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S.P. 167 (Rev. 11012010) CRIMINAL HISTORY RECORD NAME SEARCH REQUEST PURPOSE OF THIS REQUEST (Check only one): ADOPTIONDOMESTIC ADOPTIONINTERNATIONAL COUNTRY: VISA (INTERNATIONAL TRAVEL) NAME INFORMATION
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The purpose of this request is to provide a reason or explanation for a specific action or request being made.
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The purpose of this request may require details such as the reason for the request, any supporting documentation, and any relevant background information.
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