Background Check / Fingerprinting Form

BACKGROUND CHECK / FINGERPRINTING FORM
South Kingstown Residents Only
Are you requesting your fingerprints be processed for a state and national background?*

YesNo
Are you requesting a Rhode Island criminal history check? This check is not supported by fingerprints and is based on a name and date of birth query.*

YesNo
We will no longer provide ink prints. If you need your fingerprints, we will roll them on our LiveScan machine and can provide you copies at no charge.
Are you requesting fingerprints that you will be submitting to an employer or other entity?*

YesNo
The South Kingstown Police Department will only provide fingerprinting for South Kingstown residents, pursuant to Rhode Island General Laws. There is a $50.00 fee and fingerprints will be processed for the following reasons:
Please select reason for fingerprints:

Child + Day Care Center employeesAdoption (parent/ agency)Foster Care (no charge)Mental Health Facilities (licensed by BHDDH)Medical Marijuana (caregiver/cultivator)Firefighter employeesPolice employeesDCYF employeeSchool employe/ bus driver/ monitorHigh School Senior MentorReligious Organizations (employees and volunteers)Youth Serving Agency worker (see department webpage for list of approved agencies)
Volunteers are not considered employees.

You must be a paid employee to be eligible for fingerprints.

We do not provide fingerprinting for the following:
- Department of Business Regulations
- Financial/Alarm Companies
- Private Security Companies
- Pre-school and Nursery Schools
- Precious Metals/Tools + Electronics
- Nurses/CNA
- Health Care/Nursing Facilities/Adult Day Care Centers
- Court Appointed Special Advocate (CASA)
- Child Care + Day Care Owners and Operators
- Marijuana Compassion Centers
- Hemp Growers
- Lottery Employment/ Vendors
- Ambulatory Care
Fingerprinting for the above categories is done by the Department of Attorney General, Bureau of Criminal Identification, located at 4 Howard Avenue in Cranston – (401) 274-4400.
Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
License #:*
License State:*
Email:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Please enter a valid phone number.
Select phone number type:*

Home phoneCell phoneWork phone
Requesting agency*

South Kingstown SchoolsJonnycake CenterUnion Fire DistrictOther
Results to be emailed to*
example@example.com
Results to be sent to*

First NameLast Name
Upload a copy of a government-issued identification document (license, passport, etc) and any documents/ releases from your employer or licensing authority.*
Appointment*
Acknowledgment Statement*

I acknowledge that by submitting this request, I authorize the South Kingstown Police Department to conduct a criminal background check. I understand that the results may be shared with me and, as applicable, with the institution, organization, or employer for which I am seeking employment, volunteer service, or other approval. I further understand that the completion of this background check does not guarantee approval for employment, housing, volunteer service, or any other purpose. I certify that the information I have provided is true and correct to the best of my knowledge.
Status (Internal)

PendingIn ProgressCompleted - ClearedCompleted - DisqualifyingDenied RequestFingerprint appointment scheduled
Assigned To (Internal)
Staff Notes (Internal)
Please verify that you are human*
Letter Date

MonthDayYear
Date
Should be Empty:

BACKGROUND CHECK / FINGERPRINTING FORM