Request To Change Criminal History Form printable pdf download

Request To Change Criminal History Form

Kansas Bureau of Investigation

Criminal History Records Central Repository

Phone (785) 296-2454

Fax (785) 368-7162

REQUEST TO CHANGE CRIMINAL HISTORY

Directions: Complete this form to update an arrest or summons that was reported to Criminal History on a 10-print fingerprint card. The agency that

submitted the arrest or summons is the only agency that can submit a change request.

Part I - Fill out all the fields to identify the proper criminal history record.

Part II - Only fill out the fields you wish to update.

Part III - Complete all spaces to authorize changes.

Deletions: This form cannot be used to delete an arrest from a criminal history record. If you need an arrest deleted you must write a letter on your agency

letterhead explaining the deletion request in full detail.

Unarrest: There is no option to "unarrest" a subject. If the subject was arrested, released, and no charges will be filed then please fill out this form

requesting the record to be updated to show "Released with no further action" in the Additional Information section.

Part I. Identifiers currently shown in the central repository record:

Last Name

First Name

Middle Name

Date of Birth

SSN

Sex

Race

SID Number

PCN

Transaction Number