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FBI FD-258 2013 free printable template

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APPLICANT LEAVE BLANK TYPE OR PRINT ALL INFORMATION IN BLACK NAM FIRST NAME MIDDLE NAME LAST NAME FBI See Privacy Act Notice on Back FD-258 Rev 9-9-13 1110-0046. FD-258 REV. 9-9-13 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. SIGNATURE OF PERSON FINGERPRINTED ALIASES AKA O R I DATE OF BIRTH Month Day RESIDENCE OF PERSON FINGERPRINTED CITIZENSHIP DATE SIGNATURE OF OFFICIAL...
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How to fill out form fd 258 pdf

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How to fill out form fd 258 pdf:

01
Begin by downloading the form fd 258 pdf from a trusted source.
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03
Fill in the required personal information accurately and completely. This may include your full name, address, date of birth, and social security number.
04
Provide any additional information that may be necessary based on the purpose of filling out the form. This may vary depending on whether it is for employment, licensing, or background checks.
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Who needs form fd 258 pdf:

01
Individuals applying for employment positions that require a background check.
02
Individuals applying for licenses, permits, or certifications that mandate a background investigation.
03
Agencies or organizations conducting background checks or fingerprinting services.
Note: The specific requirements for using form fd 258 pdf may vary depending on the jurisdiction and purpose. It is always recommended to consult the relevant authorities or instructions provided with the form to ensure accurate and appropriate completion.

Who needs a Form FD-258?

Form FD-258 is the Applicant Fingerprint Card. It is used by the following government agencies:

  • Law Enforcement Agencies for registration for Law Enforcement Positions;

  • Officials and state governments for employment, work licenses, and authorizations;

  • U.S. Government agencies and other entities required by Federal Law;

  • Official representatives of bank institutions insured by the state;

What is Form FD-258 for?

The Applicant Fingerprint Card is a standard form designed by the Federal Bureau of Investigations for fingerprinting. Fingerprints on this form are directed to forensics experts for examination. Only fingerprints not found in the offenders' database are transmitted to the FBI. If the applicant passes the fingerprint examination, they are recorded in a government database.

Information provided on the Applicant Fingerprint Card is subject to disclosure to authorized non-government agencies responsible for employment, contracting licensing, security clearances, and other determinations.  

Is Form FD-258 accompanied by other forms?

This Fingerprint Card does not need to be accompanied by other forms. Before being directed to carry out the fingerprinting process, the applicant must file their job application with the federal agency and pass the initial interview.

How do I fill out Form FD-258?

Form FD-258 is a simple one-page form. The following information should be provided to complete this Card:

Personal information on the individual being fingerprinted (citizenship, armed forces' no., social security no, gender, race, height, weight, eyes, and hair color);

Employer’s information and address;

Reasons for being fingerprinted.

The main part of the form is occupied by the applicant’s fingerprints. To be valid, this form should be signed by the fingerprinted person and the official taking fingerprints. The area designated ‘Leave Blank’ should be left blank for special remarks from the FBI.

The second page of this fillable PDF form contains instructions on how to take fingerprints correctly.

Where do I send Form FD-258?

Once completed and signed, the official representative taking fingerprints is responsible for directing the form to the appropriate department.

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Form FD 258 (also known as the “Fingerprint Card”) is a standard form used by the FBI and other law enforcement agencies to obtain fingerprints from individuals. The form is used to collect and preserve the fingerprints of individuals who have been arrested, indicted, convicted, or released from custody. The form is available in both paper and PDF formats.
Form FD 258 PDF (also known as the FBI Applicant Fingerprint Card) is used by the Federal Bureau of Investigation (FBI) to collect fingerprints and personal information from individuals who apply for a criminal background check. This form is used to obtain an individual’s fingerprints and other identifying information, which is then used to perform a criminal background check.
Form FD-258 (PDF version) is a Fingerprint Card used by the Federal Bureau of Investigation (FBI) to collect biometric information from individuals. It requires the following information to be reported: 1. Full name of individual; 2. Date of birth; 3. Place of birth; 4. Sex; 5. Race; 6. Height; 7. Weight; 8. Eye color; 9. Hair color; 10. Social Security Number; 11. Left thumbprints; 12. Right thumbprints; 13. Left four fingers; 14. Right four fingers; 15. Signature of individual; 16. Signature of person taking the prints; and 17. Date of impression.
The deadline for filing Form FD 258 PDF in 2023 has not yet been determined. The Internal Revenue Service (IRS) typically releases new forms and their associated deadlines in the fall of the preceding year. Therefore, the deadline for filing Form FD 258 PDF in 2023 will most likely be announced in the fall of 2022.
The penalty for the late filing of form FD 258 is a $50 fine per violation. In addition, if the violation is deemed to be willful, the violator may be subject to criminal penalties, including fines and/or imprisonment.
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