Ink Fingerprint Request Form

Ink Fingerprint Request Form

Please fill out form or contact 1-866-755-2393
Fees:

$40 (Cuyahoga residents only)

$30 Group of 10+

$60 (Geauga, Lake, Lorain, Medina, Portage, and Summit)

$50 Group of 10+

*Must have identification present before fingerprinting

Includes:

New individual ink pad
Fingerprinting of (2) FD-258 cards
Individual
Group
Number of People in Group
Name

First NameLast Name
*If more than 1 person is being printed, please add information of person in charge.
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Location of Fingerprinting

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Appointment

Individual (Cuyahoga)

$40.00 Quantity

Group 10+ (Cuyahoga)

$30.00 Quantity

Individual (Geauga, Lake, Lorain, Medina, Portage, and Summit)

$60.00 Quantity

Group 10+ ( Geauga, Lake, Lorain, Medina, Portage, and Summit)

$50.00 Quantity

Total