Criminal Records Release

I, the undersigned, do hereby authorize PRG to examine any and all criminal records and arrests on file in the counties in the State of Michigan, or any other state. In doing so, I understand I am waiving my right of confidentiality concerning my criminal history.

Your Information

Full Name(Required)

First Middle Last

Email Address(Required)

Use the same email on all forms.

Cell Phone(Required)

Use the same cell phone on all forms.

Social Security Identification

Social Security Number(Required)

Upload Your Social Security Card(Required)

Upload a copy or take a camera photo of the FRONT SIDE of your Social Security Card here.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.

Agreement

Signature of Release(Required)

Use the box below and sign your name here.