Please complete this form entirely. *** YOU WILL BE REQUIRED TO VERIFY ACCURACY WITH THE LATENT SPECIALIST PRIOR TO FINGERPRINT TRANSMISSION. PLEASE BE CAREFUL WHEN CONFIRMING AS TRAMISSION WITH ERRORS RESULT IN DUPLICATE CHARGES.***
If you do not know the ORI please contact the requesting company/ school/ licensing department etc.
IF BACKGROUND CHECK IS FOR NAME CHANGE PLEASE ENTER YOUR NEW NAME FOLLOWED BY ANY OTHER PREVIOUS LEGAL NAMES
If you were born in a different Country, enter it here.
Example: 6' 2"