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State of Maryland CJIS Fingerprinting Services
STATE OF MARYLAND
DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES
INFORMATION TECHNOLOGY AND COMMUNICATIONS DIVISION
CRIMINAL JUSTICE INFORMATION SYSTEM - CENTRAL REPOSITORY (CJIS-CR)
LIVESCAN PRE-REGISTRATION APPLICATION
Male
Female
Black
White
Asian/Pacific Islander
Native American
Other
REASON FOR REQUEST
INDIVIDUAL
Please select one of the following:
Gold Seal/Adoption
Gold Seal/Letter/VISA
Immigration/VISA
Individual Challenge
Individual Review
Attorney/Client (Written Authorization Required)
Mailing Information:
AGENCY
Please select from the following (*ORI Required)
Adult Dependent Care
Child Care*
Criminal Justice*
Government Employee*
Government Licensing or Certification*
Maryland State Police Licensing*
Private Party Petition**
Public Housing
Thanks for submitting!
SUBMIT
APPLICANT INFORMATION
