Form Dshs 27 059 PDF Details

In the realm of ensuring safety and compliance within various sectors, the Department of Social and Health Services (DSHS) 27-059 form emerges as a crucial document, designed to streamline the process of scheduling fingerprint appointments for individuals required to undergo background checks. This document, serving as a bridge between requesting agencies and the individuals whose fingerprints are needed, demands meticulous attention to detail starting from personal identification to detailed demographic information. It categorically lists essential data points such as eye and hair color, birth details, height, and weight, alongside optional fields like social security numbers, thereby providing a comprehensive profile needed for the fingerprinting process. Section 1 of the form is dedicated for agency use, requiring specific account and inquiry identifiers, reinforcing the personalized approach to each background check. Individuals are prompted to gather specific information before scheduling their appointment, ensuring a smooth and efficient process. The choice of scheduling via a website or a phone call offers flexibility, and the requirement for a non-expired government-issued photo ID at the time of the appointment underscores the seriousness of the verification process. By mandating the completion of this form, the DSHS ensures a standardized procedure for conducting background checks, thereby enhancing the safety protocols within industries and communities relying on this vetting process.

QuestionAnswer
Form NameForm Dshs 27 059
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesLearners, 2012, OCA, Weekday

Form Preview Example

12. EYE COLOR
Black Hazel
Blue Maroon Brown Pink Gray Multicolored Green Unknown
5. Date of Birth (MM/DD/YYYY)
6. Birthplace (State/Country)
7. Height (Feet/Inches)
8. Weight (Pounds)
11. HAIR COLOR
Black Orange
Brown Purple Gray/part gray Blue Red/Auburn Completely Bald
Sandy Green
Blonde Pink White

Fingerprint Appointment

Use this form to assist in scheduling a

Department of Social and Health Services fingerprint appointment.

Section 1: To be completed by the requesting agency

1.The agency requesting a fingerprint check must provide the following numbers:

BCCU Account Number:BCCU Inquiry ID/OCA Number:

Section 2: Information to gather BEFORE scheduling a fingerprint appointment

Be prepared to provide the information from Section 1 AND the information below when scheduling your fingerprint appointment.

1. Name (Last, First, Middle)

2. Address (Street, City, State, Zip Code)

3. Daytime Phone (Area Code and Number)

4. Social Security Number (Optional)

9. SEX

Male Female

10. RACE

Caucasian or other Hispanic culture

African-American/African

Asian or Pacific Islander

American Indian, First Nations, Eskimo, or Alaskan Native

Unknown

Section 3: Fill out this section WHILE scheduling your fingerprint appointment

1.Go to www.MorphoTrust.com or call 1-888-771-5097 to schedule your fingerprint appointment.

2.Use this space to write down the date, time and location of your fingerprint appointment:

Date / Weekday:

 

Time:

 

Location / Address:

 

 

 

Section 4: Personal Identification

You must bring one of the following NON-EXPIRED Government Issued PICTURE ID options with you to your fingerprint appointment.

Government Issued PICTURE ID:

US Driver’s License, or any Federal, State, or Local Government issued ID (Including a Washington State Learner’s Permit)

Any US Armed Services ID (Army, Air Force, Navy, Marines, etc…)

US Passport

Foreign Passport (with photo and signature)

Federally Recognized Tribal ID

All ID must be current. Expired identification WILL NOT be accepted unless you can prove that you are in the process of renewing it.

FINGERPRINT APPOINTMENT DSHS 27-059 (REV. 04/2012)