TENNESSEE
Enrollment Services Statewide Network
This NCAC Agreement (“Agreement”) is between IDEMIA Identity and Security USA, LLC (“IDEMIA”) and the company or
organization identified below (“Customer”), and sets forth the terms and conditions under which IDEMIA will provide no-charge
authorization codes (“Authorization Code(s)”) to Customer for distribution to applicants required to submit to a fingerprint based
background check (“Applicant(s)”) through the State of Tennessee ,Digital Fingerprint Program.
Applicants will present an Authorization Code to IDEMIA at the time IDEMIA collects their fingerprints and verifies their
biographic information (“Applicant Information”). Upon IDEMIA’s collection of Applicant Information, IDEMIA will charge the
credit card identified by Customer in a Credit Card Authorization Agreement (“Credit Card”).
IDEMIA will provide an initial quantity of __________ (minimum order of 50) Authorization Codes to Customer upon execution
of this Agreement and a Credit Card Authorization Agreement. All of the codes will expire one (1) year of the
date of issuance to Customer or at the date of expiration of the Credit Card, whichever occurs first. Customer will not be
charged for Authorization Codes that have not been redeemed before expiration. IDEMIA will provide additional
Authorization Codes at a quantity (minimum order of 50) requested by Customer. The provision and redemption of additional
Authorization Codes provided to Customer will be governed by the terms of this Agreement.
IDEMIA will provide all Authorization Codes to an email address provided by Customer, in a password-protected file.
Customer may distribute the Authorization Codes to applicants via any method of delivery (e.g., email, US mail).
IDEMIA will debit the Credit Card for the amount corresponding to the Tennessee Fingerprint service code identified by the
Customer in this agreement.
If the State of Tennessee or other relevant government agency authorizes or dictates a fee increase or decrease
in Fingerprint fees, IDEMIA will charge Customer the new fee for any redemption of Authorization Codes occurring on or after
the effective date of the fee change.
Customer acknowledges and agrees that Customer will be responsible for all Credit Card charges for Authorization Codes
issued to Customer and provided to IDEMIA by applicants, regardless of whether the corresponding Authorization Codes are
obtained or redeemed by fraud, redeemed by persons to whom Customer did not issue the Authorization Codes, or that are
transferred in violation of any terms and conditions under which Customer distributes the Authorization Codes.
If a charge to the Credit Card is declined by IDEMIA’s payment processor or by the issuer of the Credit Card, or if IDEMIA is
otherwise unable to obtain payment through the Credit Card, or if any IDEMIA charges to the Credit Card are refused or
disputed, IDEMIA will require payment in full prior to or at the time of processing any further applicants of Customer, until such
time that IDEMIA notifies Customer that the payment issue has been resolved.
Please indicate acceptance of these terms by having an authorized representative of Customer sign below, and return
a copy to IDEMIA via fax at 615-871-0845.
ACCEPTED AND AGREED TO:
Name of Customer: _______________________________________ EIN or Tax ID: _____________________________
Reason for Fingerprinting:____________________________________
OCA/ Provider ID/ ORI/ Service Code: _________________________
Signature _______________________________________________
Printed Name: __________________________________________
Title: _________________________________________________
Date: _________________________________________________
