Permit Director

Welcome! This is the official order form for fingerprinting services. The information submitted on this form and on the fingerprint card must match your identification.

Fingerprinting costs $10.00. Appointments for fingerprinting are available on TUESDAYS - 8:30 AM to 11:30 AM. WEDNESDAYS - 1:30 PM to 4:30 PM, THURSDAYS - 8:30 AM to 11:30 AM and 1:30 PM to 4:30 PM.. Please note you will be asked to pay now to reserve your appointment time. In addition, a service fee of $4.00 is required as well as a credit card processing fee.

Please be aware, fees for fingerprinting services are non-refundable. Failure to show up for your scheduled appointment results in automatic forfeit of applicable fees. To avoid this, you must reschedule your appointment by logging into the fingerprint scheduling portal at least 24 hours in advance.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Previous Last Name	Previous First Name	Previous Middle Name

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth County:

Birth Country:

Citizenship Country:

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Work Information And Address: ^{(enter your place of employment)}

Employer Name:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^Cell:

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Select Purchase Option:

Copies Fingerprints

Total Fee:

$0

I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY FALSIFICATION OF THE ABOVE INFORMATION WILL RESULT IN THE REFUSAL TO COMPLETE THE PROCESS OF FINGERPRINTING.

Your Initials:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

YES! I would like to make a donation to the Oregon State Sheriffs' Association, a 501(c)(3) charitable organization.

Your generosity will be used for:

OSSA's mission to support, train and lobby on behalf of law enforcement professionals
Advocacy in legislature for the Oregon CHL program
Injured and fallen deputies and their families in Oregon during their time of need

If you have any questions about ways in which the donation may be used, please call 503-364-4204 or email info@oregonsheriffs.org. Through your donation you may also receive an email from OSSA. Visit www.oregonsheriffs.org for more information.

Donation Amount:

I have read the entire text and understand this application and the statements therein are correct and true. I further understand that making false statements on the application is a misdemeanor and I am subject to prosecution and automatic denial or revocation. All payments are non-refundable.

Coupon Code:

Your Initials:

Back To Previous Step

Please Enter All Information

Applicant Information:

Information Related To Your Birth:

Demographic Information:

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Select Purchase Option:

Total Fee:

$0

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Please Enter All Information

Add An Address

Applicant Information:

Information Related To Your Birth:

Demographic Information:

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Work Information And Address: (enter your place of employment)

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Select Purchase Option:

Total Fee:

$0

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Additional Information Required

Error processing application

Donations cant be taken with cash

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}