COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. To secure the Criminal History Report the applicant may obtain : Calendar No. this information in one of two ways: : JUDICIAL SUBPOENA Plaintiff(s) -against- : 1. The applicant may choose to go online to the Washington State Patrol Web : Site. Look for Crime Awareness Link and pull up the Criminal History Record Request page. A major credit card is needed to complete the : transaction. Cost is $10.00 and only takes minutes to complete. Defendant(s) : ...................................................... OR THE PEOPLE OF THE STATE OF NEW YORK 2. Complete the attached form titled Washington State Patrol Request for TO Conviction Criminal History Record. Note that the applicant must send this request directly to the State Patrol with a $10.00 payment. An applicant will not be placed on the registry until the Guardian ad Litem Committee receives GREETINGS: this completed report. Please allow sufficient time for the State Patrol to WE this information. process COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. WASHINGTON STATE PATROL : Calendar No. Identification and Criminal History Section : P.O. Box JUDICIAL SUBPOENA Plaintiff(s)42633 Olympia, WA 98504-2633 -against: : REQUEST FOR CONVICTION CRIMINAL HISTORY RECORD : Defendant(s) INSTRUCTIONS: : ...................................................... PLEASE COMPLETE THIS FORM WHEN REQUESTING CONVICTION CRIMINAL HISTORY RECORD INFORMATION FROM THE WASHINGTON STATE PATROL IDENTIFICATION AND CRIMINAL HISTORY SECTION. MAIL REQUEST TO ADDRESS NOTED ABOVE WITH $10 MONEY ORDER, COMMERCIAL BUSINESS YORK THE PEOPLE OF THE STATE OF NEW ACCOUNT CHECK or CASHIER CHECK (no personal checks) PAYABLE TO THE WASHINGTON STATE PATROL. TO 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. Subject may be advised of inquiry. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (Please provide as much information as possible in space below.) , at the Court located at County Name: _______________________________________________________________________________________ of Applicant's First , at in room , onLast the day of , 20 o'clock in the Middle noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the A.the HonorableINFORMATION: SUBJECT Alias/Maiden Name: _____________________________________________________________________________________ Date of Birth: _____________________________ Sex: ___________ Race: ________________________________________ Month/Date/Year Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for Lic. Number/State: ________________________/_________ Social Security Number: __________________________ Drivers a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 WSP USE ONLY (Attorney must sign above and type name below) B. REQUESTER INFORMATION: DATE: ______/ ______/ _____ Month Date _________________________________________________________ Attorney(s) for of Requester Print Name/Title Year PHONE NO.: (______)______________________ _________________________________________________________ Requester's Signature REQUESTER'S ADDRESS: (Type or clearly stamp address) Office and P.O. Address _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com