CLEAN/NCIC Entry Forms

These CLEAN/NCIC entry forms allow users to complete and submit electronically to the Department of Public Safety. These forms are for law enforcement use only.


In order to use the fillable PDF form features properly, users need to right-click on the link and click on “Save Link As.” Save the form to your computer’s desktop as an Adobe Acrobat Document file. If you do not have Adobe Acrobat Reader DC (third-party program), download it for free here.  Please note: if the form is opened and the user does not see the red highlighted boxes, the form will not work properly.

Questions? Contact Jessica Rhoads at