Important, please read….
Your card cannot be processed without the following fields fully completed by you – either typed or printed in black ink.
- Signature of Person Fingerprinted
- Residence of Person Fingerprinted
- Date and Signature (or ID #) of Official Taking Fingerprints
- Employer and Address
- Reason for Fingerprints as NRS 625A.100.
- Last, first and middle name or initial
- Aliases (If none, indicate none)
- Social Security number
- Miscellaneous number as 881193
- Sex, Race, Height, Weight, Eye color, Hair color
- Date of Birth
- Place of Birth
- Leave all other fields blank