acknowledge that a Computerized Criminal History (CCH) check will be performed by accessing
the Texas Department of Public Safety Secure Website and will be based on name and DOB identifiers I supply. (This is not a consent
form Authority for this agency is access an individual’s Criminal history data may be found in Texas Government Code 411; Subchapter F.
Name-based information is not an exact search and only fingerprint record searches represent true identification to criminal history, thermore the organization conducting the criminal history check is not allowed to discuss with me any criminal history record information obtained using this method. The agency may request that I have a fingerprint search performed to clear any misunderstandings based on
the result of the name and DOB search. Once this process is completes the information on my fingerprint criminal hisory record may be
In order to complete the process I must make an appointment wiht the Fingerprint Applicant Services of Texas (FAST) as instructed
online at www.txdps.state.tx.us / Crime Records/ Review of Personal Crimanl History for by calling the DPS Program Venfor at 1-888-
467-2380, submit a full and complete set of fingerprints, request a copy to be sent to the agency listed below, and pay a fee of $24.95 to the fingerprinting services company.
This copy must remain on file by your agency. Required for future DPS Audits
Please Check and Initial each applicant Space