WAC 446-20-450:

WACs > Title 446 > Chapter 446-20 > Section 446-20-450

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446-20-440 << 446-20-450 >> 446-20-500

chri challenge form

(request for modification of chri)

agency. . . .		agency case no. . . . .
address. . . .		date. . . .
	. . . .
I, (Print Name) , hereby acknowledge review this date, . . . . . . . . , of a copy of a CHRI rap sheet bearing agency number . . . . . . , or SID number . . . . . . , consisting of . . . . page(s) and identified as a history of criminal offenses charged to me.
I challenge the following specific portion(s) of the CHRI as being inaccurate or incomplete:

Agency	Case No.	Date	Charge
. . . .	. . . .	. . . .	. . . .
. . . .	. . . .	. . . .	. . . .
. . . .	. . . .	. . . .	. . . .
and request modification to read:
I further request, if such modifications are determined to be valid, that all agencies who have received prior copies of the CHRI be advised of the modifications.

. . . .

(Signature of Challenger)

[Statutory Authority: RCW 10.97.080 and 10.97.090. WSR 80-08-057 (Order 80-2), § 446-20-450, filed 7/1/80.]