Agency Name:

State Police

Contact Name:

Mary Henninger

Address:

100 North Senate Avenue - IGCN-3rd Floor, Indianapolis, Indiana - 46204

Primary Phone:

(317) 232-8268

Secondary Phone:

Fax:

Email:

Website:

http://www.in.gov/ai/appfiles/isp-lch/

Fee:

$16.32

Instructions:

Online Fee $16.32
Paper Fee $7.00 must be sent in the form of a money order and made out to the State of Indiana
Mail in application is attached. Mail in form is sent to:
Indiana State Police, Criminal History Limited Check
P.O. Box 6188
Indianapolis, Indiana 46206-6188

Agency Name:

Office of Early Childhood and Out of School Learning - Indiana Family and Social Services Administration

Contact Name:

Lisa Ellis (Background check Manager)

Address:

402 West Washington Street, Room W361, Indianapolis, Indiana - 46204

Primary Phone:

(317) 232-3092

Secondary Phone:

Fax:

(317) 234-4633

Email:

Lisa.Ellis@fssa.IN.gov

Website:

https://www.in.gov/fssa/carefinder
FSSA: Forms.IN.gov

Fee:

$0.00

Instructions:

Complete attached State Form 53323 - Consent to Release Information for Licensed Centers, Licensed Homes, Unlicensed Registered Ministries and CCDF LLEP's.

Please send completed form to either:
Kayla.Bodi@dhs.arkansas.gov
or fax to (501) 682 - 2317