Fingerprint Appointment Use this form to assist in scheduling a Department of Social and Health Services fingerprint appointment. Section 1: To be completed by the Background Check System The agency requesting a fingerprint check must provide the following information: BCCU Account Number: BCCU Inquiry ID/OCA Number: Applicant Name: Date of Birth: Address: Daytime Phone: Section 2: Information to gather BEFORE scheduling a fingerprint appointment Be prepared to provide the information from Section 1 AND the information below when scheduling your fingerprint appointment. 1. SOCIAL SECURITY NUMBER (OPTIONAL) 2. BIRTHPLACE (STATE / COUNTRY) 3. DAYTIME PHONE (AREA CODE / NUMBER) 4. SEX 5. HEIGHT (FEET / INCHES) 6. WEIGHT (POUNDS) Male Female 7. RACE 8. HAIR COLOR 9. EYE COLOR Caucasian or other Hispanic Black Purple Black Pink culture Brown Blue Blue Multicolored African-American / African Gray/part gray Orange Brown Unknown Asian or Pacific Islander Red/Auburn Green Gray American Indian, First Nations, Sandy Pink Green Eskimo, or Alaskan Native Blonde White Hazel Unknown Completely Bald Maroon Section 3: Fill out this section WHILE scheduling your fingerprint appointment Go to or call 1-888-771-5097 to schedule your fingerprint appointment. Use this space to write down the date, time and location of your fingerprint appointment: Date / Weekday: Time: Location / Address: Section 4: Personal Identification (ID) You must bring one of the following NON-EXPIRED Government issued PICTURE ID options with you to your fingerprint appointment. Acceptable forms of government issued PICTURE ID: or any Federal, State, or Local Government issued ID (Including a US Driver’s License, Washington State Learner’s Permit) Any US Armed Services ID (Army, Air Force, Navy, Marines, etc…) US Passport Foreign Passport (with photo and signature) Federally Recognized Tribal ID All ID must be current. Expired ID WILL NOT be accepted unless you can prove that you are in the process of renewing it. Expired ID with a photo MUST accompany any temporary ID and the names MUST match otherwise you may be required to reschedule your appointment.
Fingerprint Appointment Use this form to assist in scheduling a Department of Social and Health Services fingerprint appointment. Section 1: To be completed by the Background Check System The agency requesting a fingerprint check must provide the following information: BCCU Account Number: BCCU Inquiry ID/OCA Number: Applicant Name: Date of Birth: Address: Daytime Phone: Section 2: Information to gather BEFORE scheduling a fingerprint appointment Be prepared to provide the information from Section 1 AND the information below when scheduling your fingerprint appointment. 1. SOCIAL SECURITY NUMBER (OPTIONAL) 2. BIRTHPLACE (STATE / COUNTRY) 3. DAYTIME PHONE (AREA CODE / NUMBER) 4. SEX Male Female 5. HEIGHT (FEET / INCHES) 6. WEIGHT (POUNDS) 7. RACE Caucasian or other Hispanic culture African-American / African Asian or Pacific Islander American Indian, First Nations, Eskimo, or Alaskan Native Unknown 8. HAIR COLOR Black Purple Brown Blue Gray/part gray Orange Red/Auburn Green Sandy Pink Blonde White Completely Bald 9. EYE COLOR Black Pink Blue Multicolored Brown Unknown Gray Green Hazel Maroon Section 3: Fill out this section WHILE scheduling your fingerprint appointment Go to or call 1-888-771-5097 to schedule your fingerprint appointment. Use this space to write down the date, time and location of your fingerprint appointment: Date / Weekday: Time: Location / Address: Section 4: Personal Identification (ID) You must bring one of the following NON-EXPIRED Government issued PICTURE ID options with you to your fingerprint appointment. Acceptable forms of government issued PICTURE ID: US Driver’s License, or any Federal, State, or Local Government issued ID (Including a Washington State Learner’s Permit) Any US Armed Services ID (Army, Air Force, Navy, Marines, etc…) US Passport Foreign Passport (with photo and signature) Federally Recognized Tribal ID All ID must be current. Expired ID WILL NOT be accepted unless you can prove that you are in the process of renewing it. Expired ID with a photo MUST accompany any temporary ID and the names MUST match otherwise you may be required to reschedule your appointment.
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