COMMONWEALTH OF VIRGINIA
Status Hotline
Department of Criminal Justice Services
(804) 786-1132
P.O. Box 1300 • Richmond, VA 23218
1-877-9STATUS
Phone: (804) 786-4700 • Fax: (804) 786-6344
FINGERPRINT PROCESSING APPLICATION – FEE $50.00
IMPORTANT INFORMATION
To ensure a timely processing of a criminal history records check, the following must be submitted:
A Fingerprint Application, fingerprint card, and $50.00 non-refundable fee.
Please DO NOT bend, fold or hole-punch the fingerprint card and ensure that ALL vital information is filled out
completely on the fingerprint card prior to submittal.
This Criminal History records check is only valid for 90 days from date of submittal. If applying for a credential under
the regulation of the Virginia Department of Criminal Justice Services (DCJS), please ensure application is submitted
within 90 days.
Applicant Information
SSN or DCJS ID:
Last Name:
First Name:
MI:
Mailing Address (Street/Apt.#):
City, State, Zip:
Physical Address (if different than mailing address):
City, State, Zip:
Email Address:
(
)
(
)
(
)
Home Phone:
Business Phone:
Fax:
11-
Employer Business Name:
DCJS ID:
Reason for Fingerprinting
Private Security Services
Special Conservator of the Peace
Bail Bondsmen
Virginia Code §§9.1-138-9.1-150
(SCOP)
Virginia Code §9.1-185 (et seq.)
Virginia Code §§9.1-150.1-9.1-150.4
Business License
Property or Surety License
SCOP Registration
Training School Certification
Bail Enforcement Agent
Individual Registration
Virginia Code §9.1-186 (et seq.)
Compliance Agent Certification
Instructor Certification
Bail Enforcement Agent License
Criminal History Records Check
Have you ever been convicted or found guilty of a felony or misdemeanor (not to include minor traffic violations) in
Virginia or any other jurisdiction to include military court martial or are you currently under protective orders?
No
Yes*
*If Yes, please attach a
Criminal History Supplemental Form
and criminal history documentation.
This form may be found on our website at
Attach Legal Presence Documentation to this Application
Legal documentation may be a copy of a birth certificate, US passport, INS Forms (N550, N560, N561, N570).
A full list of acceptable documentation may be found on the DCJS website at
10/2012
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