Fingerprint Referral Form PDF Details

Employers are increasingly using fingerprint referral forms to verify the identity of potential employees. Here's what you need to know about them. If you're conducting a job search, you've probably come across advertisements for jobs that require a fingerprint referral form for employment verification. What is this, and what does it mean for you? A fingerprint referral form is basically what it sounds like – a form that requires fingerprints as part of the application process. Employers use these forms to verify the identity of potential employees and ensure that they are not lying about their qualifications or work history. Since this is becoming an increasingly common requirement, it's important to know how to proceed if you find yourself in this situation.

Listed below are some specifics of fingerprint referral form. You will have the approximate time you will need to prepare the form and some additional details.

QuestionAnswer
Form NameFingerprint Referral Form
Form Length2 pages
Fillable?Yes
Fillable fields92
Avg. time to fill out18 min 58 sec
Other namesnyc doe fingerprinting, nyc doe fingerprinting process, doe fingerprinting court street, 65 court street doe fingerprinting

Form Preview Example

The New York City Department of Education

Division of Human Resources & Talent

65 Court Street, Brooklyn, New York 11201

FINGERPRINT REFERRAL FORM

GENERAL INSTRUCTIONS: Please print all information clearly on the form. Section I (Certification Referring Official) must be completed by the appropriate office. Section II (Background Questions) must be completed by the applicant. Section III (Employment Eligibility Verification) will be completed by the Office of Personnel Investigation.

 

 

 

OFFICE USE ONLY

 

 

 

 

 

I-9 CODE

 

 

 

 

ORG.

 

 

 

 

 

 

CODE

 

 

 

 

 

 

Y

REXP. DATE _______/_______/_______

A EXP. DATE _______/_______/_______

PLACE OF BIRTH

HEIGHT/

FEET INCHES

WEIGHT

HAIR COLOR

EYE COLOR

SECTION I: BACKGROUND INVESTIGATION IN THE TITLE OF

Signature of Referring OfficialOffice/DistrictTelephone Number

SECTION II: BACKGROUND QUESTIONS

TODAY’S DATE

SOCIAL SECURITY NUMBER

Month Day Year

LAST NAME

-

FIRST NAME

Month Day Year

-

M.I.

Male Female

OTHER OR MAIDEN NAME

DATE OF BIRTH

CHECK THE BOX BELOW WHICH BEST DESCRIBES YOU:

PLEASE () ONE

1.

2.

AMERICAN INDIAN/ALASKAN NATIVES

3.

ASIAN: INCLUDES ASIAN INDIANS, CHINESE,

4.

JAPANESE, KOREANS, FILIPINOS, INDONESIANS,

 

AND POLYNESIANS

5.

BLACK (Not of Hispanic Origin)

HISPANIC

WHITE (Not of Hispanic Origin)

STREET ADDRESS

 

 

 

 

APT. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

ZIP CODE

-

-

(AREA)

TELEPHONE NUMBER

FILE NUMBER (IF ANY)

E-MAIL ADDRESS

 

FORM 551 (1096)

Answer “YES” or “NO” to the following questions. If your answer to any of these questions is “YES”, explain, giving details, in the space provided below. You must answer these questions truthfully even though you may have disclosed the same information to the Department of Education or another agency on a previous occasion. Please be advised that if you answer “NO” to question #1 and your fingerprint results disclose a conviction record, your application will be denied. Please sign your name at the end of this section.

YES NO

Have you ever been convicted of or pled "GUILTY" or pled "NO CONTEST" to any offense in this state or

1.elsewhere? [This includes Felonies, Misdemeanors and Violations. For Felonies or Misdemeanors, you must answer "Yes" if you were convicted or pled guilty or no contest even if your records have been sealed.]

2.Are any criminal charges currently pending against you anywhere?

3.Have you ever been placed on a state registry as a sex offender in New York State or elsewhere?

4.Have you ever forfeited bail or bond following your appearance as a defendant in a criminal court action?

5.Has a warrant been issued by a court requiring that you appear in court?

6a.

Has a Family Court ever found that you abused or neglected a child? If so, explain below which court issued

the finding, the nature of the finding, and when it happened.

 

 

6b.

Are you currently in arrears [4 months or more] for child support payments?

 

 

7.

Have you ever been discharged [fired] or required to resign from any position for reasons other than a layoff

due to reduction in the work force?

 

 

8.

Have you ever been denied employment as a result of information obtained following a background check or

 

investigation? If so, explain the reasons for denial of employment below.

9.

Have you ever resigned or left a job rather than face charges or dismissal?

 

 

10a.

Has an employer ever brought or filed charges against you?

 

 

10b.

If yes, were you found guilty of the charges?

11.Have you ever had any professional certificate or license denied, revoked or suspended?

Have you ever applied for a civil service position, such as police officer or worker for a federal, state, city or

12.local agency, and been notified you do not qualify?

Have you ever had a teaching license or certificate denied, revoked or suspended by any Education

13.Department: New York City, New York State or elsewhere?

14.Have you ever received an unsatisfactory rating or unsatisfactory evaluation for your work in a school?

15.Have you ever lost your job as a teacher, or as another pedagogue, before achieving tenure?

16.Did you ever receive a discharge from military service for reasons other than an honorable discharge?

Are you now, or were you ever employed by the NYC Department of Education? If yes, indicate dates

17a. ________________________.

17b.

Were you ever fingerprinted by the NYC Department of Education?

Explanation:

Falsifying an employment application is a punishable offense under the Penal Law of New York State.

Signature of person being fingerprinted

Today’s Date

SECTION III: EMPLOYMENT ELIGIBILITY VERIFICATION

COMPLETE

EXEMPT

Signature of Examiner

Signature of Fingerprint Technician

How to Edit Fingerprint Referral Form Online for Free

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Step 2: You are now ready to enhance doe fingerprinting court street. You possess a wide range of options thanks to our multifunctional toolbar - you can add, erase, or alter the text, highlight the specified elements, as well as carry out several other commands.

Please type in the next information to create the doe fingerprinting court street PDF:

part 1 to filling in nyc doe fingerprinting form

You need to note the required details in the TelephoneNumber, SignatureofReferringOfficial, OfficeDistrict, SECTIONIIBACKGROUNDQUESTIONS, TODAYSDATE, Month, Day, Year, LASTNAME, SOCIALSECURITYNUMBER, FIRSTNAME, Month, Day, Year, and DATEOFBIRTH space.

step 2 to completing nyc doe fingerprinting form

You have to highlight the necessary particulars within the TELEPHONENUMBER, STREETADDRESS, CITY, AREA, EMAILADDRESS, APTNUMBER, ZIPCODE, FILENUMBERIFANY, STATE, and FORM box.

Entering details in nyc doe fingerprinting form stage 3

Identify the rights and responsibilities of the sides inside the paragraph YES, and Ifyeswereyoufoundguiltyofthecharges.

nyc doe fingerprinting form YES, and Ifyeswereyoufoundguiltyofthecharges fields to complete

Finish by reading these fields and filling in the relevant details: Explanation, and TodaysDate.

part 5 to entering details in nyc doe fingerprinting form

Step 3: Press the button "Done". The PDF file is available to be exported. You can easily obtain it to your computer or send it by email.

Step 4: In avoiding probable forthcoming concerns, it's recommended to get at least two or three copies of any document.

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