change me ('site_fingerprints.title')

Welcome! This is an official order form for fingerprinting services. You must completely and accurately fill-out this application to be considered for finrgerprinting.

A non-refundable processing fee of $15.00 (for two fingerprint cards) is required. In addition, a a processing and service fee of $4.93 is required to process payment if paying online and using a credit/debit card. For every copy of fingerprints you select, you will get two (2) cards. E.g. if you select 1 fingerprint copy, you will get 2 cards. If you select 2 fingerprint copies, you will get 4 cards, etc. This online service is offered as a service to the community. The processing and service fee is not collected by the Sheriff. This fee is paid to the company that provides this processing system to the public.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth County:

Birth Country:

Citizenship Country:

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Physical Description:

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Work Information And Address: ^{(enter your place of employment)}

Employer Name:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Select Purchase Option:

1-2 Fingerprint Cards 3-4 Fingerprint Cards Electronic Submission

Reason for Request of Fingerprinting:

Total Fee:

$0

Your Initials:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

YES! I would like to make a donation to support the Sheriffs across North Carolina by donating to the NC Sheriffs' Association.

Through your donation you will receive timely e-mail updates from the North Carolina Sheriffs’ Association on important gun law changes on both the state and federal levels that affect you.

Donation Amount:

I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY FALSIFICATION OF THE ABOVE INFORMATION WILL RESULT IN THE REFUSAL OF MY APPLICATION FOR A PURCHASE PERMIT. IN ADDITION, BY SUBMITTING THIS APPLICATION, I AUTHORIZE THE DURHAM COUNTY CLERK OF COURTS TO RELEASE MENTAL HEALTH INFORMATION TO THE DURHAM COUNTY SHERIFF'S OFFICE. CAUTION: FEDERAL LAW AND STATE LAW ON THE POSSESSION OF HANDGUNS AND FIREARMS DIFFER.

Coupon Code:

Your Initials:

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Fingerprints Application

Fingerprints Online Scheduling / Application Please Enter All Information

Applicant Information:

Previous Aliases: ^{(please list all previous aliases)}

Information Related To Your Birth:

Demographic Information:

Current Residence Address: ^{(this may be different than your mailing address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Select Purchase Option:

Reason for Request of Fingerprinting:

Total Fee:

$0

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Fingerprints Online Scheduling / Application Please Enter All Information

Add An Address

Applicant Information:

Previous Aliases: (please list all previous aliases)

Information Related To Your Birth:

Demographic Information:

Current Residence Address: (this may be different than your mailing address)

Work Information And Address: (enter your place of employment)

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Select Purchase Option:

Reason for Request of Fingerprinting:

Total Fee:

$0

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Additional Information Required

Error processing application

Attention:

Previous Aliases: ^{(please list all previous aliases)}

Current Residence Address: ^{(this may be different than your mailing address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}