Schedule Fingerprint/Level 2 Background Check Appointment

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TCN #
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Reason why person needs to be fingerprinted* This field is required.
PLEASE NOTE THAT WE DO NOT PROVIDE CONCEALED WEAPON SERVICES
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Appointment* This field is required.CHOOSE DATE & TIME. Open 8am-6pm Mon-Fri (closed on major holidays). Phone: 561-345-3970
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Full Name* This field is required.Type full name of the person who is to be fingerprinted
First Name
Middle Name
Last Name
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Suffix
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Current Address* This field is required.Address of the person who is to be fingerprinted
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Phone Number* This field is required.Phone number of the person who is to be fingerprinted
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Applicant Email* This field is required.Email address of the person who is to be fingerprinted
example@example.com
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Birth Date* This field is required.Date of birth of the person who is to be fingerprinted
Month
Day
Year
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Gender* This field is required.Gender of the person who is to be fingerprinted
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Race* This field is required.Race of the person who is to be fingerprinted
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Height* This field is required.Height of the person who is to be fingerprinted
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Weight* This field is required.Weight of the person who is to be fingerprinted
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Eye Color* This field is required.Eye color of the person who is to be fingerprinted
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Hair Color* This field is required.Hair color of the person who is to be fingerprinted
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Place of Birth* This field is required.Birth place of the person who is to be fingerprinted
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Country of Citizenship* This field is required.Country of citizenship of the person who is to be fingerprinted
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Employer Name(Name of the company that requires person to have the Level II background screening done)
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Employer Email(Email address of the company that requires person to have the Level II background screening done)
example@example.com
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Job TitleThe occupation that requires person to have the Level II background screening done
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Social Security Number* This field is required.Without a SS#, FDLE may have difficulty tracking the person's background check results in the future
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ORI Number(ORI [originating agency identifier] is a nine-character identifier and typically contains 2 letters and 7 numbers)
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OCA Number (if DCF/APD)(OCA [originating agency case number] typically starts with "09" or "100" depending on the county)
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Does the person to be fingerprinted have any cuts, scratches, scars, or disfigurements on hands, palms, or fingers?* This field is required.
YESNO
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Please click in the appropriate box belowPlease select the government agency that the FDLE results must be sent to
AHCA (Agency for Health Care Administration)
APD (Agency for Persons with Disabilities)
DOH (Florida Department of Health)
DOE (Florida Department of Education)
DMV (Florida Department of Motor Vehicles)
DOEA (Florida Department of Elder Affairs)
DCF (Florida Department of Children and Families)
DOJ (Florida Department of Justice)
DBPR (Florida Department of Business and Professional Regulation)
Other
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How did you hear about us
My Employer
Staff of Alliance Fingerprinting
Online advertisement
Social Media
Company Website
Family / Friend
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Upload Form (if applicable)Upload Completed Manual Fingerprint Applicant Registration (if unable to complete this electronic form)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Terms and Conditions* This field is required.{I understand that if I am not sure which state agency my background check results need to go to, I must consult my employer for more information before submitting the fingerprint applicant registration. I am financially responsible for any incorrect information on the registration form. I understand that if I choose not to fill out the appropriate box with my correct social security number, FDLE may have difficulty tracking my background check result. I agree to be fingerprinted and have a background check performed on me. I understand that FDLE result is sent to the agency selected on this form and no other agency; and that if applicant needs a level II background check for another agency, the applicant will submit a new fingerprint applicant registration. I agree and understand that it is my responsibility to pay for the fingerprint procedure. I recognize and agree that I shall not be entitled to a refund after fingerprint procedure has been done or there is a "no show" for an appointment that has been made}.
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Today's Date & Time* This field is required.
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Fingerprint Applicant Signature* This field is required.The box below is to be signed by the person who is to be fingerprinted
Clear
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Full Name of Fingerprint Applicant Who Signed Form* This field is required.Please type the full name of the fingerprint applicant who signed this form
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Guardian/Authorized Signature (if applicable)The box below is to be signed by applicant's guardian or authorized individual (if applicable)
Clear
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Guardian/Authorized Person's Full Name (if applicable)Please type the full name of the guardian or authorized person who signed this form (if applicable)
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Alliance Fingerprinting LabPlease note our fingerprint/background check location address: 2215 N. Military Trail, Suite O, West Palm Beach, FL 33409
Visit alliancefingerprinting.com for address
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Livescan Fingerprinting Level 2 Background Check RegistrationPLEASE CLICK ON THE SUBMIT BUTTON AT THE END OF THIS FORM
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ORDER SUMMARY
Total costUSD
Livescan Fingerprinting Level 2 Background Check Registration(ALF does not provide concealed weapons services)
$96.50Edit
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