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WASP 136A REVISED 05 I 17WEST VIRGINIA STATE POLICE 701 Jefferson Road South Charleston, West Virginia 253091698 www.wvsp.govCHALLENGE OF CRIMINAL HISTORY RECORD (LAST)(Ml(FIRST)(CITY)(STA T E)(ZIP)SOCIAL
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Revised 05 i 17 refers to the updated version of form 05 i 17.
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The purpose of revised 05 i 17 is to report specific information to the regulatory body.
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Revised 05 i 17 requires the reporting of relevant financial and operational data.
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