C.L.

"Butch" Otter - Governor

RICHARD M. ARMSTRONG Director

DAVID TAYLOR Deputy Director

Bureau of Audits & Investigations
Criminal History Unit
1720 WestgateDr., Ste A
Boise, ID 83704
PHONE 208-332-7990
TOLL FREE 1-800-340-1246
FAX 208-332-7991

Mallory Dixon
667 S 2Nd E
210
Rexburg, ID 83440

10/17/2015

NOTICE OF CLEARANCE
Applicant: Mallory Dixon

Verification Number:482072

The Department has completed its background check and the applicant has passed effective
10/05/2015. No disqualifying crimes or relevant records were revealed. The agency issuing your
license or certification may request that you provide them with the specifics of any information
here revealed. If the area immediately below is blank, there is nothing to report.
The background check is fingerprint based and includes information obtained from the state and
national criminal databases, Idaho Driving Records, Idaho Child Abuse Registry, Idaho Adult
Protection Registry, Sex Offender Registry, Idaho Nurse Aid Registry and state and national
Medicare/Medicaid Provider Exclusion Lists.
If there are any questions about the process or results, contact the criminal history unit at (208)
332-7990, or toll free at 1-800-340-1246. Additional information about the criminal history background
check process and applicant status is available at the web site. https://chu.dhw.idaho.gov.
Sincerely,

Susan Segura-Woolf

Susan Segura-Woolf

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