SOP 221.01-att-1: FBI Fingerprint Card Sample

Attachment 1
SOPIIB10-0001
(5/15/2007)

|APPLICANT|Col2|Leave Blank|Col4|Type or Print Information in Black
Last Name NAM First Name Middle Name|Col6|Col7|Col8|Col9|LEAVE BLANK|Col11|
|---|---|---|---|---|---|---|---|---|---|---|
|Signature of Person Fingerprinted|Signature of Person Fingerprinted|Signature of Person Fingerprinted|Signature of Person Fingerprinted|AliasesAKA|AliasesAKA|AliasesAKA|O
R
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GA060025C

DEPT OF CORR

ATLANTA, GA|O
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GA060025C

DEPT OF CORR

ATLANTA, GA|Date of Birth DOB

Month Day Year|Date of Birth DOB

Month Day Year|
|Residence of Person Fingerprinted
|Residence of Person Fingerprinted
|Residence of Person Fingerprinted
|Residence of Person Fingerprinted
|Citizenship CTZ|Citizenship CTZ|Citizenship CTZ|Citizenship CTZ|Citizenship CTZ|Citizenship CTZ|Citizenship CTZ|
|Date
|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|Signature of Official Taking Fingerprint|
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Reason Fingerprinted

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LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY|






LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY|






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RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY|







RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY|







RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY|

FEDERAL BUREAU OF INVESTIGATION UNITED STATE DEPARTMENT OF JUSTICE
Washington, D.C. 20537

__________________________________

TO OBTAIN CLASSIFIABLE FINGERPRINTS:

1. USE BLACK PRINTER'S INK.
2. DISTRIBUTE INK EVENLY ON INKING SLAB.
3. WASH AND DRY FINGERS THOROUGHLY.
4. ROLL FINGERS FROM NAIL TO NAIL, AND AVOID ALLOWING FINGERS TO SLIP.
5. BE SURE IMPRESSIONS ARE RECORDED IN CORRECT ORDER.
6. IF AN AMPUTATION OR DEFORMITY MAKES IT IMPOSSIBLE TO PRINT A FINGER, MAKE A NOTATION TO
THAT EFFECT IN THE INDIVIDUAL FINGER BLOCK.
7. IF SOME PHYSICAL CONDITION MAKES IT IMPOSSIBLE TO OBTAIN PERFECT IMPRESSIONS, SUBMIT THE
BEST THAT CAN BE OBTAINED WITH A MEMO STAPLED TO THE CARD EXPLAINING THE CIRCUMSTANCES.
8. EXAMINE THE COMPLETED PRINTS TO SEE IF THEY CAN BE CLASSIFIED, BEARING IN MIND THAT MOST
FINGERPRINTS FALL INTO THE PATTERNS SHOWN ON THIS CAR (OTHER PATTERNS OCCUR
INFREQUENTLY AND ARE NOT SHOWN HEAR).

THIS CARD FOR USE BY:

1. LAW ENFORCEMENT AGENCIES IN FINGERPRINTING APPLICATIONS
FOR LAW ENFORCEMENT POSITIONS.*
2. OFFICIALS OF STATE AND LOCAL GOVERNMENTS FOR PURPOSES OF
EMPLOYMENT, LICENSING, AND PERMITS. AS AUTHORIZED BY STATE
STATUTES AND APPROVED BY THE ATTORNEY GENERAL OF THE
UNITED STATES. LOCAL AND COUNTY ORDINANCES, UNLESS
SPECIFICALLY BASED ON APPLICABLE STATE STATUTES DO NOT
SATISFY THIS REQUIREMENT.*

3. U.S. GOVERNMENT AGENCIES AND OTHER ENTITIES REQUIRED BY
FEDERAL LAW.**

4. OFFICIALS OF FEDERALLY CHARTERED OR INSURED BANKING
INSTITUTIONS TO PROMOTE OR MAINTAIN THE SECURITY OF THOSE
INSTITUTIONS.

INSTRUCTIONS:

*1. PRINTS MUST FIRST BE CHECKED THROUGH THE APPROPRIATE
STATE IDENTIFICATION BUREAU, AND ONLY THOSE FINGERPRINTS FOR
WHICH NO DISQUALIFYING RECORD HAS BEEN FOUND LOCALLY
SHOULD BE SUBMITTED FOR FBI SEARCH.

2. PRIVACY ACT OF 1974 (P.L. 93-579) REQUIRES THAT FEDERAL STATE,
OR LOCAL AGENCIES INFORM INDIVIDUALS WHOSE SOCIAL SECURITY
NUMBER IS REQUESTED WHETHER SUCH DISCLOSURE IS MANDATORY
OR VOLUNTARY, BASIS OF AUTHORITY FOR SUCH SOLICITATION, AND
USES WHICH WILL BE MADE OF IT.

**3. IDENTITY OF PRIVATE CONTRACTORS SHOULD BE SHOWN IN
SPACE "EMPLOYER AND ADDRESS". THE CONTRIBUTOR IS THE NAME
OF THE AGENCY SUBMITTING THE FINGERPRINT CARD TO THE FBI.

4. FBI NUMBER, IF KNOWN, SHOULD ALWAYS BE FURNISHED IN THE
APPROPRIATE SPACE.
MISCELLANEOUS NO. - RECORD: OTHER ARMED FORCES NO.,
PASSPORT NO. (PP), ALIEN REGISTRATION NO. (AR), PORT SECURITY
CARD NO. (PS), SELECTIVE SERVICE NO. (SS), VETERANS'
ADMINISTRATION CLAIM NO. (VA).

U.S. G.P.O. 1987-179-227

LEAVE THIS SPACE BLANK