Request for a Background Check via Electronic Fingerprinting 

Personal Information (Please print)

Complete this portion only if an FBI background check is needed:

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

I certify that the personal identifiers provided on this form are accurate and I voluntarily and knowingly authorize the Ohio Bureau of Criminal Identification & Investigation to conduct a criminal records check for the information relating to me. I also voluntarily and knowingly authorize BCI&I to disseminate criminal arrest, conviction and juvenile delinquency adjudication records to.....................I voluntarily and knowingly release and discharge the Ohio Attorney General's Office, BCI&I and their employees from all claims and liability related to this authorized criminal record review and dissemination.