Research Request Form - Prison records · Starter Portal

GGDC Portal

An Official Pennsylvania Government Website

Research Request Form - Prison Record Search

Customer Information

Last Name

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First Name

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Address

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Zip Code

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City

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State

Phone Number (###-###-####)

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Email

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Subject of Search - Order Information

Name

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Alias Name

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Date of Birth

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Date of Death

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County Of Residence

Date of Incarceration

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Prison Number

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Prison

Please provide any additional information.

Additional Information

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Copies - Delivery Preference

Search Fee - $20.00

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