Sample Letter and Declaration for Fee Waiver—California (DOJ) RAP Sheet

PLEASE NOTE: To request a fee waiver, send (1) a fax cover sheet (sample letter below for this purpose), (2) a fee waiver declaration form (see next page for a copy of this form), AND (3) proof of public benefits to the California Department of Justice by fax to 916-227-1964, or by mail to Bureau of Criminal Identification and Information, Attention: Record Review Unit, P.O. Box 903417, Sacramento, CA 94201-4170.

Bureau of Criminal Identification and Information

Attention: Record Review Unit

P.O. Box 903417

Sacramento, CA 94201-4170

Dear Record Review Unit,

Enclosed with this letter, please find a request for waiver of the fee for criminal history record and proof of public benefits. Please send the Request for Live Scan form to the following address:

[YOUR NAME]

[YOUR STREET ADDRESS]

[CITY, STATE, ZIP CODE]

Sincerely,

[SIGN NAME]