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- Click ‘Get Form’ to open the document in the editor.
- Begin by filling out the 'Authorized Agency Information' section. Enter your agency's ORI, name, and reason for fingerprinting.
- Next, complete the 'Applicant Information' section. Fill in the applicant's last name, first name, middle name, sex, race, ethnicity, date of birth, height, weight, hair color, eye color, place of birth, citizenship status, and driver's license or ID number.
- In the 'Home Address' field, provide the street address, city, state, and zip code of the applicant.
- Proceed to the 'Service Center Information' section. Here you will enter the date prints were taken and payment method details.
- Finally, ensure that the Live Scan Operator completes their section by printing their name and signing to confirm they have fingerprinted the correct individual.
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