Criminal Record Request
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Criminal Record Request Form. This is a Minnesota form and can be use in Hennepin Local County.
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Tags: Criminal Record Request, Minnesota Local County, Hennepin
STATE OF MINNESOTA
FOURTH JUDICIAL DISTRICT
COUNTY OF HENNEPIN
DISTRICT COURT
CRIMINAL RECORD REQUEST
Party(s) Name:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Date of Birth:
_________________________
Date of Incident:
_________________________
Describe the information you are searching for:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Requested by:
Name:
____________________________________________
Address:
____________________________________________
City, State, Zip:
____________________________________________
Telephone:
____________________________________________
Mail request with fee of $14.00 per name to:
Hennepin County District Court
C-1153 Government Center
300 South Sixth Street
Minneapolis, MN 55487
Attn: Criminal Records
Record Request-Criminal
Last revised 1/4/2010
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