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Phone: 773-685-5699
Fax: 773-685-5433
www.accuratebiometrics.com
UCIA
Thank you for choosing Accurate Biometrics for your fingerprinting needs.
PLEASE PROVIDE THE FOLLOWING INFORMATION (PLEASE PRINT CLEARLY)
Last name:
First name:
Middle Initial: Daytime Phone:
Date of Birth:
Sex: (circle one) Male Female
(circle one)
Race: White Black Hispanic Asian American Indian/Alaskan Other
ORI-
REQUESTOR (UNIVERSITY) INFORMATION - ON FILE WITH THE ILLINOIS STATE POLICE
I, the undersigned, authorize Accurate Biometrics to capture and transmit my fingerprints and
above-noted demographic data to the Illinois State Police. I understand that the Illinois State
Police will return the results of the fingerprint search to the Requestor listed above.
Signature ___________________________________ Date ______________
(Do Not Write Below This Line—For Office Use Only)
F.P. Tech: ________________ TCN:
Date Fingerprinted:
University of Illinois-Springfield
ILL13703S
click to sign
signature
click to edit
Fingerprint/Background Check Process Instructions
Requirements:
Valid government-issued photo ID.
Completed personal information form provided by UIS.
Money order, Cashier's Check, MasterCard/Visa. NO PERSONAL CHECKS OR CASH ACCEPTED.
Fee: $30.00 (as of August 1, 2012). This fee includes all fees charged by the Illinois State Police.
All applicants must be age 18 or over to be fingerprinted.
Accurate Biometrics in Springfield (As of August 1, 2019)
Sangamon Center North - 1885 Sangamon Avenue, Suite 140, Springfield, IL 62702
Schnucks’ Strip Mall near intersection of Peoria Rd & E. Sangamon Ave.
Monday and Wednesday - 9:00 am to 12:30 pm & 1:30 pm to 5:00 pm.
Fingerprinting does not need to be completed at the Springfield location. Please go to
http://www.accuratebiometrics.com and click on the map of Illinois to confirm testing dates and
times near you; there are offices throughout Illinois. Questions - call 866-361-9944 for Accurate
Biometrics Customer Service.
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