Utah Bureau of Criminal Identification Application for Criminal History Record

Utah Bureau of Criminal Identification Application for Criminal History Record

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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Click the print icon in the top right corner to print

Utah Bureau of Criminal Identification Application for Criminal History Record

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Instructions for Application for Criminal History Record
Employee Legal Name

Legal First NameLegal Middle NameLegal Last Name
Previously used names (Maiden, etc.)
Employee Email
example@example.com
Employee Mailing Address

Street Address

Apartment or Unit Number

CityState

Zip Code
Employee Physical Address

Street Address

Apartment or Unit Number

CityState

Zip Code
Employee Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employee Social Security Number
Employee Date of Birth

MonthDayYear
Date
Height
Weight
Eye Color
Sex
Race
Driver License State
If you do not have a Driver License, select that state of your state identification card
Driver License Number
If you do not have a Driver License, enter your state identification card
Signatures

I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
Employee Signature

Clear
Date of Signature

MonthDayYear
Date
Please verify that you are human
Should be Empty:

Signatures