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Dci Gaming Iowa 2018-2023
(mandatory)
Gender (mandatory)
Social Security Number (recommended)
Male
Female
Release Authorization: Without a signed release from the subject of the request, a complete criminal history record may
not be releasable, per Code of Iowa, Chapter 692.2. For complete criminal history record information, as allowed by law,
always obtain a signed release from the subject of the request.
***This form (DCI-77) is the only approved release authorization form for this purpose.***
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