Cover Sheet For WSP Criminal History Record
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Cover Sheet For WSP Criminal History Record Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Cover Sheet For WSP Criminal History Record, CU 03.0550, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re the Custody of:
No.
Child(ren),
Petitioner(s),
and
Cover Sheet for WSP Criminal
History Record
(Nonparental Custody)
(CSCRIM)
Respondent(s).
Attached are the criminal record histories from the Washington State Patrol for the following persons
residing in the household of the petitioners:
Names [Print or Type]
1.
2.
3.
4.
5.
6.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Submitted on ___________________________________ [Date] by:
_____________________________________
Signature of Petitioner or Lawyer/WSBA No.
_____________________________________
Print or Type Name
[ ] I have redacted (blocked out or deleted) any social security number, drivers license number, telephone
number or residential address.
Cover Sheet for WSP Chr (CSCRIM) – Page 1 of 1
WPF CU 03.0550 (6/2006) – RCW 26.10.135(2)(b)
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