYSTEM M ALTER TELEGRAPHIC MESSAGE M ANIMAL ABANDONMENT M ANIMAL ABUSE 2ND DEG M ANIMAL FIGHTING-INVOLVEMENT M ANIMAL NEGLECT 1ST DEG M ANIMAL NEGLECT 2ND DEG M ATT TO ELUDE POLICE OFC-BOAT M BRIBERY OF TELEGRAPH AGENT M BUILDER REGISTRATION OFFENSE M BURN W/O PERMIT-FOREST LAND M CARRY CONCEALED/POSS FIREARM M CARRY CONCEALED/POSS KNIFE M CELLULAR COUNTERFEIT 3RD DEG M CHILD NEGLECT 2ND DEG M CITY ORDINANCE OFFENSE M COMM FISH OFFENSE-MISDEMEANOR M COMPOUNDING A FELONY M CONCEALING BIRTH OF AN INFANT M CONT SUB OFF-REGISTRANT RECORD M CONTEMPT OF COURT M CONTRIB SEX DELINQUENCY-MINOR M COUNTERFEIT LICENSE FORMS M COUNTY ORDINANCE OFFENSE M CREATE HAZARD-RFG/WELL/HOLE M CRIM POSS FORG INST 2ND DEG M Rev. 1/15 9

10 CRIM TRESPASS 2ND DEG-GUEST M CRIM TRESPASS-POSSESS FIREARM M CRIM TRESPASS-SPORTS EVENT M CRIMINAL MISCHIEF 2ND DEG M CRIMINAL MISCHIEF 3RD DEG M CRIMINAL MISTREATMENT 2ND DEG M CRIMINAL SIMULATION M CRIMINAL TRESPASS 1ST DEG M CRIMINAL TRESPASS 2ND DEG M CUT/TRANS CONIFEROUS TREES M CUT/TRANS MINOR FOREST PRODUCT M DEL IMITATION CONT SUBSTANCE M DEP LIGHTED MATERIAL-LAND/HWY M DEPOSIT TRASH W/IN 100YD WATER M DISCHARGE WEAPON/OBJECT-TRAIN M DISCHARGE WEAPON-AIRPORT M DISCLOSURE OF INDICTMENT M DISORDERLY CONDUCT M DISPLAY OBSCENE MATERIAL-MINOR M DISSEMINATE OBSCENE MATERIAL M DOG AS PUBLIC NUISANCE M DOGFIGHTING-PARTICIPATE M ENCOURAGE CHILD SEX ABUSE 3RD M ENDANGERING WELFARE OF MINOR M ENTER CLOSED AREA-FIRE HAZARD M ESCAPE 3RD DEG M EXCLU CERTAIN PERS RACE COURSE M EXCLUSION FROM PUBLIC PROPERTY M EXHIBIT OBSCENE PERFORM-MINOR M FAIL CARRY/PRESENT OP LICENSE M FAIL DESIGNATE ASSEMBLE VEH M FAIL DISPLAY AMBULANCE CERT M FAIL MAINTAIN CEDAR RECORD M FAIL MAINTAIN METAL RECORD M FAIL NOTIFY PURCHASER-VEH COND M FAIL REPORT CHILD PORNOGRAPHY M FAIL REPORT MISSING PRECURSOR M FAIL REPORT PRECURSOR TRANS M FAIL RET SUSP TRN INST CERT M FAIL RET SUSP TRN SCHOOL CERT M FAIL RETURN SUSP DEALER CERT M FAIL RETURN SUSP REGISTRATION M FAIL RETURN SUSP WRECKER CERT M FAIL RETURN SUSPENDED OP LIC M FAIL RETURN VEHICLE TRANS CERT M FAIL SUBMIT ODOMETER READING M FAIL SURRENDER FARM REG PLATE M FAIL SURRENDER LICENSE/REG M FAIL SURRENDER REGIS/TITLE M FAIL TO APPEAR 2ND DEG M Rev. 1/15 10

11 FAIL TO APPEAR-CRIM CITATION M FAIL TO APPEAR-FOREST PROD CIT M FAIL TO APPEAR-VIOL M FAIL TO COMPLY-COMMERCIAL VEH M FAIL TO COMPLY-VEH DESTRUCTION M FAIL TO NOTIFY INDIAN TRIBE M FAIL TO NOTIFY OF DEATH M FAIL TO OBTAIN VEHICLE VIN M FAIL TO PAY FINE M FAIL TO PERFORM COMM SERVICE M FALSE ACCIDENT REPORT M FALSE APPL-AMBULANCE/EMT CERT M FALSE APPLICATION-OP LICENSE M FALSE APPL-VEH REGISTRATION M FALSE CERT-FARM RESP EXEMP M FALSE CERT-POLLUTION CONT SYST M FALSE INFO ABOUT LIABIL INSUR M FALSE INFO TO MARINE BOARD M FALSE INFO/TRANSFER FIREARM M FALSE INFO-POLICE OFC-CRIM OFF M FALSE INFO-POLICE OFC-VEH OFF M FALSE INFO-PRECURSOR REPORT M FALSE REPORT - INITIATING M FALSE STAT REGIST APP-BOAT M FALSE STATEMENT TO OBT BENEFIT M FALSE STATEMENT-VEHICLE TITLE M FALSE SWEARING M FALSE SWEARING-FARM REGIS M FALSE SWEARING-OP LICENSE M FALSE SWEARING-VEHICLE TITLE M FALSE SWEAR-VEH REGISTRATION M FALSE WRITTEN STATEMENT OF AGE M FALSIFY DRUG TEST RESULTS M FALSIFY FINAN RESPONSIBILITY M FALSIFYING BUSINESS RECORDS M FIREWORKS OFFENSE M FOREST FIRE PROTECTION OFFENSE M FOREST PROD BRAND OFF-MISD M FORESTRY RULE VIOLATION M FORGERY 2ND DEG M FRAUDULENTLY OBTAIN SIGNATURE M FREQ PLACE CONTROLLED SUB USED M FUND RAISING OFFENSE M FURNISH OBSCENE MATERIAL-MINOR M GIVE LIQUOR-MINOR/INTOX PERSON M HARASSMENT M HIT AND RUN-VEHICLE-PROPERTY M HUNT FROM SNOMO/CLASS I VEH M HUNT IN CEMETERY M ILLEGALLY SELL DRUG EQUIPMENT M Rev. 1/15 11

12 IMPROPER TRANSFER FIREARM M IMPROPER USE OF 911 M INTERCEPTION OF COMMUNICATIONS M INTERFERE W/ PEACE OFFICER M INTERFERE W/AGRICULTURAL OP M INTERFERE W/LEGISLATIVE OPER M INTERFERE W/MAKING A REPORT M INTERFERE W/PUBLIC TRANSPORT M INTERFERE WITH FIREFIGHTER M INTERFERING WITH POLICE ANIMAL M INTIMIDATION 2ND DEG M INVASION OF PERSONAL PRIVACY M KILL ANOTHER-LOSE RT BEAR ARMS M LAND USE OFFENSE M LANDSCAPING LICENSE OFFENSE M LEARN CONTENT OF TELEGRAPH MSG M LIVESTOCK AT LARGE M LIVESTOCK BRAND OFFENSE M MAIL THEFT M MAINT COMMON NUISANCE-LIQUOR M MAKE FALSE FINANCIAL STATEMENT M MALE STOCK AT LARGE-OPEN RANGE M MAN/SALE/DEL ADULTERATED FOOD M MENACING M MISAPPLY ENTRUSTED PROPERTY M MISCONDUCT-EMERGENCY TELE CALL M MISREP AGE BY A MINOR-LIQUOR M MISREPRESENT AGE BY A MINOR M MISREPRESENTATION OF PEDIGREE M MISUSE CONFIDENTIAL INFO M MISUSE OF IDENT CARD M MIX-SELL-SERVE LIQ/NO PERMIT M MOVE BODY/EFFECTS-CRIME SCENE M NEGLIGENTLY WOUNDING ANOTHER M NO AMBULANCE CERTIFICATION M NO BARBER/HAIRDRESSERS LICENSE M NO CHARTER BOAT LICENSE M NO COMM VEH TRN SCHOOL CERT M NO COUNTY FIRE PERMIT M NO DISTRICT FIRE PERMIT M NO DRIVER TRN INSTRUCTOR CERT M NO EMT-I CERTIFICATION M NO EXOTIC ANIMAL PERMIT M NO EXPLOSIVE PERMIT M NO LIC FOR TOURIST FACILITY M NO LIC-BREW/DISTILL LIQUOR M NO MASSAGE BUSINESS LICENSE M NO REAL ESTATE LICENSE M NO RESTAURANT LICENSE M NO VEHICLE DEALER CERTIFICATE M Rev. 1/15 12

13 NO WRECKING BUSN CERTIFICATE M OBSTRUCT GOV/JUDICIAL ADMIN M OBT CONTENTS OF COMMUNICATIONS M OBTAIN DOCUMENT BY DECEPTION M OFFENSIVE LITTERING M OFFICIAL MISCONDUCT 1ST DEG M OFFICIAL MISCONDUCT 2ND DEG M OP BOAT UNDER INFLUENCE INTOX M OPEN TELEGRAPH MSG OF ANOTHER M OPEN/READ/PUBLISH LETTER M OPER FOSTER HOME W/O LIC M OPER RESID FACILITY W/O LIC M OUTFITTER/GUIDE OFFENSE M PARK VEHICLE-VIOL RESTRICTION M PAWNBROKERS ACT OFFENSE M PERFORM TATTOO/ELECTR W/O LIC M PERMIT MISUSE OF OP LICENSE M PESTICIDE CONTROL OFFENSE M PLACE OFF SUB-WATER/HWY/PROP M POINTING FIREARM AT ANOTHER M POSS GAMBLING RECORDS 2ND DEG M POSSESS ARMOR PIERCING AMMO M POSSESS BURGLARS TOOLS M POSSESS FALSE LAW ENFORCE ID M POSSESS FEDERAL LEGEND DRUG M POSSESS FIRE BOMB M POSSESS GAMBLING DEVICE M POSSESS UNLABELED BEER KEG M PRACTICE VET MED W/OUT LICENSE M PRIVATE INDECENCY M PROBATION VIOLATION M PROHIB ACTIVITIES-CHARTER BOAT M PROHIB CONDUCT-ARCHAEOLOGICAL M PROHIB DISPOSAL SOLID WASTE M PROHIB OPERATION OF AIRCRAFT M PROSTITUTION M PROVIDE FALSE FOREIGN REST ORD M PROVIDE HYPODERMIC TO MINOR M PUBLICLY DISPLAY NUDITY/SEX M PUNITIVE CONTEMPT OF COURT M RECKLESS BURNING M RECKLESS DRIVING M RECKLESS ENDANGER HWY WORKER M RECKLESS OPERATION OF BOAT M RECKLESSLY ENDANGERING M REFUSAL TO TAKE BREATH TEST M REFUSE SEND/DEL TELEGRAPH MSG M REGISTER TRANSFER USED FIREARM M REMEDIAL CONTEMPT OF COURT M REMOVE MATERIAL WITHOUT PERMIT M Rev. 1/15 13

14 REMOVE ODOMETER REPAIR NOTICE M RESISTING ARREST M ROAD RIGHT OF WAY OFFENSE M SALE ITEMS-UNUSED PROP MARKET M SALE OF DRUG PARAPHERNALIA M SELL DRUGGED HORSE M SELL FALSE DOCUMENTS-LIC/REG M SELL UNTITLED VEHICLE M SELL/DEL EXPL/FIREARM TO CHILD M SEND OBSCENE MATERIAL TO MINOR M SERVE LIQUOR WITHOUT LICENSE M SET FIRE ON OCEAN SHORE M SETTING SPRINGGUN OR SETGUN M SEXUAL ABUSE 3RD DEG M SEXUAL ASSAULT OF ANIMAL M SEXUAL MISCONDUCT M STRANGULATION M SUMMARY CONTEMPT OF COURT M TAMPER W/CABLE TV EQUIPMENT M TAMPERING WITH EVIDENCE M TELEPHONIC HARASSMENT M THEFT 2ND DEG M THEFT 3RD DEG M THROW OBJ OFF OVERPASS II M TRADE NONAMBULATORY LIVESTOCK M TRADEMARK COUNTERFEIT 3RD DEG M TRAFFICK VEH W/ALTERED VIN M UNAUTH USE LIVESTOCK ANIMAL M UNAUTHORIZED DEPARTURE M UNL DIRECT LIGHT/LASER POINTER M UNL DISP/STOR/TRT HAZ WASTE 2ND M UNL POSS/DISTRIBUTE EPHEDRINE M UNL POSSESS ANHYDROUS AMMONIA M UNL TRANSPORT HAZ WASTE 2 M UNLAW POLLUTION CONTROL SYSTEM M UNLAW SELL/TRANS/IMPORT LIQUOR M UNLAW TELEPHONE SOLICITATION M UNLAW WATER POLLUTION 2ND DEG M UNLAWFUL AIR POLLUTION 2ND DEG M UNLAWFUL CAMPFIRE M UNLAWFUL CONSIGNED VEH TRANSFER M UNLAWFUL CONSIGNMENT PRACTICE M UNLAWFUL DISPOSAL OF BODY M UNLAWFUL DIST CABLE TV EQUIP M UNLAWFUL ENTRY INTO MOTOR VEH M UNLAWFUL ENTRY-CRIME SCENE M UNLAWFUL GAMBLING 2ND DEG M UNLAWFUL LEGISLATIVE LOBBYING M UNLAWFUL ODOMETER REPAIR M UNLAWFUL POSSESS INHALANTS M Rev. 1/15 14

15 UNLAWFUL POSSESS IODINE M UNLAWFUL POSSESS IODINE MATRIX M UNLAWFUL POSSESS PHOSPHORUS M UNLAWFUL PURCHASE OF FIREARM M UNLAWFUL SELL/DEL FIREARM M UNLAWFUL SOUND RECORDING M UNLAWFUL TOWING BUSINESS M UNLAWFUL TRANS MEAT CARCASSES M UNLAWFUL TRANSPORT OF HAY M UNLAWFUL USE OF FIRE M UNLAWFUL USE OF GROUND WATER M UNLAWFUL VEH REBUILD BUSINESS M UNLAWFUL VEHICLE SALVAGE M UNLAWFUL VIDEOTAPE RECORDING M UNLAWFULLY OPER JUNK VEHICLE M UNLAWFULLY TRANSFER EXPLOSIVES M UNLAWFULLY USING SLUGS M UNLICENSED CHILD-CARING AGENCY M UNREASONABLE SOUND AMP/VEHICLE M UNSWORN FALSIFICATION M USE ANOTHERS OPERATORS LICENSE M USE FIREARM-INCUMBUST WADDING M USE ILLEGAL DRUG MANUF SITE M USE INVALID OPERATORS LICENSE M USE OF CONTAMINATED PROPERTY M USE STUN GUN/TEAR GAS/MACE 2ND M USE UNFIT PROPERTY M USE WATER DENIED/WATERMASTER M VEH ASSLT BICYCLIST-PEDESTRIAN M VEHICLE DEALER OFFENSE M VIOL OUT-OF -SERVICE ORDER M VIOL POSTED WEIGHT LIMIT M VIOLATE FARM REGIS LIMITS M VIOLATION OF RELEASE AGREEMENT M WILDLIFE OFFENSE-MISDEMEANOR M WRECKING BUSINESS OFFENSE M : Could be either a Misd or Felony charge ANIMAL ABUSE 1ST DEG APPLY CONT SUBST TO MINOR ASSAULT 4TH DEG ATT ELUDE POLICE OFC-VEHICLE ATTEMPT TO COMMIT CRIME COMPUTER CRIME CONT SUBSTANCE OFF-REGISTRANT CONTROLLED SUBSTANCE OFFENSE CRIM POSS RENTED/LEASED PROP CRIMINAL CONSPIRACY Rev. 1/15 15

16 CRIMINAL DRIVING-SUSP/REVOKED CRIMINAL IMPERSONATION DELIVER CONT SUBSTANCE-MINOR DISTILL LIQUOR-POSSESS MASH DRIVE UNDER INFLUENCE INTOX FAIL TO REGISTER/SEX OFFENDER FRAUDULENT USE OF CREDIT CARD FUGITIVE FROM OTHER STATE HIT AND RUN-BOAT INTERFERE LIVESTOCK PRODUCTION MAN/DEL CONTROL SUB-1000 FT SCH NEGOTIATING A BAD CHECK POSSESS HOAX DESTRUCT DEVICE PUBLIC INDECENCY RESEARCH/ANIMAL INTERFERENCE SADO ABUSE SEX COND-LIVE SHOW SOLICITATION TO COMMIT CRIME STALKING TAMPER WITH PUBLIC RECORDS THEFT OF SERVICES TRANSFER FIREARMS-GUN SHOWS USING MINOR-CONTROL SUB OFF WILDLIFE OFFENSE Rev. 1/15 16

17 Some non-profit organizations may qualify for a fee reduction. If your organization has a non-profit 501 (c) status and meets all of the following criteria, you may want to contact the Clearinghouse Unit for further instructions. 1. The person you are conducting a background check on must be a volunteer. 2. The person you are conducting a background check on must be mentoring or tutoring a youth, dependent person, or elderly person. 3. The person you are conducting a background check on must be in the mentoring or tutoring relationship with the youth, dependent person, or elderly person typically for nine months or longer. 4. The person you are conducting background checks on must be in a ONE-to-ONE relationship with the youth, dependent person or elderly person. (The relationship cannot be in a group setting). (A youth is a person who has not attained 18 years of age. A dependent person is a person who, because of physical or mental disability, or medical disability due to alcohol or drug dependence, needs mentoring or tutoring programs. An elderly person is a person 65 years of age or older.) Rev. 1/15 17