Welcome! This is an official order form for fingerprinting services. You must completely and accurately fill-out this application to be considered for fingerprinting. 

 

IMPORTANT NOTICE:

You must choose the correct Ohio Revised Code and make sure you are choosing the correct type(BCI&I/FBI) of check you need for your background check. There will be NO REFUNDS

Applicant Information:

Previous Aliases: (please list all previous aliases)
Previous Last Name Previous First Name Previous Middle Name

Information Related To Your Birth:


Demographic Information:

feet inches

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Work Information And Address: (enter your place of employment)

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:
  • The password must be a minimum length of eight (8) characters on all systems
  • The password must not be a dictionary word
  • The password must not be the same as your email address
  • The password must not be a proper name

Delivery Options:



Reason for Request of Fingerprinting:


Select Purchase Option:


Total Fee:

$0

BY SIGNING AND INITIALLING THIS FORM THE APPLICANT ACKNOWLEDGES THAT ALL INFORMATION ON THIS FORM IS ACCURATE.  ANY MISTAKES OR ERRORS ON THIS FORM ARE THE RESPONSIBILITY OF THE APPLICANT. 

Application Qualification Questions:

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You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below
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  • Your Appointment Choice Is:

None Selected

*If you are applying for a fingerprint order, please ignore the following statement.

AN APPLICANT WHO KNOWINGLY GIVES A FALSE ANSWER TO ANY QUESTION OR SUBMITS FALSE INFORMATION ON, OR A FALSE DOCUMENT WITH, THE APPLICATION MAY BE PROSECUTED FOR FALSIFICATION TO OBTAIN A CONCEALED HANDGUN LICENSE, A FELONY OF THE FOURTH DEGREE, IN VIOLATION OF ORC 2921.13.

(1) I have read the publication that explains Ohio firearms laws, provides instruction in dispute resolution and explains the Ohio laws related to that matter, and provides information regarding aspects of the use of deadly force with a firearm, and I am knowledgeable of the provisions of those laws and of the information on those matters.

(2) I desire a legal means to carry a concealed handgun for defense of myself or a member of my family while engaged in lawful activity.

(3) I have never been convicted of or pleaded guilty to a crime of violence in the state of Ohio or elsewhere (if you have been convicted of or pleaded guilty to such a crime, but the records of that conviction or guilty plea have been sealed or expunged by court order or a court has granted relief pursuant to ORC 2923.14 from the disability imposed pursuant to ORC 2923.13 relative to that conviction or guilty plea, you may treat the conviction or guilty plea for purposes of this paragraph as if it never had occurred). I am of sound mind. I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein I am subject to penalties prescribed by law. I authorize the sheriff or the sheriff’s designee to inspect only those records or documents relevant to information required for this application.

(4) The information contained in this application and all attached documents is true and correct to the best of my knowledge.

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