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Customer Service Announcement:

bullet The new, on-site state-of-the-art computer lab is available to all applicant and licensees. The lab provides applicants and licensees with the necessary resources to complete and print on-line registrations and licensing applications at the time of being fingerprinted and photographed.

Livescan FingerprintingexpressRegistration
U.S. DEFENSE SECURITY SERVICES AGENCY
OPM-DoD  SWFT  

FBI CRIMINAL RECORDS CHECK

DSS Color

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 livescan fingerprinting and all required criminal records background checks in accordance with Office of Personnel Management (OPM), the Department of Defense (DoD) and the Defense Security Service (DSS) SWFT guidlines. Express registration is nonrefundable or transferable. Applicant must appear within 30 day's of registration to be fingerprinted with a valid government issued photo ID and copy of this completed registration receipt. Alternatively, in lieu of applicant appearing in person, the FSO may submit two (2) completed FBI FD258 fingerprinted cards by mail to the Criminal Justice Information Systems (CJIS) with a copy of this completed registration receipt.

I. Organization Profile

   

*Agency or Company Name:

 

*Classification:

 

*Cage Code Number:

  Seperate each code set with a comma

*FSO Contact Name:

 

*FSO Phone Number:

 

*FSO Email:

 

*Processing Method:

 
   

II. Applicant Profile

   

*Last Name:

 *First Name:

 Middle Name:

*Date of Birth:

 dd-mm-yyyy

*Sex:

*Race:

*Height:

 5'2"=502, 5'8"=508

*Weight:

 Lbs.

*Eye Color:

*Hair Color:

*Place of Birth:

*Country of Citizenship:

*Home Address:

Complete address including City, State, Zip Code

*Phone Number: