Case Charging/Dispositional Status Inquiry

    Complete the form below to request information about a prior arrest or criminal charge.

    Name

    Phone Number

    Email

    Address

    Street
    Apt/Lot
    City State
    Zip

    Date Of Birth

    Driver's License Number (Optional)

    Date of arrest/citation

    Law Enforcement Agency (ex: Bloomington Police Department, Monroe County Sheriff's Office, Excise, etc.)

    Alleged Criminal Offense (ex: shoplifting, DUI, trespass, etc.)

    Purpose for Requesting Charging/Dispositional Information

    Additional Comment