Last updated: 6/24/2016
Confidential Referral For CII-Carpos-ICMS Report Civil Form A {13-13550-360}
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Description
CONFIDENTIAL SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO REFERRAL FOR CII/CARPOS/ICMS REPORT (Civil) Case Number Respondent Name: Respondent: (Please mark one) Male Female Respondent AKAs, if any: Respondent Date of Birth: Respondent SSN: Date Referred Department Referring Date Report Due Report to Department COURT ORDER: This matter is referred to the Civil CLETS clerk for a CARPOS (CLETS) history report and a Criminal History Inquiry (CII) pursuant to Penal Code 18110. Notes: Special Order Form A 13-13550-360 (Rev. 07/27/15) American LegalNet, Inc. www.FormsWorkFlow.com