Rev. 05/07/21

ACCURATE BIOMETRICS Form Application Instructions for FBI Personal Background Check Service

(also known as Departmental Order 556-73 or Identity History Summary – IdHS)

Please follow these instructions for filling out your application forms. Incorrectly filled out applications may delay the processing of your request.

Follow these simple steps to get your FBI Background Check/ Rap Sheet Report:

Step 1: Complete the applicant information form

● IMPORTANT: Please do not alter your Applicant Information Form. This may cause a delayin processing. If you have special instructions for Accurate Biometrics, you may mentionthose instructions in a cover letter.

● Please read the form carefully and be sure to include all the required information. The SocialSecurity Number (SSN) field is optional. If you include it, the last 4-digits of your SSN willappear in your report.

● FBI responses must be returned to the applicant’s address or to the applicant’s attorney. Ifthe results are to be sent to an attorney, a letter of release on the attorney’s letterhead mustbe included with your application; you will need to sign the letter along with the attorney.

● All applicants will have 1-time access to results at our secure web portal. Additional optionsare available for delivery of an additional hard copy print of the rap sheet report.

○ OPTION #1, $50 – Web Portal ServiceRap Sheet available securely online.

○ OPTION #2, $60 - Web Portal and USPS Mail ServiceRap Sheet available securely online and also mailed out via USPS First Class mail.

○ OPTION #3, $75 - Web Portal and Priority 2-Day service – Domestic (U.S.)Rap Sheet available securely online and delivered to a valid US address via Priority2-Day service within 24 hours of processing, during normal business hours.

Step 2: Obtain two sets of your fingerprints

● Print two of the standard FBI FD-258 fingerprint card form provided in the forms packet. It isacceptable to print the FD-258 form on standard white printer/copy paper. Please use blackink when filling out the form.

● You will need to submit two completed original FBI FD-258 fingerprint forms or cards. Photocopies of the completed FBI fingerprint form are not acceptable.

Note: The two fingerprint cards should be from two different fingerprinting attempts. Thecards are compared to see which is of better quality. This helps lessen to the chance of arejection from the FBI.

Important Applicant Note: All applicants must use the standard FBI FD-258 fingerprint cardform; do not submit fingerprints on non-FBI fingerprint card forms.

● Your name, date of birth, and signature must be provided on each fingerprint card.Fingerprints should be placed on the standard FBI FD-258 fingerprint form or card.

Note: Information on the application should match the information on the applicant fingerprintform. If there is a discrepancy, information from the applicant form will be used to generateyour report.

● Individuals may NOT fingerprint themselves; fingerprints MUST be obtained from a lawenforcement or other authorized fingerprinting contractor.

● Include two sets of rolled impressions of all 10 fingerprints and impressions of all 10fingerprints taken simultaneously (these are sometimes referred to as plain or flatimpressions). All fingerprint boxes must be filled in, or exceptions must be noted.

● Note: We will also accept fingerprint cards created by printing on to the cards from anelectronic capture by an authorized fingerprint provider such as a local law enforcementagency or licensed fingerprint contractor. (Still a physical card, not an electronictransmission).

● IMPORTANT: Include your complete email address in case there are any questions thatcould delay processing of your prints. A receipt email is available upon request. The MailingChecklist included will help make sure you have everything.

Step 3: Review Rap Sheet report pick up and shipping options

Online Portal Pick-Up All applicants will have 1-time access to results at our secure web portal. Please note that your report will not be accessible on mobile phones, tablets or ipads. The report is only accessible on a personal computer using Adobe Reader. Those without access to a computer, should consider selecting one of the mail options.

● Options #2 and #3 include delivery of an additional hard copy print of the rap sheet report. The only difference is the mail service.

○ OPTION #2, $60 - Web Portal and USPS Mail Service Rap Sheet available securely online and also mailed out via USPS First Class mail.

○ OPTION #3, $75 - Web Portal and Priority 2-Day service – Domestic (U.S.) Rap Sheet available securely online and delivered to a valid US address via Priority 2-Day service within 24 hours of processing, during normal business hours.

● For those who wish a printed copy to be mailed to you, please note that the costs above include the fee charged directly by the FBI, and all shipping and handling charges.

● The FBI Rap Sheet report is sent to you from Accurate Biometrics. If you choose to have your report sent via mail or expedited service, it will be printed and sent to you on white secure watermark paper.

Additional copies of your FBI Rap Sheet - $10

● Note: If an extra copy of your FBI Rap Sheet is requested to be delivered via UPS or USPS, that copy will be printed in color on white secure paper featuring a watermark of the FBI seal in the background and the signature of the FBI Section Chief.

Step 4: Submit payment

● Option 1: Obtain a money order or cashier’s check for the fee based on desired service in U.S. dollars made payable to Accurate Biometrics. Please be sure to sign where required.

● Option 2: Pay by credit card using the Credit Card Payment Form. Don’t forget to include the expiration date and three digit security code of the credit card that you are using.

● Important notes: ○ Cash or personal checks will not be accepted for mail in service. ○ Payment must be for the exact amount. ○ If the request is for a couple, family, etc., include the total fee for each person. The

payment may be processed as one credit card transaction. ○ View our convenient payment options.

Step 5: Mail the required items to the following address

Accurate Biometrics – Departmental Order 500 Park Blvd, Suite 1260

Itasca, IL 60143

Review Required Items Please review the checklist included in the forms packet to make sure you include everything or your departmental order processing may be delayed. Your mailing must include:

● Signed applicant information form ● Two original fingerprint cards ● Appropriate payment in U.S. dollars for each person or copy requested ● Please include checklist form

Important Notes

● Include your complete email address in case there are any questions that could delay processing of your prints.

● Payment receipt available upon written request submitted with application.

● Fingerprints are submitted real-time with results delivered often within minutes of submission. Once fingerprints have been submitted NO REFUND REQUESTS CAN BE GRANTED.

● Accurate Biometrics, a certified FBI Channeler, is required to print the criminal history response exactly as it is electronically received from the CJIS Division of the FBI. This is in accordance with the FBI issued “Channeler Requirements for the Departmental Order Process,” dated June 10, 2011.

● Federal Bureau of Investigation Notification: Channelers can only process Departmental Orders for US Citizens and Non-US Citizens who have permanent resident status; Non-US Citizens without permanent residence status must make the Departmental Order request directly to the FBI.

● Inquiries for Departmental Orders must be made by the individual applicant and the FBI response must be sent to the applicant or the applicant’s attorney. If the FBI Rap Sheet is sent to an attorney, a letter of release must be signed by both the applicant and attorney on the attorney's letterhead.

● Access to one’s rap sheet or FBI report to challenge, update or correct information is pursuant to Title 28 CFR Part 16.30 to 16.34.

● Accurate Biometrics, a certified FBI Channeler, is approved to electronically process FBI fingerprint background check requests in accordance with Department of Justice Order 556-73.

What happens if my fingerprints are rejected? There is a possibility that your fingerprints will be successfully received by the FBI, but are unable to be processed by the FBI. If this occurs, you will receive a reprint notification to the email address you provided requesting another set of fingerprints to complete the transaction. There are a small percentage of individuals in which the fingerprint image quality is very low. An individual, by the nature of their work or age, may have very thin or worn ridges in the pattern area. You may submit multiple sets of fingerprints taken by a fingerprint technician or law enforcement agency. You may send additional fingerprint cards (FBI form FD 258) to Accurate Biometrics with a newly completed copy of the applicant information form, along with a copy of the rejection letter, and a money order or credit card form for $10.00. Note: If a third submission is required, the full processing fee must be submitted with the required forms and fingerprints. To assist you in learning more about taking legible fingerprints, refer to the following site: https://www.fbi.gov/services/cjis/fingerprints-and-other-biometrics/recording-legible-fingerprints

What comes back in the FBI Report Rap Sheet?

The FBI Report Rap Sheet is returned containing the following:

● FBI letterhead format in full color ● FBI Seal in full color ● Signature of presiding FBI CJIS Section Chief, Biometric Service Section ● FBI Transaction Control Number (TCN) ● Date search was completed ● Applicant name exactly as stated on the request form ● Applicant address if included on the request form ● SSN if included on the request form ● All Identity History Summary (IdHS) record information reported to the FBI when the

background check was processed

For additional assistance, please call our Customer Service Team at (866) 361-9944 or email us at info@accuratebiometrics.com.

Thank you. We appreciate the opportunity to serve you.

(Rev 09/19/2018) APPLICANT INFORMATION FORM

PRIVACY ACT STATEMENT: The FBI’s acquisition, retention, and sharing of information submitted on this form is generally authorized under 28 USC 534 and 28 CFR 16.30-16.34. The purpose for requesting this information from you is to provide the FBI with a minimum of identifying data to permit an accurate and timely search of identity history identification records. Providing this information (including your Social Security Account Number) is voluntary; however, failure to provide the information may affect the completion of your request. The information reported on this form may be disclosed pursuant to your consent and may also be disclosed by the FBI without your consent pursuant to the Privacy Act of 1974 and all applicable routine uses. Under the Paperwork Reduction Act, you are not required to complete this form unless it contains a valid OMB control number. The form takes three minutes to complete.

Applicant Information * Indicates Required Fields * Last Name *Sex *Race* First Name *Height: *Eye Color: Middle Name *Weight: *Hair Color:* Date of Birth *Place of Birth (State or Country if outside US):

* Phone Number* Address: *City/St/Zip Social Security Number (SSN): Note: The SSN on line above is voluntary. Enter it only if you want the last 4 digits of your SSN to appear on your FBI response.

* Email Address: Note: We will use your email address to send you a link to pick your FBI Report response on our secure web portal.

*Please indicate preferred method of sending your FBI report to you: (Choose just one option) Option 1 – Web Portal pick up – Quick response time. FBI report access – a one-time digital download from the Accurate Biometrics Customer Website. This service allows the applicant to retrieve/save/print their individual FBI response, usually within 24 hours, after fingerprints are either processed using live scan (electronic capture) or card scan through our office if FBI FD-258 card(s) are submitted. You will get an email from us once your response has been returned to us from the FBI. Online access to the FBI response report is available online for 30 days via your computer following the email notice to the applicant. Once the report is accessed or 30 days (whichever is shorter), the record is deleted.

Option 2* – Includes Option 1 plus US Mail (First Class) to U.S. addresses only. Must complete address segment below. Number of additional copies requested. Additional copies are $10 each and will be added to your total processing charge.

Option 3* – Includes Option 1 plus 2-Day Priority Service to U.S. addresses only. Must complete the address area below. Number of additional copies requested. Additional copies are $10 each and will be added to your total processing charge.

“Mail Results To” address – The name must be the name of the applicant indicated above or the applicant’s attorney (no third parties or “in care of” addressees). If response is being sent to the applicant’s attorney, the attorney must include a letter of release statement on the attorney’s letterhead and INCLUDE SIGNATURES of BOTH the APPLICANT and the ATTORNEY.

*Applicant Name

Applicant’s Attorney Name (if applicable) *Address (No PO boxes, No “In Care Of” or Third Parties) Required only for mailing. It will not appear on the response form.

________________________________________________________________________________________________*City *State *Zip Code*Payment

CASHIER’S CHECK / MONEY ORDER CREDIT CARD (if by mail, please submit credit card form, available on our website.

*Reason for Request:To Review your own record

To adopt a child To live, work, or travel in a foreign country To challenge information on your record Other Court-Related Matters. Please explain________________________________________________________________

*APPLICANT SIGNATURE ________________________________________________ DATE_______________AccurateBiometrics.com Main Office: 500 Park Boulevard, Ste. 1260, Itasca, IL 60143 Contact: info@accuratebiometrics.com

*U.S. Citizen or Legal Permanent Resident Yes No If no, you must submit your request directly to the FBI

MAILING CHECKLISTRequirements for FBI Criminal Report Requests

To expedite your fingerprint submission, please fill in your contact information below so that we can reach you in case there are any problems or discrepancies with your application. If we don’t have the required form(s) correctly filled out, we cannot process your prints. Call our Customer Service Team at 866-361-9944 or email us at info@accuratebiometrics.com if you have any questions.

Applicant Full Name

Best Phone Number / Time to Reach You

Best Email Address to Reach You

Referred By

Please complete the checklist below:

c I have completed the FBI Application Information Form with all the required fields filled in accurately and completely. Make sure to choose a reason for fingerprinting option; if “Other” is chosen, write in the reason on the blank line provided (we cannot process “for employment” or “licensing within the U.S.”) Don’t forget to sign and date the form, and include email address.

c For attorney requests, I have included a signed Attorney Release form printed on my attorney’s letterhead with signatures from both the applicant and the attorney.

c I have included 2 original fingerprint cards or electronically produced ink cards from an authorized fingerprint provider (local law enforcement agency or licensed fingerprint vendor)

c I have included payment. Currently accepted forms of payment include:• All Major Credit Cards and Debit Cards (double check that this information is correct)• Money Order• Please make the following payable to: Accurate Biometrics

– Cashier’s Check – Company/Agency Check – Pre-approved Billing Terms

• Cash or personal checks are not accepted

c I have double checked all information for accuracy and am including this Mailing Checklist to provide my contact information to help speed processing:

MAIL TO: (flat envelope preferred)Accurate Biometrics

Attn: Departmental Order500 Park Boulevard, Suite 1260

Itasca, IL 60143

PLEASE PRINT CLEARLY

IF APPLICABLE, PLEASE LIST THE REFERRING COMPANY OR ORGANIZATION AND CONTACT INFORMATION

(Rev. 09/26/2019)

PAYMENT INFORMATION

Credit Card Payment Form

* Denotes Required Fields

(if applicable)

Applicant* Full Name

Company Name

* Billing Address

Billing Address 2

* City * State/Province

* Postal (ZIP) Code * Country

Type of Credit Card:  Visa  Mastercard  American Express  Discover

Credit Card Number

Name on Credit Card

Expiration Date CVV Code Billed to Credit Card

Phone Number (including area code)

Email Address

I understand and agree to the cardholder agreement and by doing so, give Accurate Biometrics the permission to charge the above credit card for the amount listed.

Card Holder Signature

Date

Total Amount to be

(click to select card type)

Instructions for completing the personal information on the fingerprint forms:  All fields highlighted in yellow above must be filled out on the fingerprint form completely. Be sure to fill out both forms. Please print legibly and use BLACK INK.

1. Please print clearly in the First, Middle and Last Name fields.

2. Signature of Person Being Fingerprinted – You must sign this section when your fingerprints areapplied to the card/form. This signature should be your full legal name, and it must be signed in thepresence of the agent taking your fingerprints, so DO NOT sign the card before yourfingerprinting visit.

3. Residence of Person Fingerprinted – Enter the residence of the person being fingerprinted.

4. Signature of Official and Date – Card must be signed and dated by the agent taking your prints.

5. Reason Fingerprinted – Please fill in the reason for fingerprinting in this field.6. Date of Birth – Date of Birth should be entered MM/DD/YYYY.7. Citizenship – Please enter the country of your citizenship.8. Sex – Use M for Male and F for Female.9. Race – Use the following for race.

W – White   I – American Indian or Alaskan Native H – Hispanic A – Asian B – Black

10. HGT (Height) – Enter height in feet and inches-- for example 5’5”.11. WGT (Weight) – Enter weight in pounds – for example 140.12. Eyes – Use the following abbreviations for Eye Color:

BLK – Black GRN – Green BLU – Blue GRY – Gray BRO – Brown HZL – Hazel

13. Hair – Use the following abbreviations for Hair Color:

BLK – Black GRY – Grey/partially grey RED – Red BLN – Blonde WHI – White BLD – Bald BRO – Brown

14. Place of Birth (POB) – Enter the US state or the country of birth if place of birth is out of the US.

15. Social Security Number (SOC) – Enter the social security number of the person being fingerprinted.

Questions? Call 1-866-361-9944 or send us an Email at info@accuratebiometrics.com

Note: It is acceptable for a copy of the FBI FD-258 fingerprint card in this pdf to be printed on standard white letter-sized printer paper for ink card processing.

SEX CODE TABLE

External Code Literal Description

F Female Female

M Male Male

X Unknown Unknown Sex

EYE COLOR CODE TABLE

Eye Color Literal External Code

BLACK BLK

BLUE BLU

BROWN BRO

GRAY GRY

GREEN GRN

HAZEL HAZ

MAROON MAR

MULTICOLOR MUL

PINK PNK

HAIR CODE TABLE

BALD BLD

BLACK BLK

BLONDE (or strawberry) BLN

BLUE BLU

BROWN BRO

GREEN GRN

GRAY (or partially gray) GRY

ORANGE ONG

PURPLE PLE

PINK PNK

RED (or auburn) RED

SANDY SDY

WHITE WHI

UNKNOWN XXX

RACE CODE TABLE

External Code Literal Description (If Subject Is) A Asian or

Pacific Islander

Chinese, Japanese, Filipino,

Korean, Polynesian, Indian,

Indonesian, Asian Indian,

Samoan, or other Pacific

Islander

B Black A person having origins in any

of the black racial groups of

Africa

I American Indian

or Alaskan Native

American Indian, Eskimo, or

Alaskan Native, or a person

having origins in any of the 48

contiguous states of the United

States or Alaska who maintains

cultural identification through

tribal affiliation or community

recognition

U Unknown Of Indeterminable Race

W White Caucasian, Mexican, Puerto

Rican, Cuban, Central or South

American, or other Spanish

culture or origin, regardless of

race.

FD-258 (REV.12-10-07)

LEAVE BLANKAPPLICANT

TYPE OR PRINT ALL INFORMATION IN BLACK FBI LEAVE BLANKLAST NAME FIRST NAME MIDDLE NAMENAM

ALIASES AKA

DATE OF BIRTH DOBMonth Day Year

PLACE OF BIRTH POBSEX RACE HGT. WGT. EYES HAIR

LEAVE BLANK

CITIZENSHIP CTZ

YOUR NO. OCA

ORI

CLASS

REF.

FBI NO. FBI

ARMED FORCES NO. MNU

SOCIAL SECURITY NO. SOC

MISCELLANEOUS NO. MNU

SIGNATURE OF PERSON FINGERPRINTED

RESIDENCE OF PERSON FINGERPRINTED

DATE

EMPLOYER AND ADDRESS

REASON FINGERPRINTED

SIGNATURE OF OFFICIAL TAKING FINGERPRINTS

1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE

6. L. THUMB 7. L. INDEX 8. L. MIDDLE 9. L. RING 10. L. LITTLE

L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLYLEFT FOUR FINGERS TAKEN SIMULTANEOUSLY

* See Privacy Act Notice on Back

FD-258 (REV.12-10-07)

LEAVE BLANKAPPLICANT

TYPE OR PRINT ALL INFORMATION IN BLACK FBI LEAVE BLANKLAST NAME FIRST NAME MIDDLE NAMENAM

ALIASES AKA

DATE OF BIRTH DOBMonth Day Year

PLACE OF BIRTH POBSEX RACE HGT. WGT. EYES HAIR

LEAVE BLANK

CITIZENSHIP CTZ

YOUR NO. OCA

ORI

CLASS

REF.

FBI NO. FBI

ARMED FORCES NO. MNU

SOCIAL SECURITY NO. SOC

MISCELLANEOUS NO. MNU

SIGNATURE OF PERSON FINGERPRINTED

RESIDENCE OF PERSON FINGERPRINTED

DATE

EMPLOYER AND ADDRESS

REASON FINGERPRINTED

SIGNATURE OF OFFICIAL TAKING FINGERPRINTS

1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE

6. L. THUMB 7. L. INDEX 8. L. MIDDLE 9. L. RING 10. L. LITTLE

L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLYLEFT FOUR FINGERS TAKEN SIMULTANEOUSLY

* See Privacy Act Notice on Back