Standard Fingerprint Form FD 258 1 PDF
Standard Fingerprint Form FD 258 1 PDF
Standard Fingerprint Form FD 258 1 PDF
APPLICANT
* See Privacy Act Notice on Back
LAST NAME NAM FIRST NAME MIDDLE NAME
CITIZENSHIP CTZ SEX RACE HGT. WGT. EYES HAIR PLACE OF BIRTH POB
DATE SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
YOUR NO. OCA
LEAVE BLANK
EMPLOYER AND ADDRESS
FBI NO. FBI
CLASS
ARMED FORCES NO. MNU
LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
FEDERAL BUREAU OF INVESTIGATION
CENTER
APPLICANT
THIS CARD FOR USE BY:
OF LOOP
1. LAW ENFORCEMENT AGENCIES IN FINGERPRINTING APPLICANTS 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 STSTES. 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
DELTA THE SECURITY OF THOSE INSTITUTIONS.
Please review this helpful information to aid in the successful processing of hard copy criminal and civil fingerprint submissions in order to prevent delays
or rejections. Hard copy fingerprint submissions must meet specific criteria for processing by the Federal Bureau of Investigation.
Ensure all information is typed or legibly printed using blue or black ink.
Complete all required fields. (If a required field is left blank, the fingerprint card may be immediately rejected without further processing.)
Ensure the Reply Desired field is checked when applicable (criminal only).
Ensure notations are made for any missing fingerprint impression (i.e. amputation).
DELTAS Do not use more than two retabs per fingerprint impression block.
Training aids can be ordered online via the Internet by accessing the FBIs website at: fbi.gov, click on Fingerprints, then click on Ordering
Fingerprint Cards & Training Aids. Direct questions to the Identification and Investigative Services Sections Customer Service Group at (304) 625-5590
or by e-mail at <liaison@leo.gov>.
INSTRUCTIONS:
ARCHES HAVE NO DELTAS * 1. PRINTS MUST GENERALLY 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.
FD-258 (REV. 9-9-13) 2. 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.
3. FBI NUMBER, IF KNOWN, SHOULD ALWAYS BE FURNISHED IN THE APPROPRIATE SPACE.
** MISCELLANEOUS NO. - RECORD: OTHER ARMED FORCES NO. PASSPORT NO. [FP], ALIEN REGISTRATION NO.
(AR), PORT SECURITY CARD NO. (PS), SELECTIVE SERVICE NO. (SS) VETERANS ADMINISTRATION CLAIM NO. (VA).