Local Law Enforcement Agency (LEA) Arrest Record Checks
Local Law Enforcement Checks
This is a name based check done with the police department or sheriff office that would respond to the subject of the checks current home address or any previous home address in which the subject of the check has resided in the past five years. The law enforcement agency to complete the check would be the agency that would respond to a 911 call from the subject’s home addresses.
The Application for Criminal History Background Check form must be completed and signed by each subject of the check and retained in the local office file or agency personnel file. A copy of the Application for Criminal History Background Check form may be sent to the local law enforcement agency and the bottom section of this form complete the LEA and returned to the requestor. It is not mandatory to use this form for LEA checks.
INSTRUCTIONS FOR THE APPLICATION FOR CRIMINAL BACKGROUND CHECK HISTORY State Form 53259 (R7-3-16)