ࡱ> #` bjbj\.\. >D>DB44444 4 4 4h mmmh|mnh pqqqqwyzx$}h4 ww44qq'Kppp|4pq4 qppp4 pqo Mfm p a0pӔ ӔpӔ4 p${|0p}~{{{j{{{h h -B+h h Bh h h 444444  Identification and Criminal History Section PO Box 42633, Olympia WA 98504-2633 REQUEST FOR CRIMINAL HISTORY INFORMATION CHILD/ADULT ABUSE INFORMATION ACT RCW 43.43.830 THROUGH 43.43.845 (Instructions on Reverse Side) REQUESTING AGENCY/ADDRESSPURPOSE FORMTEXT      Check appropriate boxAgency FORMTEXT       FORMCHECKBOX  Educational School District (ESD)/School District Volunteer  no feeAttn FORMTEXT       FORMCHECKBOX  Non-Profit Business/Organization  no fee (Excluding Schools & ESD s)Address FORMTEXT       FORMCHECKBOX  Profit Business/Organization - $35City/State/Zip FORMCHECKBOX  Adoptive Parent - $35I certify this request is made pursuant to and for the purpose indicated.Fees: Make payable to Washington State Patrol by check, money order, or business account.Authorized SignatureDate FORMTEXT      ( FORMTEXT      )  FORMTEXT      TitleArea Code/Phone NumberNotary letters certifying the results are available upon request. There is an additional $5.00 processing fee per notary seal. _______ Notarized Letter(s) APPLICANT OF INQUIRY (Please provide as much information as possible; name and date of birth are mandatory.)Applicants Name: FORMTEXT       FORMTEXT       FORMTEXT      LastFirstMiddleAlias/Maiden Name(s): FORMTEXT      Date of Birth: FORMTEXT      Sex: FORMTEXT      Race: FORMTEXT      Month/Day/YearSocial Security Number: FORMTEXT      Driver's Lic. Number/State: FORMTEXT      / FORMTEXT       (optional) Secondary dissemination of this criminal history record information response is prohibited unless in compliance with statute. WASHINGTON STATE PATROL IDENTIFICATION & CRIMINAL HISTORY SECTIONWSP Use OnlyAs of this date, the applicant named below has no record pursuant to RCW 43.43.830 through 43.43.845.  FORMTEXT      Requesting AgencyApplicant s Signature FORMTEXT      Applicant Right Thumb Print (Optional)Applicant s Name FORMTEXT      Address FORMTEXT      City/State/Zip3000-240-430 (Rev. 3/07) MAIL COMPLETED FORM TO: WASHINGTON STATE PATROL IDENTIFICATION AND CRIMINAL HISTORY SECTION PO BOX 42633 OLYMPIA WA 98504-2633 FOR FURTHER INFORMATION, CONTACT THE WASHINGTON STATE PATROL AT: PHONE: (360) 705-5100 E-MAIL:  HYPERLINK "crimhis@wsp.wa.gov" crimhis@wsp.wa.gov WSP WEB SITE:  HYPERLINK "http://www.wsp.wa.gov" http://www.wsp.wa.gov Washington State conviction criminal history record information is available on the Internet using WATCH (Washington Access to Criminal History). You may use an account established by mail or conduct a search using a credit card (Discover, American Express, Visa, or MasterCard). An account application can be printed by accessing WATCH HELP files on the Internet. A $10 fee is charged for each name and date of birth search, regardless of the outcome. WATCH WEB SITE:  HYPERLINK "https://watch.wsp.wa.gov" https://watch.wsp.wa.gov CHILD/ADULT ABUSE RECORD SEARCH GUIDELINES TUV      ؼuluaulaVJBhCJaJjhCJUaJhhMCJaJhh#CJaJh#5CJaJhh#5CJaJ"jhx9CJUaJmHnHuhhx9CJaJ%jhx95CJUaJmHnHuhZhZCJ aJ hvhCJ h3^5CJhvhh3^CJ aJ h3^ h3^CJjhaCJUmHnHu!jhS=5CJUmHnHu0UV $Ifgd $ a$gd3^ $ a$gdvh Zx   wwwww $Ifgd{kd$$Ifs    p0,m t0    44 sas    M@3@@ $Ifgd $Ifgdkd$$Ifs    r$,h t0    44 sas    < @ B N P V X Z n p r | ~ ĹxmaYGaY#jhzWhU(CJUaJhU(CJaJjhU(CJUaJhhU(CJaJ#j>hhAYCJUaJhCJaJhhU(CJaJhMCJaJhMhMCJaJhM5CJaJhhMCJaJhhMCJaJ"jhCJUaJmHnHujhCJUaJ#jhhAYCJUaJ > @ B P R @kd8$$Ifs    r$,r t0    44 sas $IfgdR T V X SF9FF $Ifgd $IfgdkdS$$Ifs    \,h t0    44 sas $IfgdM 4 6 *kd&$$Ifs4    r,rh t0    44 sasp @$IfgdzW 2 4 8 @ D F H J L ` b d n p r t v x   & ǻymeSmeKCKhQCJaJhVCJaJ#jh hVCJUaJhVCJaJjhVCJUaJhzWhVCJaJhhVCJaJ"jhCJUaJmHnHu#j|hhAYCJUaJhCJaJjhCJUaJhhVCJaJhU(CJaJhU(CJaJhhU(CJaJhzWhU(CJaJhU(CJaJ6 8 B D F H J :kds$$Ifs4    \,h t0    44 sasp  @$IfgdzW $IfgdJ r t v (  $Ifgd $Ifgd $Ifgd& ( , : < > @ B D F Z \ ^ h j l p r ĸum[umSK@h_]Sh_]SCJaJh~CJaJh_]SCJaJ#jB h_]ShAYCJUaJh_]SCJaJjh_]SCJUaJhh_]SCJaJ"jhCJUaJmHnHu#j hhAYCJUaJhCJaJjhCJUaJhh_]SCJaJhVCJaJhzWhVCJaJhVCJaJhhVCJaJh hVCJaJ( * , < > 4''' $Ifgdkdd$$Ifs4    r,rh t0    44 sasp(> @ B D =0 $Ifgdkd $$Ifs4    \,h t0    44 sasp $Ifgd D l n p  $Ifgd_]S $Ifgd $Ifgd N M@@@1 @$Ifgdx $Ifgdkd $$Ifs    r,rh t0    44 sas   " H L P R $TXZhjñæ꓋wowogogo\QhhhCJaJh:jh7 CJaJhm!CJaJh7 CJaJh7 5CJaJhh7 CJaJhgCJaJhDohgCJaJh~CJaJhxhgCJaJ#j hxhgCJUaJhgCJaJjhgCJUaJhRhgCJaJhgCJaJhhgCJaJhh_]SCJaJN P R ^O<- O@$Ifgd7  O@4$If^4gd7  O@$IfgdDokdE $$Ifs4    \,h t0    44 sas >kd8$$Ifs4    r,qh t0    44 sas $Ifgd j@kd]$$Ifs    r,qh t0    44 sas $Ifgd $Ifgd7 Ff $Ifgd   "$.0468LNPZ\`bv븰oc[hCJaJjhCJUaJ#j h]phAYCJUaJh]phhCJaJ"jh]pCJUaJmHnHu#jh]phAYCJUaJh]pCJaJjh]pCJUaJh7 5CJaJhh7 CJaJh7 CJaJhDoh7 CJaJhhhCJaJhh5CJaJkd$$Ifs    ִjx,N  h t0        44 sas 24m $IfgdF]iFf $Ifgd]p $Ifgdvxz EjmtĹ}ui`Uhvhh3^CJaJh7 5CJaJhvhh7 5CJaJhvhhw5hvhhvh>* hw5hwhw5hh7 CJaJh7 CJaJh@h7 CJaJhh5CJaJhhhCJaJh]phhCJaJ"jhCJUaJmHnHujhCJUaJ#jhh_CJUaJkd$$Ifs    ִ ,  h t0        44 sas>kdh$$Ifs    br,qh t0    44 sas $Ifgdn{kd{$$Ifs    p0 ,` t0    44 sas $IfgdAY gd3^ ()  ᕊskYsGs"jhZ;CJUaJmHnHu#jhZ;hAYCJUaJhZ;CJaJjhZ;CJUaJhich fCJaJhich=CJaJhhACJaJ hF]i5CJ hQ5CJh#7h#75CJh#7h#75h#7h#75CJaJh#75CJaJhh#75CJaJhh#7CJaJ%jh#75CJUaJmHnHu yyy $IfgdAYykd"$$Ifs    0 ,<) t0    44 sas   6^`qddWWWJ $IfgdAY $IfgdZ; $IfgdWnkd$$Ifs    pF* ,(% t0        44 sas $&(2468LNPZ\^   xmbVNhu8CJaJjhu8CJUaJhichz~CJaJhich"FCCJaJhZ;hWnCJaJ#j"hZ;hAYCJUaJhichWnCJaJhich=CJaJ#jx hZ;hAYCJUaJ"jhZ;CJUaJmHnHu#j hZ;hAYCJUaJhZ;CJaJjhZ;CJUaJhZ;h=CJaJ`bdn8+ @$IfgdAY $IfgdAYkd $$Ifs    hֈ * ,  N % t0    44 sasnzH; $IfgdWnkd "$$Ifs    S\ r ,  C W t0    44 sasp  @$IfgdAY9kdq#$$Ifs    q\* ,"% t0    44 sasp  @$IfgdZ; @$IfgdWn aTE $IfgdWn $IfgdWnkd_$$$Ifs    0 ,) t0    44 sasp  $IfgdAY $IfgdAY "$.024<>@TVXbdfhrtv ĹᩗĹᩅĹzrzg_gh CJaJhich CJaJh zCJaJhich"FCCJaJ#j%hu8hAYCJUaJ#j%hu8hAYCJUaJhu8CJaJhz~CJaJhichz~CJaJhu8hz~CJaJ"jhu8CJUaJmHnHujhu8CJUaJ#j%hu8hAYCJUaJ" 24>fht $IfgdAY $IfgdAYFf( $IfgdWn$ $Ifa$gdu8 V~yjXjjXjXj$ @$Ifa$gdu8 @$IfgdWn $IfgdWnykd5*$$Ifs    0 ,^% t0    44 sas  TVXlnpz|~Ĺ᫙đĹwld\lQhh/CJaJh~CJaJhF]iCJaJh/h/CJaJhaCJaJ#j+hu8hAYCJUaJh CJaJ#jN+hu8hAYCJUaJhu8CJaJ h CJhich CJaJhu8h CJaJ"jhu8CJUaJmHnHujhu8CJUaJ#j*hu8hAYCJUaJxobb $IfgdAY gd3^kkd/$$Ifs    1 , , t0    44 sasyta$x$Ifa$gda $IfgdaFf-^bf~TZ\^bdfhjl׹{ogUo#j"5hu8hAYCJUaJhu8CJaJjhu8CJUaJhichSCJaJhiCJaJhichi5CJaJhwh~hihichiCJaJhiCJaJhhiCJaJ h5CJhh5CJaJhhCJaJ%jhvh5CJUaJmHnHuhvhh#7CJaJ`ww $IfgdAY{kd50$$Ifs    p0 ,a t0    44 sas`bdfyyiy$ $Ifa$gdi $IfgdAYykd0$$Ifs    0 ,=) t0    44 sasRVXZ^QHQ8Q$ $Ifa$gdS $Ifgd0 $IfgdAYkd1$$Ifs    \( ,l@ E t0    44 sasZ\^`9,# $Ifgd0 $IfgdAYkdn2$$Ifs4    r( ,``@ E t0    44 sasp`bdf$ $Ifa$gdS $IfgdAYfhj9* @$IfgdAYkd3$$Ifs4    r( ,  @ E t0    44 sasp "$&0246̸̸̯̣wl̸aP jhv:h5CJUaJh/hSCJaJhShSCJaJ"jhCJUaJmHnHu#j*;hhAYCJUaJhCJaJjhCJUaJhShSCJhSCJaJhichS5CJaJhichSCJaJhu8hSCJaJjhu8CJUaJ"jhu8CJUaJmHnHuj @$IfgdAY @$Ifgdu80# $IfgdAYkd5$$Ifs    r( ,@ E t0    44 sasp2 @$IfgdAY @$IfgdF @$Ifgdhv:hAY5CJUaJhv:h5CJaJKB900 $IfgdF $IfgdC $IfgdEkd>$$Ifs    r( ,@ E t0    44 sas*,B909 $Ifgd $Ifgdtkd?$$Ifs    r( ,@ E t0    44 sas $IfgdE(*.02VXZbdfnprUVWźź}y}y}ungaZSLF hmPCJ hmP5CJ hmP5CJ h!5CJ hmPCJ hmP>*CJ h!>*CJhZhah hhiCJaJhhiCJaJh/hiCJaJhthi5CJaJhhi5CJaJh/hiCJaJhthi5CJaJhhSCJaJh/hSCJaJhthS5CJaJhhS5CJaJ,.024RB9 $IfgdCkdA$$Ifs    ;r( ,@ E t0    44 sas $IfgdtRTVX $Ifgdt $IfgdFXZ\^/& $IfgdC $IfgdtkdB$$Ifs4    ~r( ,`@ E t0    44 sasp2^`bd $Ifgdt $IfgdFdfhj/& $IfgdC $IfgdtkdD$$Ifs4    ~r( , @ E t0    44 sasp2jlnp $Ifgdt $IfgdFpr/( gd3^xgd_ kd/F$$Ifs4    r( , @ E t0    44 sasp23@VW<=Y ab$a$gdmPgdwgdmPdgdmPdgd!$a$gd!gd!$@ ^@ `a$gdmPW"#$9:;<=XY  ؽ巪}t}t}t}t}neh!hwCJ hwCJh!56CJhw56CJh(ah(a0JCJj%Ih(ah(aCJUh(ah(aCJjh(ah(aCJU h(aCJh!hmP0JCJjGh 0Uh CJUjh!hmPCJUh!hF]iCJh!h!CJh!hmPCJ'EFG_`abcXZdhjlp"$&þ||tpf||h!hmP5>*hVPh!hmP5 hVP56h!hmP56 h!hmP hQCJh!h!CJ h!CJh!hmPCJU h!CJhmP hmP>* h!>* hmP5CJh!hw0JCJjIh!hwCJUjh!hwCJUh!hwCJ'bchj&ʼ̼  h]^hgdmP h^h`gdmPdxgdmPh^hgdmP hgdVPgdmPgdmPgdmPRefer to Revised Code of Washington (RCW) 43.43.830-43.43.845 for complete information. Child/Adult Abuse Information Act background checks may be conducted by Washington State businesses, organizations, or individuals. Other states must conduct searches under the Criminal Records Privacy Act, RCW 10.97. 1. Searches can be conducted only on prospective employees, volunteers, or adoptive parents. Background checks can be conducted on prospective employees, volunteers, or adoptive parents who will or may have unsupervised access to children under sixteen years of age, developmentally disabled persons, or vulnerable adults. The background check is for initial employment or engagement decisions only. Background checks on current employees or volunteers should be done through the Criminal Records Privacy Act, RCW 10.97 2. Applicants must be notified an inquiry may be made. A business or organization shall not make an inquiry to the Washington State Patrol unless the business or organization has notified the applicant, who may be offered a position as an employee or volunteer that an inquiry may be made. 3. A business or organization must prepare a disclosure statement to be signed by the applicant before a background check may be conducted. A business or organization shall require each applicant to disclose whether the applicant has been: (a) convicted of any crime; (b) had findings made against him or her in any civil adjudicative proceeding; (c) has both a conviction and findings made against him or her. 4. Applicants must be notified of the response. The requesting agency shall notify the applicant of the Washington State Patrol s response within ten days after receipt. The employer shall provide a copy of the response to the applicant and shall notify the applicant of such availability.      WASHINGTON STATE PATROL D C NOTE: The requested record information is furnished solely on the basis of name and/or description similarity with the subject of your inquiry. Positive identification or non-identification can only be effected upon receipt of fingerprints. A B Bȼʼ̼мҼ nbdTVXZ\`bfhlnrtvxƸҤ h#75CJ h5CJh3^ ha5CJ h3^5CJhh jh UhSjhSUmHnHuheh!hmP5hVP hVP56h!hmP56 h!hVPhmP h!hmP h!h~/nTVZ^`dfjlprtvx$a$gd$ Z`a$gd3^ gdmPh^hgdmP hddgdVP: gdmP$a$gdx9$a$gdZ. $ a$gdS gdS$a$gd#78:hAYhx9 hx95CJh3^hShShS5hS5OJQJ\^JhShS5OJQJ\^J2&P:p_ / =!#"# $ %   5 0&P:pmP/ =!"#$% 5 0&P:p!/ =!"#$% n%y~zYPNG  IHDR.>%sRGBgAMA a cHRMz&u0`:pQ<PLTEٟ pHYs.#.#x?v$`IDATxO8z`0(e/F+̲QQ?k4#`852/j)JP_<l@fi5ObKP\^U0bʚϕ+fQw;]ywP䩓ey'%(.YU f$7\\ڐU>dyRY…R[E-lzwB(~8e>nv:QQ+3:=1M*3,a1iL 7yͭa=La7Ϛ0/cgfͫex'7yfVޖ- kZʪN78̫5}ffPϛiy3>̛V<`H=?^eʍ<,!,O&gmn&q;h5yDfoLMh؉yAyEricI> d^{̫4S{ڦaITļ97 0=cc~̏3ӗ=A#>ʌQM@й7sC}B~{sffRlsflN*0/)(vXܪ$淙gp|Yhd>}xKIzn|73@3vysFUU,!0 fALAgK4Wf^2,Ƿ/.Ǐ eb4_ry:_ GA1;aPsf֘+fFfуqyH|a4˙sTA9 ;Ek7È9"`ҘHVjh +ׄ݉xV;1nC*hk8}|ټ[^M-G.nsyOZ<Ƴjb桍aBfSA)_#ʌ<1MSOa4c>x2T'[0;ٗyA0 fY|y$&ՑKfgb*|s[ؼNRsbrRs6;"T2lb{tLsSԁ3%JQsBgTT3Ih13%3-)kNAܚaN¬kf>9c'|̸ylR:IbssLD؎洎0sJ' bf*B6G$cK:N9bNaQhJ'I\8߬B.6'uDX.T1i$e ,^+jWmdV'3w[WD+l#,c@6if$,IsZCT}@[4L!^sRCH OhlSb2.kN23N9w]YL+m^ em% +%U$t U%6**Qyʚ['4JfZfcyhBL˛3Bg'㾐yf4yݟxT@ds#J05* lnUyNlTZ2̝)n^xg,n^S+hT2LԽzqڴ UڒT=)nfI-,W1#& 'zWBN0/0/sjEwj_GY Piq+E`37Xif}`ݯ0L15þ4D$t \<&Txū]\_G+l~tADj7-bq<5]fp`"=mfstM3mf,ΝYRڳ]q7͌vGH$uͫkfVYG;Yl٨*q"iԌmsؕN2oô|313+xo1㳯W>N327kNsݛWEv3VWB\0?=~#.GJ4ϙct1?7V 1 qb6GX77jEHX=趙Lj垛f?5?56;s^?\5S۬ `mw'@r<^7VDFɀ fgniY35/h_x4+O33wl`.^ڽd\f,Wu}ڙFfwNW܋p ^lVk;8vߋeVk-vnrF[ϼ;*6 9 1/.b3gW|lVyTҩS0Y?7/nlo~-e e4PnM׈yrc~sl>iNt< g޾yP˗:D$Rm{D "XZ!8fׂffUIux[s* 4kv^X_̛]^[_^pmo'9˙0C'JQ"™`v3,Ы{^مE*ڿE_5`uv;6UskTGg/Z`S;l,XԬzp6qsVBͣKYEP:i>77NȷZZuXŦ.u9qk2c AM5S+j} 0@1LkI3ͽL|3zɼ5؉Tf0/:v%`z|cLJhvyױke<)e{E>Tt3 3ޯ'`T,#_|upqy&̪RdldtϬA 憙m ?dũ3Ҫ3a{ĶS|}ĴӦg5O77oNn<3yj5 d3&g8&6yIj>h͛2fw [S=UoͣY<}%@#-g7AX.jk"7֦RRs=93_r#Gr!-F!dlh8)/ڒ̫g'ffhM%$̇"l*CJDD 3^ Heading 5$@&`5CJ<@< 3^ Heading 6$@&5CJDA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No List4>@4 3^Title$a$5CJ2B@2 3^ Body TextCJ6P@6 3^ Body Text 250U@!0 3^ Hyperlink>*B*j@3j Z Table Grid7:V04B4 ZHeader  !4 @R4 ZFooter  !RYbR ~ Document Map-D M OJQJ^JHrH ~ Balloon TextCJOJQJ^JaJFVF (aFollowedHyperlink >*B* ph569:;>?@AB;>AR% #(!"569:;>?@AB;>AD     R4k  9:DE./:;qr{| #$tu$%+,01tu'(-.HIHS{00ȫ@tDB3gJG{00p?Y@tDB3gJG{00 @tDB3gJG{00@tDB3gJG{00 h@tDB3gJG{0 0 (@tDB3gJG{0 0 0?0{0@0A00{0B0Ch0{0D0E00b1~T{00 0UV   !"#9:;BCDEFZ[\./089:;<PQR Oqrstuvwxyz{|}~ !"#$%7K_stuv{$%&>RSo+,-/012tuvw $%&'()*+,-./EFGHIJ^_     2 3 K w 3 @ P fM89*+H     CDEGHIJLMNOPQRHIJLMOPS00000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000000000000000000000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 00@0h00@0h00@0h00@0h00@0@0h00000000000000000000000X004 0UV   !"#9:;BCDEFZ[\./089:;<PQR Oqrstuvwxyz{|}~ !"#$%7K_stuv{$%&>RSo+,-/012tuvw $%&'()*+,-./EFGHIJ^_     2 3 K w 3 @ P fM89*+H   CEGJLQRHIJLMOS00000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 @0 @0 @0 @0 @0 @0 00 @0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000000000000000000000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0b1~T@0@0@0@0@0@0 000{00 0y000y000@00y00h0{00DP0   & v   (W %(,/479@KNWXcf  R 6 J ( > D N  `n `Z`fj4,RX^djpb!"#$&')*+-.0123568:;<=>?ABCDEFGHIJLMOPQRSTUVYde FRX\l<HNRb7CIKW]_kq >JPo{ JV\  1 B g } b RFFG$FG$FG$G$FFFFFFFFFFFFFFFFFXtXX|)*,b$y~zY"% @)8(    6?#" ` 2 ! H !?"`  2 " H "?"`  2 # H#?"` 2 % H%?"` b ( C  V"`   ) c bA. WSPLOGOT`TT`T"`B S  ?-R);' ,Mt@&t!v t"d&t#st%st(b%GtText1Text2Check1Text3Check2Text4Check3Check4Text5Text6Text21Text7Text8Text9Text10Text12Text13Text14Text15Text16Text17Text11Text18Text19Text20 _Hlt161563795 _Hlt161563796 _Hlt161563807 _Hlt161563808G]=S8L`?pKv v S @@@@ YmOcJ^rQ ]w w S  da \#qT#<"uL#,ḙ" \Da""<"<" |"!O"$"#|"$/%Df#&'#(#)T~00>FJ22=3 3 w z z t t t  ++S     <EHTT<BB= = y } ~ ~ 55S  =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName>*urn:schemas-microsoft-com:office:smarttags PostalCode:*urn:schemas-microsoft-com:office:smarttagsStreet;*urn:schemas-microsoft-com:office:smarttagsaddress8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace9*urn:schemas-microsoft-com:office:smarttagsState v',     PSOT  @ B P Z d/8IJ   PS33333333333300VV  O~%   @ +EGHHJKMMNNOOQIPS     S f8ik  7  4 !]"AY)zwM<QOEtQ"p%(U(4~)Z./NK5u8[@9Z;S=j?@"FCYC.DRSo+,-/012tuvw $%&'()*+,-./EFGHIJ^_ DEGHIJLMNOPQJLOSa0a0a0""""@ 0.>DDDDD R`@` ` `` @`````4@`UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"1hrfrfkF $ $χ2 # 4d2QHP ?U*JRequest for Criminal History Information Child/Adult Abuse Information ActWSP Forms Managerdcol225Oh+'0(4H Xd    LRequest for Criminal History Information Child/Adult Abuse Information ActWSP Forms Manager Normal.dotdcol2252Microsoft Office Word@@e@Mf@MfRoot Entry F .4!1Data zJ1TableӔWordDocument՜.+,D՜.+,H hp  'Washington State Patrol$  KRequest for Criminal History Information Child/Adult Abuse Information Act Titleh 8@ _PID_HLINKSA Mhttps://watch.wsp.wa.gov/}}5Jhttp://www.wsp.wa.gov/}6XG../../../tush225/Local Settings/Documents and Settings/dcol225/Local Settings/Local Settings/Temporary Internet Files/OLK5/crimhis@wsp.wa.gov}  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxy{|}~