Record Check Request

The Bloomsburg Police Department offers Criminal History Record information for incidents that occurred within the Town of Bloomsburg.

Fee: $15 for individuals/Non-criminal justice agencies.

Carefully read the application below.

If the request is not being made by the individual, a waiver must be included with the request.

If the request is being made by the individual, photo ID is required.

This form is a fillable PDF, please fill out the form, then print and sign, and mail or bring to the Bloomsburg Police Department located at:

(If mailing in the request on behalf of yourself, you must include a clear copy of your driver's license or photo ID. If mailing on behalf of someone else, you must include a signed waiver)

119 East 7th Street

Bloomsburg, PA 17815

PDF icon Record Check Request