Livescan FingerprintingRegistration
INDIVIDUAL REVIEW RECORDS CHECK
State of Maryland

Instructions: Complete all required sections of this form. Review all information entered is correct. Click the "Register Now" button and you will prompted for payment of the required fee. The fee paid includes all necessary background checks and Livescan services. Express registration is nonrefundable or transferable. You must appear within 30 day's of submitting your registration to be fingerprinted with a valid photo ID and copy of your paid receipt.

*Last Name:

 *First Name:

 Middle Name:

*Date of Birth:

*Sex:

*Race:

*Height:

*Weight:

*Eye Color:

*Hair Color:

*Place of Birth:

*Country of Citizenship:

*Home Address:

*Phone Number: