Client Archiving Portal

Step 1 of 4

Applicant & Archive Information

How can we help? *

Applicant Full Legal Name *

Date of Birth *

Phone Number *

Email Address *

Company Name Archive Is Under

Business Contact Name

Business Phone Number

Approximate Date Fingerprints Were Originally Captured

Location Where Fingerprints Were Captured

Reason Fingerprints Were Originally Taken

Reference Number / TCN / ATI Number (if available)

Step 2 of 4

Service Request Details

What service are you requesting? *

If Other, please explain *

Number of Fingerprint Cards Needed

Agency Receiving Fingerprints

Purpose of Submission

Deadline Needed By

Step 3 of 4

Shipping Information

Recipient Name *

Company Name

Street Address *

Suite / Unit Number

City *

State *

ZIP Code *

Step 4 of 4

Uploads & Authorization

Upload Required Documents

Check all document types you are uploading below.

File Upload

Authorization

I certify that I am the individual identified above or an authorized representative of the organization requesting these services. I understand that BioScan USA may require additional verification before releasing archived fingerprint records, printing fingerprint cards, completing agency forms, or submitting fingerprints on my behalf.

I understand that archived fingerprint records can only be released, printed, or submitted after identity verification has been completed and all applicable fees have been paid.

Electronic Signature *

Type your full legal name as your electronic signature.

Date *

BioScan USA Archived Fingerprint Request

Applicant & Archive Information

Service Request Details

Shipping Information

Uploads & Authorization

Request Submitted!

Client Archiving Portal

BioScan USA Archived Fingerprint Request

Applicant & Archive Information

Service Request Details

Shipping Information

Uploads & Authorization

Request Submitted!

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