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NEW YORK STATE OFFICE OF COURT ADM INISTRATION RECORD SEARCH FOR CONVICTION OF PROSECUTION AND PENDING

R ev 5/07

NAME / COMPANY: STREET ADDRESS:

NY STATEWIDE SEARCH
PAGE : OF

OFFICIAL USE ONLY

CITY, STATE, ZIP DATE: TELE./FAX NUMBER: CONTACT/ EMAIL ADD.

E- MAIL

MAIL

PICKUP

NO

LAST NAME
(TY PE O R PR IN T IN C APITALS)

FIRST NAME
(TY PE O R PR IN T IN C APITALS)

SUFFIX

DOB MM/DD/YYYY

FOR YOUR USE

1 2

10 Email Address: Provide your email address if you like search results emailed to you Statewide Search: The electronic statewide search includes all 62 counties of the State of New York Inquiries regarding criminal disposition data should be directed to OCAs Criminal History Record Search Unit at (212)428-2943 between the hours of 9:30 and 4:30 pm. Requests for additional copies of the Criminal History Record Search application can be made to OCAs CHRS Intake Unit at (212) 428-2810 or you can download the form from the New York State Courts website: www.nycourts.gov/apps/chrs

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