Fingerprint Consent Form
Date of Birth
Please enter a valid phone number.
Street Address Line 2
State / Province
Postal / Zip Code
Were you convicted to a crime in the past?
Do you have any pending arrest charges?
Upload a screenshot of your IDs
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Consent & Authorization
The purpose of this consent form is to explain the reason why we need to do a fingerprint scan to verify your identity. This is also to conduct a background check, criminal records check, or reports.
I consent that my fingerprints being taken by this organization and use it to verify my records or dispute a legal document.
I understand that I have the right to review, obtain, and seek correction for any inaccuracy with my records.
I understand that this document is considered strictly confidential.
I agree to provide 2-3 IDs as a supporting document.
I confirm that all information I provided is accurate and true.
If under 18 years old, the parent or guardian must sign below:
Should be Empty: