C.N.A.
Resume:
Journey Nursing Services LLC
Inquiry ID/OCA#:
Entity Name:
Michael Hess
seattle, WA 98178
APPLICANT COPY
Notification of Background Check Result
The Background Check Central Unit (BCCU) received a request to perform a background check for you from the entity named above. The results of the background check are enclosed for your records. BCCU only collects and reports background check information. BCCU does not determine the character, competence, and suitability of an applicant. It is the requester’s responsibility to make the decision to hire, contract, or authorize an applicant based on the requirements of the DSHS oversight program. Instructions for correcting your background check records is available on the BCCU website at www.dshs.wa.gov/bccu. You must contact the reporting source directly if you disagree with any crime and/or negative action reported. NO ACTION NEEDED UNLESS INCORRECT CRIME AND/OR NEGATIVE ACTION REPORTED BCCU Reporting Sources Phone
Aging & Long-Term Support Administration, Adult Protective Services 360-***-**** Aging & Long-Term Support Administration, Resident & Client Protection Program
Applicant Self-Disclosure
Note: Complete BCCU Applicant Affidavit Form (DSHS 27-109) to correct as needed.
Department of Children, Youth and Families (DCYF) 800-***-**** Department of Corrections (DOC) 360-***-****
Department of Health (DOH) 360-***-****
Federal Bureau of Investigation (FBI)
Special Correspondence Unit (SCU)
Criminal Justice Information Services Division
Attention: SCU, Module D-2
1000 Custer Hollow Road
Clarksburg, WV 26306-0171
Note: The FBI may direct you to work with the original reporting agency to correct any background check information.
Washington Courts
http://www.courts.wa.gov/court_dir/
Note: Contact the specific Washington State court to correct any background check information.
Page 2 of 20
Washington State Patrol (WSP)
Identification and Criminal History Section
PO Box 42633
Olympia WA 98504-2633
Page 3 of 20
Notification of
Background Check Result
Completed On: Thursday, May 4, 2023
Applicant: Michael Kelly Hess
Date of Birth: 1/14/1967
Inquiry ID/OCA: 6277903
Entity Account #: 11004516
Requesting Entity: Journey Nursing Services LLC
DSHS Oversight Program: DDA, Developmental Disabilities Background Check Type: Final Fingerprint - A fingerprint check was conducted Shared Fingerprint: No
Background Check Result
Review Required
As of the date of the background data search, the applicant has: Information reported by one or more background check sources that requires a Character, Competence, and Suitability review.
This means you must determine whether or not the applicant can work in a position that may have unsupervised access to children or vulnerable adults by:
• Completing a character, competence, and suitability review; and
• Documenting your decision as required by the DSHS oversight program. The applicant’s background check records are attached to this notification. A copy of this background check result will be sent to the applicant. If the applicant wishes to dispute or clarify the information reported on this background check result, the applicant should follow the instructions in the packet sent to them. They can also contact the Background Check Central Unit for additional assistance. About This Background Check: The Background Check Central Unit (BCCU) performed a search of multiple background check data sources. Unless prohibited by law, the criminal history or negative action records reported by a data source are attached. BCCU collects and reports background check information and in some cases, determines if the background information is disqualifying pursuant to the applicable DSHS list of disqualifying crimes and negative actions. However, BCCU does not determine which crimes are included in respective department lists and does not determine the character, competence, and suitability of the applicant. It is the requester’s responsibility to make the decision to hire, contract, or authorize the applicant based on the requirements of the DSHS oversight program. Instructions for correcting background check records can be obtained on the BCCU website at www.dshs.wa.gov/bccu. You can contact BCCU at 360-***-**** or e-mail ***********@****.**.***. Confidentiality Notice: For authorized personnel only. Intended for use by the requester ONLY. If received in error, do not copy, disclose, or distribute the information and contact the BCCU immediately at the contact number above. This notice and any attachments are protected under State and Federal law. Page 4 of 20
Source: WSP WATCH
Record of Arrests and Prosecutions is attached. To correct or update the Washington State Patrol (WSP) record, contact the WSP at 360-***-****
Source: AOC
Washington State Courts (Courts) Search Result is attached. To correct or update the Courts record, contact the local court that reported the action.
Source: Fingerprint Check
Fingerprint based background check conducted. Federal law prohibits the Background Check Central Unit (BCCU) from sending a copy of the fingerprint record to non-governmental entities or unauthorized governmental agencies. BCCU will mail a copy of the fingerprint record to the applicant and the applicant may choose to share it with the background check requester. Source: Washington State Patrol Fingerprint Check
Washington State Fingerprint Record is attached. To correct or update the Washington State Patrol (WSP) record, contact the WSP at 360-***-****.
Source of Background Check Information Reported:
Source: Applicant Disclosure
Disclosed To: Action: 1986
Action Type: Conviction
Crime: THEFT 3
State: Washington
Merge: Answered YES to #11A, Have you been convicted of any crime? Action Date: 1986
Action Type: Conviction
Crime: THEFT 3
State: Washington
Source: Applicant Disclosure
Disclosed To: Action: 1988
Action Type: Conviction
Crime: THEFT 3RD
State: Washington
Merge: Answered YES to #11A, Have you been convicted of any crime? Action Date: 1988
Action Type: Conviction
Crime: THEFT 3RD
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 01/01/1983
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Page 5 of 20
Disclosed To: Action: 1986 or 1987?
Action Type: Conviction
Crime: Possession of marijuana, under 40 grams
State: Washington
Merge: Confidential applicant statement
Action Date: 1986 or 1987?
Action Type: Conviction
Crime: Possession of marijuana, under 40 grams
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 03/30/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 06/01/1988
Action Type: Conviction
Crime: Possession of marijuana under 40 grams without intent to deliver Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 06/30/1988
Action Type: Conviction
Crime: Possession of Marijuana under 40 grams misdemeanor Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 06/01/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Page 6 of 20
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 01/01/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 01/01/1988
Action Type: Conviction
Crime: Possession of Controlled Substance
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 06/30/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 05/05/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 06/30/1988
Action Type: Conviction
Crime: Possession of marijuana under 40 grams
Other Crime Information: N/A
State: Washington
Source: Applicant Disclosure
Page 7 of 20
Disclosed To: Action: 1988
Action Type: Conviction
Crime: POSS. MARIJUANA
State: WA
Merge: Answered YES to #11A, Have you been convicted of any crime? Action Date: 1988
Action Type: Conviction
Crime: POSS. MARIJUANA
State: Washington
Source: Applicant Disclosure
Disclosed To: The applicant answered YES to Question 11A - Have you ever been convicted of any crime?
Action Date: 04/30/1986
Action Type: Conviction
Crime: Theft 3
Other Crime Information: N/A
State: Washington
Page 8 of 20
WASHINGTON STATE PATROL
CRIMINAL RECORDS DIVISION
P.O. BOX 42633
OLYMPIA, WASHINGTON 98504-2633
WWW.WSP.WA.GOV
CRIMINAL HISTORY INFORMATION AS OF 05/04/2023
NOTICE
THE FOLLOWING TRANSCRIPT OF RECORD IS FURNISHED FOR OFFICIAL USE ONLY. SECONDARY DISSEMINATION OF THIS CRIMINAL HISTORY RECORD INFORMATION IS PROHIBITED UNLESS IN COMPLIANCE WITH THE WASHINGTON STATE CRIMINAL RECORDS PRIVACY ACT, CHAPTER 10.97 RCW.
POSITIVE IDENTIFICATION CAN ONLY BE BASED UPON FINGERPRINT COMPARISON. BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED FOR SUBSEQUENT USE. WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT SUPPLIED THE INFORMATION TO THE WASHINGTON STATE PATROL.
THE CONVICTION RECORD INCLUDES INFORMATION FOR WHICH A PERSON MAY BE CURRENTLY BEING PROCESSED BY THE CRIMINAL JUSTICE SYSTEM.
MASTER INFORMATION
NAME: HESS, MICHAEL K DOB: 11/14/1967
SID NUMBER: WA13309542 DOC NUMBER:
PERSON INFORMATION
SEX RACE HEIGHT WEIGHT EYES HAIR PLACE OF BIRTH CITIZENSHIP ---
M W 600 170 BLU BLN WA US
XX
OTHER DATES OF OTHER NAMES USED BIRTH USED
HESS, MICHAEL KELLY 01/14/1967
CONVICTION AND/OR ADVERSE FINDING SUMMARY
0 FELONY (S) DISPOSITION DATE
1 GROSS MISDEMEANOR(S) THEFT-
3 07/22/1986 0 MISDEMEANOR(S)
0 CLASSIFICATION(S) UNKNOWN
DOC SUMMARY
NO KNOWN DOC INFORMATION
CRIMINAL HISTORY RECORD INFORMATION
THE ARRESTS LISTED MAY HAVE BEEN BASED ON PROBABLE CAUSE AT THE TIME OF ARREST OR ON A WARRANT. PROBABLE CAUSE ARRESTS MAY OR MAY NOT RESULT IN THE FILING OF CHARGES. CONTACT THE ARRESTING AGENCY FOR INFORMATION ON THE FORMAL CHARGES AND/OR DISPOSITIONS.
AN ARREST IS NOT A CONVICTION OR FINDING OF GUILT
ARREST 1 DATE OF ARREST: 06/07/1986
NAME USED: HESS, MICHAEL K
CONTRIBUTING AGENCY: WAKCS0000 KING COUNTY SHERIFFS OFFICE LOCAL ID: 131305 ATN: N/A TCN: N/A
DISPOSITION INFORMATION: COURT CASE NO:
RESPONSIBLE AGENCY: WA017113J KENMORE DEPT/SHORELINE DIST CRT, KING CO DC THEFT- Page 9 of 20
3
DISPOSITION: GUILTY DISPOSITION DATE: 07/22/1986
RCW: 9A.56.050 COUNTS: 1 GROSS MISDEMEANOR
STATE DEPARTMENT OF CORRECTIONS
NO KNOWN DEPARTMENT OF CORRECTIONS INFORMATION
SEX/KIDNAPPING OFFENDER REGISTRATION
NO KNOWN SEX/KIDNAPPING OFFENDER REGISTRATIONS
OTHER OFFENDER REGISTRATION
NO KNOWN OTHER OFFENDER REGISTRATIONS
APPLICANT INFORMATION
NO KNOWN APPLICANT DETAILS
RESOURCES
ADMINISTRATIVE OFFICE OF THE COURTS (AOC) HTTP://WWW.COURTS.WA.GOV/ DEPARTMENT OF CORRECTIONS (DOC) HTTP://WWW.DOC.WA.GOV/ REVISED CODE OF WASHINGTON (RCW) HTTP://APPS.LEG.WA.GOV/RCW/ Page 10 of 20
State of Washington
Department of Social and Health Services
Background Check Central Unit
Washington State Courts Search Results
5/4/2023
Michael Kelly Hess
Date of Birth: 01/14/1967
Inquiry ID/OCA: 6277903
Case #1 Case: 79521/K
Court: KCDC EAST DIVISION NORTHEAST
Code: 46.20.021
Violation: NO VALID DRIVERS LICENSE
Date: 07/28/1987
Status: Guilty
Case #2 Case: 7443505
Court: KCDC WEST DIVISION SEATTLE
Code: 46.64.020
Violation: FTR AFTER WRITTEN PROMISE TO APP
Date: 06/28/1993
Status: Guilty
Case #3 Case: 14908
Court: MARYSVILLE MUNICIPAL COURT
Code: 46.20.342(1)(c)
Violation: Driving While License Suspended 3rd Degree Date: 05/15/1998
Status: Guilty
Case #4 Case: 2046
Court: EDMONDS MUNICIPAL COURT
Code: 5.36.010(C)
Violation: THEFT 3
Date: 05/05/1986
Status: Guilty
Case #5 Case: 23198
Court: SNOHOMISH DISTRICT COURT SOUTH DIVISION
Code: 46.61.525
Violation: Negligent Driving
Date: 02/11/1993
Status: Guilty
Case #6 Case: 2078
Court: BOTHELL MUNICIPAL COURT
Code: 46.20.021
Page 11 of 20
Violation: No Washington Motor Vehicle Operator License Date: 02/06/1996
Status: Guilty
Case #7 Case: 259067
Court: SEATTLE MUNICIPAL COURT
Code: 112001000
Violation: NO VALID OP
Date: 01/10/1996
Status: Guilty
NOTE: The information listed in this search result is based on data obtained from the Washington State Courts as of the search date listed above. Violations listed here may also appear on the Washington State Patrol criminal history record information.
DISCLAIMER: The information provided is for use as reference material and is NOT the official court record. The official court record is maintained by the court of record. The Administrator for the Courts, the Washington State Courts, and the Washington State County Clerks: Do not warrant that the information is accurate or complete; do not guarantee that information is in its most current form; make no representations regarding the identity of any person whose name appears on these pages; and do not assume any liability resulting from the release or use of the information. DEFINITIONS
DATE: Unless noted otherwise, "date" is the conviction or final judgment date. A date followed by the word "violation" in the date box indicates when the alleged violation occurred. The violation date is listed when the case is pending. If the requester of the background check or the applicant needs additional information about the reported date, they should contact the court listed above.
NOT REPORTED: A case indicating "not reported" in the status or date column means the corresponding information is not available from the Administrative Office of the Courts data source. The Background Check Central Unit issues a result letter based on the reported violation. BCCU collects and reports background check information and in some cases, determines if the background information is disqualifying pursuant to the applicable DSHS list of disqualifying crimes and negative actions. However, BCCU does not determine which crimes are included in respective department lists and does not determine the character, competence, and suitability of the applicant. It is the requester's responsibility or the applicant to contact the court listed above for more information.
STATUS: The status column lists the court's determination for the alleged violation. A status of "pending" indicates the court has not entered a final determination for the case.
For more information on how these search results are used by the Background Check Central Unit, a frequently asked questions document is available on our website at http://dshs.wa.gov/bccu/
Page 12 of 20
WASHINGTON STATE PATROL
CRIMINAL RECORDS DIVISION
P.O. BOX 42633
OLYMPIA, WASHINGTON 98504-2633
WWW.WSP.WA.GOV
CRIMINAL HISTORY INFORMATION AS OF 05/02/2023
NOTICE
THE FOLLOWING TRANSCRIPT OF RECORD IS FURNISHED FOR OFFICIAL USE ONLY. SECONDARY DISSEMINATION OF THIS CRIMINAL HISTORY RECORD INFORMATION IS PROHIBITED UNLESS IN COMPLIANCE WITH THE WASHINGTON STATE CRIMINAL RECORDS PRIVACY ACT, CHAPTER 10.97 RCW. POSITIVE IDENTIFICATION CAN ONLY BE BASED UPON FINGERPRINT COMPARISON. BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED FOR SUBSEQUENT USE. WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT SUPPLIED THE INFORMATION TO THE WASHINGTON STATE PATROL. THE CONVICTION RECORD INCLUDES INFORMATION FOR WHICH A PERSON MAY BE CURRENTLY BEING PROCESSED BY THE CRIMINAL JUSTICE SYSTEM.
MASTER INFORMATION
NAME: HESS, MICHAEL K DOB: 11/14/1967
SID NUMBER: WA13309542 DOC NUMBER:
PERSON INFORMATION
SEX
M
RACE
W
HEIGHT
600
WEIGHT
170
EYES
BLU
HAIR
BLN
PLACE OF BIRTH
WA
XX
CITIZENSHIP
US
OTHER NAMES USED
HESS, MICHAEL KELLY
OTHER DATES OF
BIRTH USED
01/14/1967
PHOTOGRAPH
NO PHOTOGRAPH ON FILE
CONVICTION AND/OR ADVERSE FINDING SUMMARY
0 FELONY(S) DISPOSITION DATE
1 GROSS MISDEMEANOR(S)
THEFT-3 07/22/1986
0 MISDEMEANOR(S)
0 CLASSIFICATION(S) UNKNOWN
SID NUMBER: WA13309542 NAME: HESS, MICHAEL K
Page 1 of 3
SEARCH PARAMETERS: HESS, MICHAEL KELLY 01/14/1967 OCA: 6277903 REQUESTOR: WA920330Z DSHS - BACKGROUND CHK OLYMPIA WA PURPOSE: A RAPSHEET TYPE: CO
05/02/2023
Page 13 of 20
DOC SUMMARY
NO KNOWN DOC INFORMATION
CRIMINAL HISTORY RECORD INFORMATION
THE ARRESTS LISTED MAY HAVE BEEN BASED ON PROBABLE CAUSE AT THE TIME OF ARREST OR ON A WARRANT. PROBABLE CAUSE ARRESTS MAY OR MAY NOT RESULT IN THE FILING OF CHARGES. CONTACT THE ARRESTING AGENCY FOR INFORMATION ON THE FORMAL CHARGES AND/OR DISPOSITIONS. AN ARREST IS NOT A CONVICTION OR FINDING OF GUILT
ARREST 1 DATE OF ARREST: 06/07/1986
NAME USED: HESS, MICHAEL K
CONTRIBUTING AGENCY: WAKCS0000 KING COUNTY SHERIFFS OFFICE LOCAL ID: 131305 ATN: N/A TCN: N/A
DISPOSITION INFORMATION:
COURT CASE NO:
CONTRIBUTOR OR DISPOSITION RESPONSIBLE AGENCY: WA017113J KENMORE DEPT/SHORELINE DIST CRT, KING CO DC THEFT-3
DISPOSITION: GUILTY DISPOSITION DATE: 07/22/1986
RCW: 9A.56.050
COUNTS: 1
GROSS MISDEMEANOR
STATE DEPARTMENT OF CORRECTIONS
NO KNOWN DEPARTMENT OF CORRECTIONS INFORMATION
SEX/KIDNAPPING OFFENDER REGISTRATION
NO KNOWN SEX/KIDNAPPING OFFENDER REGISTRATIONS
OTHER OFFENDER REGISTRATION
NO KNOWN OTHER OFFENDER REGISTRATIONS
APPLICANT INFORMATION
NO KNOWN APPLICANT DETAILS
RESOURCES
SID NUMBER: WA13309542 NAME: HESS, MICHAEL K
Page 2 of 3
SEARCH PARAMETERS: HESS, MICHAEL KELLY 01/14/1967 OCA: 6277903 REQUESTOR: WA920330Z DSHS - BACKGROUND CHK OLYMPIA WA PURPOSE: A RAPSHEET TYPE: CO
05/02/2023
Page 14 of 20
ADMINISTRATIVE OFFICE OF THE COURTS (AOC) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HTTP:- - - - - /- /- WWW.- - - - - - COURTS.- - WA.GOV/ DEPARTMENT OF CORRECTIONS (DOC) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HTTP:- - - - - /- /WWW.DOC.WA.GOV/ REVISED CODE OF WASHINGTON (RCW) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HTTP:- - - - - /- /APPS.- LEG.WA.GOV/RCW/ SID NUMBER: WA13309542 NAME: HESS, MICHAEL K
Page 3 of 3
SEARCH PARAMETERS: HESS, MICHAEL KELLY 01/14/1967 OCA: 6277903 REQUESTOR: WA920330Z DSHS - BACKGROUND CHK OLYMPIA WA PURPOSE: A RAPSHEET TYPE: CO
05/02/2023
Page 15 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
TYPE OF TRANSACTION: NFUF
DATE TRANSACTION INITIATED: 05022023
TRANSACTION CONTROL NUMBER: WA4203200000668066
TRANSACTION CONTROL REFERENCE: E2023122000000324850 LOCAL ID: 6277903
FBI NUMBER: 228342FA6
STATE IDENTIFICATION NUMBER: WA13309542
NAME: HESS,MICHAEL KELLY
RESIDENCE: 12419 73RD LANE S APT 44,SEATTLE,WA,98178 Page 16 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
WA920330Z
TCN WA4203200000668066
AGENCY CASE 6277903
THE FBI IDENTIFIED YOUR TEN-PRINT SUBMISSION WHICH CONTAINED THE FOLLOWING DESCRIPTORS:
NAME HESS,MICHAEL KELLY
SEX RACE BIRTH DATE HEIGHT WEIGHT EYES HAIR
M W 1967/01/14 600 190 BLUE GRAY
STATE ID BIRTH PLACE
NULL WASHINGTON
CITIZENSHIP
UNITED STATES
OTHER BIRTH SOCIAL
DATES SCARS-MARKS-TATTOOS SECURITY MISC NUMBERS
NONE NONE NONE NONE
ALIAS NAME(S)
NONE
Page 17 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
END OF COVER SHEET
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
WA920330Z NCN E2023122000000324850
BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE. THIS RECORD IS SUBJECT TO THE
FOLLOWING USE AND DISSEMINATION RESTRICTIONS
UNDER PROVISIONS SET FORTH IN TITLE 28, CODE OF FEDERAL REGULATIONS (CFR), SECTION 50.12, BOTH GOVERNMENTAL AND NONGOVERNMENTAL ENTITIES AUTHORIZED TO SUBMIT FINGERPRINTS AND RECEIVE FBI IDENTIFICATION RECORDS MUST NOTIFY THE INDIVIDUALS FINGERPRINTED THAT THE FINGERPRINTS WILL BE USED TO CHECK THE CRIMINAL HISTORY RECORDS OF THE FBI. IDENTIFICATION RECORDS OBTAINED FROM THE FBI MAY BE USED SOLELY FOR THE PURPOSE REQUESTED AND MAY NOT BE DISSEMINATED OUTSIDE THE RECEIVING DEPARTMENT, RELATED AGENCY OR OTHER AUTHORIZED ENTITY. IF THE INFORMATION ON THE RECORD IS USED TO DISQUALIFY AN APPLICANT, THE OFFICIAL MAKING THE DETERMINATION OF SUITABILITY FOR LICENSING OR EMPLOYMENT SHALL PROVIDE THE APPLICANT THE OPPORTUNITY TO COMPLETE, OR CHALLENGE THE ACCURACY OF, THE INFORMATION CONTAINED IN THE FBI IDENTIFICATION RECORD. THE DECIDING OFFICIAL SHOULD NOT DENY THE LICENSE OR EMPLOYMENT BASED ON THE INFORMATION IN THE RECORD UNTIL THE APPLICANT HAS BEEN AFFORDED A REASONABLE TIME TO CORRECT OR COMPLETE THE INFORMATION, OR HAS DECLINED TO DO SO. AN INDIVIDUAL SHOULD BE PRESUMED NOT GUILTY OF ANY CHARGE/ARREST FOR WHICH THERE IS NO FINAL DISPOSITION STATED ON THE RECORD OR OTHERWISE DETERMINED. IF THE APPLICANT WISHES TO CORRECT THE RECORD AS IT APPEARS IN THE FBI'S CJIS DIVISION RECORDS SYSTEM, THE APPLICANT SHOULD BE ADVISED THAT THE PROCEDURES TO CHANGE, CORRECT OR UPDATE THE RECORD ARE SET FORTH IN TITLE 28, CFR, SECTION 16.34.
- FBI IDENTIFICATION RECORD -
WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT FURNISHED THE DATA TO THE FBI. Page 18 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
END OF PART 1 - PART 2 TO FOLLOW
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
WA920330Z NCN E2023122000000324850
PART 2
- FBI IDENTIFICATION RECORD - FBI UCN-228342FA6
NAME FBI UCN DATE REQUESTED
HESS,MICHAEL KELLY 228342FA6 2023/05/02
SEX RACE BIRTH DATE HEIGHT WEIGHT EYES HAIR
M W 1967/11/14 511 150 BLU BLN
BIRTH PLACE
WASHINGTON
PATTERN CLASS CITIZENSHIP
LS LS LS AU LS AU LS LS LS LS UNITED STATES
1-ARRESTED OR RECEIVED 1986/06/07 SID- WA13309542
AGENCY-SHERIFF'S OFFICE SEATTLE (WAKCS0000)
AGENCY CASE-131305
CHARGE 1-THEFT 3 02500
COURT-SHERIFF'S OFFICE SEATTLE (WAKCS0000)
CHARGE- III/THEFT-3
III/GUILTY; CONDITIONS - DISP DATE: 07-22-1986
2-ARRESTED OR RECEIVED 2005/11/07 SID- WA13309542
AGENCY-SNOHOMISH CO JAIL EVERETT (WA031013C)
AGENCY CASE-60006
FINGERPRINT INFORMATION
BSI/400********
PRINT DATE/2005/11/07
CHARGE 1-DRUG PARAPHERNALIA
CHARGE 2-NEGLIGENT DRIVING-1
Page 19 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
COURT-SNOHOMISH CO JAIL EVERETT (WA031013C)
END OF PART 2 - PART 3 TO FOLLOW
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
WA920330Z NCN E2023122000000324850
PART 3
- FBI IDENTIFICATION RECORD - FBI UCN-228342FA6
CHARGE- III/OBSTRUCT LAW ENFORCEMENT OFC
III/DISMISSED; CONDITIONS - DISP DATE: 09-27-2006
CHARGE- III/DRUG PARAPHERNALIA-USE
III/DISMISSED; CONDITIONS - DISP DATE: 09-27-2006
CHARGE- III/NEGLIGENT DRIVING-1
III/DISMISSED; CONDITIONS - DISP DATE: 09-27-2006
RECORD UPDATED 2023/05/02
Page 20 of 20
As required under RCW 10.97.050, DO NOT share non- conviction information [defined in RCW 10.97.030]
outside of the internal agency for which it is
intended [DSHS/DCYF/DOH].
ALL ENTRIES CONTAINED IN THIS FBI RECORD ARE BASED ON FINGERPRINT COMPARISONS AND PERTAIN TO THE SAME INDIVIDUAL. THE USE OF THIS RECORD IS REGULATED BY LAW. IT IS PROVIDED FOR OFFICIAL USE ONLY AND MAY BE USED ONLY FOR THE PURPOSE REQUESTED. THIS MESSAGE IS TRANSMITTED TO THE LICENSING AGENCY. THE MESSAGE HAS THE FBI RESPONSE TO A NATIONAL FINGERPRINT SEARCH WITH THE FBI IDENTIFICATION NUMBER AND OTHER RELEVANT INFORMATION.
Contact this candidate