Applicant Registration and Information Form This form does not need to be turned in at the fingerprint site. It is designed only as a tool to help facilitate your registration and payment for fingerprinting services. Printable PDF

ABID

Needed only if employer is to be billed

ABID Password

Reason Fingerprinted (Choose One)

School District, Intermediate Unit, Area Vocations Technical Schools (AVTS), Non-Public Schools, Private, College/Universities, Charter Schools

Payment Type

Applicant

Agency Pay (Requires ABID Number)

Last Name

First Name

Middle Name

Date of Birth

Place of Birth (state)

SSN

Sex

M

F

Race

Eye Color

Hair Color

Height

Weight

Country of Citizenship

Drivers License Number

Applicant Address

City

State

Zip

Phone