INFORMATION FOR SLED CHECK Name Address Phone # Social Security Drivers License (Please list state) Date of Birth By my signature, I acknowledge that the above information is required for a SLED background check and I am consenting to the use of the above information for purposes of a criminal background check for the Richland County Probate Court. _________________________________ Signature _____________________ Date American LegalNet, Inc. www.USCourtForms.com