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Assisted Living Residence

FEE: $19.50 – Colorado fingerprint based Criminal History Record Information (CHRI) search

(Includes a $2.00 notification fee for the Department of Health)

 

Owners and Administrators are required to do a fingerprint based CHRI search. All other employees are required to do a name search yearly.


Fingerprint based Criminal History Record Information search:

Type information or print legibly in BLACK ink.

All fingerprint CHRI search cards must be filled out completely with the following information in the corresponding fields:

  • Name, Date of Birth, Place of Birth, Sex, Race, Height, Weight, Eyes, Hair (Please use 3 letters abbreviations for eyes and hair – Ex: Brown = Bro, Blue = Blu)
  • CTZ - Fee (Amount listed at the top of the page) must be paid by Money Order or other Certified Funds Check. (Make check payable to Colorado Bureau of Investigation.) Personal checks are not accepted.
  • OCA – CONCJ3980
  • Employer and Address - Name of facility requesting the CHRI search including the complete mailing address.
  • Reason Fingerprinted - Assisted Living Residence CRS 25-27-105 and CONCJ3974 - CDPHE HFDA2

 

If any of the above information is missing or incomplete, the request will be returned.

 

 

***Additional Information: Results will be sent to the address listed in the Employer and Address block as well as the Department of Health.

Department of Health regulates the requirements for Assisted Living Residences. For additional information you may access their website through the Related Links Button.


CBI / Identification Site