Forms

2. Instructions
   You may submit this request online but you are required to retrieve your Personal Background Records Request in person. We require a signature and you must bring in a valid form of identification with a photo.
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6. Flagstaff Police/Coconino Sheriff’s Department Personal Records Request
   The cost of a Background Check is $7.00. We accept cash, check, debit and credit. Should you have any questions please contact the Records Section at (928)214-2530.
9. Personal Records Request
   By placing my signature below, I agree to hold the City of Flagstaff, its agents and employees harmless from any claim, cause of action, or other liability that may arise as a result of furnishing these documents to me or as a result of my use of these documents. I understand the results of the search are based solely on the name and date of birth I have provided and is not based on a search of my fingerprints. I understand that a failure to provide my correct name and date of birth may be punishable under law.
11. First Name*
12. Last Name*
14. Date of Birth:*
15. Any Other Last Names You Have Used
17. SSN:*
18. Height
19. Weight
21. Hair
22. Race
24. Email*
25. Phone Number*
27. Date and Time Requested*
    Date and Time Requested

    Date and Time Requested
28. Ink Signature
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field