APPLICANT FINGERPRINT TRANSACTION FOLLOW-UP REQUEST
This form is to be used for requesting the processing status of an employment, licensing or certification
fingerprint transaction where no response has been received. This form is not intended to be used for
updating an agency’s file with current criminal history information or any other record keeping purpose.
To: Bureau of Criminal Identification and Information
Requestor:
Applicant Processing Program
P.O. Box 903417
Telephone Number:
Sacramento, CA 94203-4170
(916) 227-3823 FAX (916) 227-2000
Date:
Contributing Agency and Address
Type of Application:
FINGERPRINT CARD
LIVESCAN
(30 Working Days)
(7 Working Days)
Agency Mail Code
ATI Transaction Number
FOLLOW-UP REQUEST FORM
I have called (916) 227-4557 to determine the status of this fingerprint transaction. The transaction is:
Complete but I have not received a response
Is in process
OR
There is no record of the transaction (please do not reprint unless directed)
CALIFORNIA FINGERPRINT TRANSACTION
AND/OR
FBI FINGERPRINT TRANSACTION
Applicant’s Name
Last
First
Middle
Maiden or Alias
DOB (Mandatory)
Sex
Date Print or Transaction
Submitted
CII#/SID (Optional)
SOC#
DL#
FOLLOW-UP REPLY:
□
We have no record of receipt of this fingerprint transaction. Please reprint and include with a copy of a transmittal
form, cancelled check for proof of previous payment, or livescan (ATI) transaction number.
□
Your fingerprint transaction was received and processed. The results are attached. If your agency has an electronic
mail code, please verify that the correct code was used and the e-mail or fax address on this response is correct.
□
A search of Bureau files shows the fingerprint transaction was partially processed. However, the transaction was
rejected on _________________ because of poor quality fingerprints. Please reprint and include the livescan
(OATI) transaction number.
□
Your fingerprint transaction has been received, however there has been a delay in processing. If you do not receive a
reply in 30 days, please resubmit a follow-up request with a copy of this form.
□
A fingerprint transaction for a subject with a similar name and date of birth has been located and is in process.
However, we are unable to determine if this is the fingerprint transaction submitted by your agency. If you do not
receive a reply in 15 days, please resubmit a follow-up request with a copy of this form.
□
Other ______________________________________________________________________________________
______________________________________________________________________________________
PLEASE DO NOT MODIFY THIS FORM
BCII 8043 (REV. 2/08)
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