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1783 (Rev. 04022014)OMB11100052PRIVACY ACT STATEMENT The FBI's acquisition, retention, and sharing of information submitted on this form is generally authorized under 28 USC 534 and 28 CFR 16.3016.34.
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An identity history summary request is a formal request made to obtain a summary of an individual's criminal history, including arrests and convictions, typically for employment or licensing purposes.
Individuals who need to verify their criminal history for employment, licensing, or legal reasons, such as job applicants and certain professionals, are required to file an identity history summary request.
To fill out an identity history summary request, individuals need to complete the designated application form, provide personal identifying information such as name, date of birth, and fingerprints, and submit along with the required fee.
The purpose of the identity history summary request is to provide individuals with access to their criminal history records, enabling them to review and challenge any inaccuracies and fulfill background check requirements.
The identity history summary request must report personal information including the individual's full name, aliases, date of birth, place of birth, and fingerprints as required.
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