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UCIA Thank you for choosing Accurate Biometrics for your fingerprinting needs. PLEASE PROVIDE THE FOLLOWING INFORMATION (PLEASE PRINT CLEARLY) Last name: First name: Middle Initial: Daytime Phone: Date of Birth: Sex: (circle one) Male Female Black Hispanic (circle one) Race: White Asian American Indian/Alaskan Other REQUESTOR INFORMATION Name: Agency Name: Street Address:.

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Keywords relevant to Blank Biometric Screening Form

  • Biometrics
  • undersigned
  • Fingerprinting
  • fingerprinted
  • Alaskan
  • demographic
  • Hispanic
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