THIS FORM IS NOT TO BE INCLUDED IN THE PUBLIC RECORD AND SHOULD BE DESTROYED ONCE THE REQUIRED INFORMATION IS ENTERED IN THE NCIC FILE. (It is important to include the protected person222s full date of birth) American LegalNet, Inc. www.FormsWorkFlow.com (It is important to include the protected person222s full date of birth) (It is important to include the protected person222s full date of birth) (It is important to include the protected person222s full date of birth) (It is important to include the protected person222s full date of birth) (It is important to include the protected person222s full date of birth) American LegalNet, Inc. www.FormsWorkFlow.com