Criminal History Record Check (Chrc) Nerse Initial Application printable pdf download

Criminal History Record Check (Chrc) Nerse Initial Application

STATE OF MARYLAND

MARYLAND BOARD OF NURSING

4140 PATTERSON AVENUE

BALTIMORE, MARYLAND 21215-2254

(410) 585-1900

(410) 358-3530 FAX

(410) 585-1978 AUTOMATED VERIFICATION

1-888-202-9861 TOLL FREE

January, 2014

INITIAL APPLICATION

IN-STATE

THESE ARE INSTRUCTIONS FOR COMPLETING THE STATE & FBI FINGERPRINTS TO OBTAIN

YOUR CRIMINAL HISTORY RECORDS CHECK (CHRC).

PLEASE READ ALL INSTRUCTIONS CAREFULLY. FAILURE TO FOLLOW THE INSTRUCTIONS

WILL LEAD TO DELAY OF TESTING, CERTIFICATION, OR LICENSURE. IT IS THE APPLICANT’S

RESPONSIBILITY TO ASSURE THAT THE CORRECT INFORMATION IS RECEIVED.

CJIS Approved Commercial Fingerprinting Services

Private Fingerprint Providers/Mobile Units – May come to your facility when contacted directly by you.

Please use the Private Fingerprint Providers

The cost of fingerprints may vary from site-to-site

1. Private Fingerprint Providers/Mobile Fingerprint Units

For the most up-to-date locations and phone numbers for Private Fingerprint Providers/Mobile

Fingerprint Units, please visit:

2. CJIS Electronic Fingerprinting Site – 410-764-4501 / 1-888-795-0011 (toll free)

Baltimore City:

Central Repository (CJIS)

Home Depot side of Reisterstown Plaza on the Appleby’s

6776 Reisterstown Road, Suite 102, end of the mall. The Board of Nursing is located on the

Baltimore Maryland 21215,

same side at the opposite end of the mall.)

No appointment Necessary

8:30a.m. to 5p.m. Monday, Tuesday, Wednesday, & Friday.

8:30a.m. to 6:30p.m. Thursday

8:30a.m. to 4:30 p.m. 1

and 3

Saturdays of each month

(Please Call or Check web-site for additional times and locations)

TDD FOR DISABLED MARYLAND RELAY SERVICE 1-800-735-2258

Criminal History Record Check (Chrc) Nerse Initial Application