CJIS Fingerprinting Supply Requisition Form

Use this form for ordering supplies from the Criminal Justice Information Services Division

Quantity

Form: FD-249 Arrest and Institution Fingerprint Cards (white card with red ink) Quantity without ORI#

Form: FD-249 Arrest and Institution Fingerprint Cards (white card with red ink) Quantity with ORI#

Form: FD-258 Applicant Fingerprint Cards (white card with blue ink) Quantity without ORI#

Form: FD-258 Applicant Fingerprint Cards (white card with blue ink) Quantity with ORI#

Miscellaneous Cards and Forms

Form: FD-1114 FBI Expungement Quantity

Form: FD-1115 FBI Records Modification Quantity

Form: 1-796 Rap Back Services Quantity

Form: FD-353 Personal Identification Fingerprint Cards Quantity

Form: FD-884 Palm Prints (white card with red ink) Quantity

Form: FD-884a Standard Supplemental Finger & Palm Print Cards (white card with red ink) Quantity

Live Scan Card: Completely Blank (white card) Quantity

Form: R-84 Final Disposition Report Form Quantity

Form: I-12 Flash/Cancellation Notice Quantity

Form: 1-433a Supervision Transfer Notice Quantity

Envelopes

Manila Envelopes: (used in mailing print cards, forms & misc. items to the FBI Only) 9 1/2" x 12" Quantity

ORI Number Must Be Furnished Even If You Are Ordering Blank Cards

Agency

Agency point of contact & telephone #

Complete shipping address No P.O Box, if possible

City, State and Zip Code #

Service Numbers: Questions may be directed to LSU at (304) 625-3983.

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