REQUEST FOR NYS FINGERPRINTING SERVICES Child Care 2026

1. Click ‘Get Form’ to open the REQUEST FOR NYS FINGERPRINTING SERVICES Child Care form in the editor.
2. Begin by filling out the Enrollment Information section. Ensure you have an appointment for fingerprinting and note that you will need to bring this form along with acceptable ID.
3. In the Contributor Agency Section, enter the Service Code (15441V) and provide your Facility/Agency ID Number and Facility Name/Address.
4. Proceed to the Fingerprint Applicant Section. Here, indicate whether this is a New Submission or Resubmission, then fill in your personal details including Name, Alias/Maiden Name, Street Address, City, State & Zip, Date of Birth, Ethnicity, Race, Sex, Skin Tone, Eye Color, Height, Hair Color, and Weight.
5. Select your Role as a Fingerprint Applicant by checking one of the options provided (e.g., Director, Provider).
6. Complete the Fingerprint Applicant Affirmation Section by signing and dating the form. Remember not to sign it in advance.
7. Finally, review all sections for accuracy before saving or printing your completed form for submission.

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