Research Request Form - Prison records · Starter Portal

GGDC Portal

An Official Pennsylvania Government Website

Research Request Form - Prison Record Search

Customer Information

Last Name

*

First Name

*

Address

*

Zip Code

*

City

*

State

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

*

Email

**

Subject of Search - Order Information

Name

*

Alias Name

*

Date of Birth

*

Date of Death

*

County Of Residence

Date of Incarceration

*

Prison Number

*

Prison

Please provide any additional information.

Additional Information

*

Search Fee: Pennsylvania Resident - $15.00 / Non-Pennsylvania Resident - $25.00.

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