DCI NCIC Transaction Request

2. Agency

3. Date
   Date

5. ORI

7. Officer

9. OCA

11. Type
    -- Select One --ClearanceEntryModification

13. Reporting Party Information

15. First Name

16. Last Name

18. Address

20. City

21. State

22. Zip Code

24. Phone Number

28. Entry Information

30. Stolen Vehicle / License Plate

32. Type

    1. Stolen Vehicle
    2. Stolen License Plate

33. Theft Date
    Theft Date

35. Make

36. Year

38. Model

39. Color

41. VIN

42. License

44. License State

46. Stolen Gun

48. Theft Date
    Theft Date

50. Serial

52. Type

54. Model

55. Caliber

57. Stolen Article

59. Theft Date
    Theft Date

60. Serial/OAN

62. Type

63. Brand

65. Persons

67. Type

    1. Missing Person
    2. Wanted Person

69. Date
    Date

71. First Name

72. Last Name

74. Date of Birth
    Date of Birth

75. Race

76. Height

77. Weight

79. Sex

80. Skin

82. Offense

84. Extradition

    1. Full
    2. Limited
    3. None

86. Stolen Boat

88. Theft Date
    Theft Date

90. Make

91. Year

93. License

94. State

96. Hull Number

97. Color

99. Length

103. Miscellaneous Information

105. NIC Number

107. Completed by

108. ID Number

110. Secondary review

111. ID Number

Leave This Blank:


112. Print Only

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