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Requesting officer should indicate a specific provision in their domestic law, for example the relevant article or section of an Act such as Criminal Procedure Act or Criminal Evidence Act, which authorizes the collection of information from a third party entity such as GoFundMe for the purposes of prevention, detection or investigation of offenses; or the relevant article or section of an Act such as Data Protection Act or Privacy Act which provides an exemption for such purposes.

Adres, stad, staat of provincie, postcode, land

Badgenummer van de agent

GoFundMe maakt het bestaan van een verzoek om een strafblad niet aan de rekeninghouder(s) bekend.

By providing electronic initials here, I, the requesting officer, confirm I completed this form in my capacity as an authorized government or law enforcement official and the information provided is true and correct to the best of my knowledge and belief. I further confirm and agree that any information or data provided to government or law enforcement containing personally identifiable information (including any copies made) should be destroyed after the related investigation, criminal case, and all appeals have been fully exhausted.

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