SCHEDULE AN APPOINTMENT

Appointment Type

Appointment Type LiveScan Background Check Drug Test Both
Applicant Name Applicant Name First Last
Applicant Date of Birth Applicant Date of Birth / MM / DD YYYY
Applicant Phone # Applicant Phone # - ### - ### ####
Submission Confirmation Email
Employer
Employee SSN
ORI #
Photo Required

Photo Required Yes No
Reason for Fingerprint
Race
Weight
Place of Birth (State if within US)
Date of Appointment Date of Appointment / MM / DD YYYY
Time Requested
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