Application For Dental Hygienist Licensure - Delaware Board Of Dentistry And Dental Hygiene Page 8
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9Instructions for Requesting a Criminal Background Check
Both State of Delaware and Federal Bureau of Investigation criminal background checks are required.
Applicant Notification
Your fingerprints will be used to check the criminal history records of the Federal Bureau of Investigation (FBI). You have
the opportunity to challenge the accuracy of the information contained in the FBI identification record. See
Title 28, CFR
16.34
for the procedure to obtain a change, correction or update in the FBI record.
Locations
Kent County – Primary Facility
State Bureau of Identification
Blue Hen Mall & Corporate Center
655 S. Bay Rd. Suite 1B
Dover, DE 19901
Walk-ins accepted:
Mon 8:30 am – 6:30 pm, Tue - Fri 8:30 am – 3:30 pm
Customer Service: (302) 739-2134
New Castle County - Satellite Facility
Sussex County – Satellite Facility
State Police Troop Two
Thurman Adams State Service Center
100 LaGrange Ave
546 S. Bedford Street, Rm. 202
Newark, DE 19702
Georgetown DE 19947
(between Rts. 72 and 896 on Rt. 40)
(across from DelDOT & Troop 4)
By appointment only
By appointment only
Scheduling: (302) 739-2528 (local)
Scheduling: (302) 739-2528 (local)
(800) 464-4357 (toll free)
(800) 464-4357 (toll free)
Applicants in Delaware
1. If you are using the New Castle County or Sussex County locations, call (800) 464-HELP (4357) to schedule an
appointment. No appointments are needed at the Kent County location.
2. Take the completed Authorization for Release of Information form to one of the offices listed above with the fee of
$65.00, to cover both the State of Delaware and Federal Bureau of Investigation criminal checks. Money orders
and credit cards other than American Express are accepted at all locations. New Castle and Kent Counties accept
cash; Sussex County does not accept cash.
Personal checks are not accepted in any
county. As fees are
subject to change, contact the agency where you plan to submit your forms for current fees.
Applicants Not in Delaware (including Out-of-State or Outside the United States)
1.
Your local police agency can fingerprint you. All types of fingerprint cards are accepted. Or, you may print a
FD-
258 fingerprint form
available on the FBI website at
– click Services, then Identity History Summary
Checks, then scroll down to Option 1, Step 2, and click the link for standard fingerprint form (FD-258). You may
print the form on regular paper.
2.
Your Authorization for Release of Information form and the fingerprint card must be complete. If identifying
information is missing (such as name, date of birth, race, gender, etc.), your form will be returned.
3.
Mail the Authorization form, fingerprint card, and certified check or
Delaware State Police
money order
(personal checks are not accepted)
for $65.00 made
State Bureau of Identification (SBI)
payable to “Delaware State Police” to:
PO Box 430
Dover, DE 19903-0430
DO NOT SEND THIS FORM OR FEE TO YOUR PROFESSION’S BOARD OFFICE.
DO NOT SEND THIS FORM OR FEE TO THE DIVISION OF PROFESSIONAL REGULATION.
ALLOW FOUR WEEKS FOR RECEIPT OF RESULTS.
Revised 9/2017
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