Chester County Government Forms

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Request for Appt of Municipal Emergency Mgmt Coordinator


  1. 1. Step One
  2. 2. Step Two
  3. 3. Step Three
  • Step One

      1. You must request a Criminal History Records Check for all who are recommended for appointment by completing a Pennsylvania State Police Form SP 4-164, "Request for Criminal Record Check." You must attach the results to this form.
    2. 2. Complete Part I
    3. 3. Click Print.
    4. 4. Forward this form and a copy of the Criminal Records Check results to Chester County Department of Emergency Services Attention Rob Linnenbaugh 601 Westtown Road, Suite 012 West Chester PA 19380 or scan and email to [email protected]
    5. PART I