Page Police Department | Local Arrest Records Request/Background Check

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Background check requests cost $25.00
We cannot process your request without a copy of your photo identification
If you have questions or need additional assistance, please call (928) 645-2463 and ask to speak to Records

Date *

Name *

Email Address *

Address *

Phone # *

Social Security No. *

DOB *

Maiden Name (Or Other Name(s) Used)

Reason for Request *

Identification *

Office use only:

Record Found

Yes

Date

Charge

Date

Charge

Date

Charge

Date

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Date

Charge

Date

Charge

Payment:

#	Item Description		Amount			Subtotal
1	Background Check Request Fee		$25.00			$25.00

Total

$25.00

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

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