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MISSOULA POLICE DEPARTMENT CRIMINAL HISTORY RECORD CHECK REQUEST *Record checks and Letters of Good Conduct can take up to 10 BUSINESS days to complete* There is a $15.00 fee per records check that must be paid in advance Please provide a copy of your current identification (Driver’s License/Passport) with this form Would you like to pick up your records check?______ Have your records check mailed to Sorry – we are unable to fax or e-mail record check results. Please print legibly Date: Reason for Records Check: VISA For what country? Letter of Good Conduct -Must be a current resident of the City of Missoula and have lived here for at least 6 months Employment Criminal Justice Employment Other Last Name: First Name: Middle: Maiden Name: Aliases/used nicknames: Date of Birth: Social Security Number: Physical Address: Mailing Address: How long have you lived in the City of Missoula? Daytime Phone: If requestor is someone other than the above (must provide signed waiver from subject of records check): Name: Agency/Company: Mailing Address: Daytime phone: PLEASE NOTE: *A records check is a list of criminal arrests and citations issued by the Missoula Police Department. It does not include dispositions on those arrests/citations. If you are seeking dispositions on your citations, please contact the courts. *We do not release records outside of our jurisdiction – including Missoula County or UMPD. You must contact those agencies if you believe you have a record with them. *Traffic records are not kept on file here and will not be included in the records check. Please contact MT Highway patrol for any traffic record check. *Pursuant to Montana Law, Juvenile records (if in existence) cannot be released by this department.