FBI I-783 PDF Details

When individuals seek to review, change, correct, or update their Identity History Summary, the I-783 form serves as a vital tool in initiating this process. As a comprehensive request form, it mandates various pieces of personal information, including but not limited to one's name, date of birth, place of birth, citizenship status, social security number, and race, all aimed at allowing the FBI to conduct a thorough and accurate search of identification records. This form, revisited in June 2020, underscores the importance of these details in facilitating a search that can lead to obtaining or modifying an Identity History Summary. Distinctively, the form also specifies the method of payment for this service, acknowledging credit cards, certified checks, and money orders. The emphasis on the I-783 form being part of an Identity History Summary Request, rather than a national background check, highlights its specific use case and its potential differentiation from state or federal employment background checks, which might demand a different process. Moreover, the procedural aspect of mailing this form, along with a fingerprint card and the required fee to the FBI's CJIS Division, is indicated, showing the tangible steps involved in this request. The form carries a clear notice regarding the Privacy Act, informing applicants about the FBI's authority in collecting, retaining, and disseminating the provided information, thus ensuring transparency and compliance with legal statutes. Lastly, the incorporation of the Paperwork Reduction Act Statement serves as a reminder of the form's compliance with broader regulatory standards, ensuring that it meets necessary efficiency and information collection benchmarks.

QuestionAnswer
Form NameFBI I-783 Form
Form Length1 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min 31 sec
Other namesform i 783 instructions, i 783 form, fbi clearance form application, form i 783

Form Preview Example

1-783 (Rev. 06-01-2020)

OMB-1110-0052

IDENTITY HISTORY SUMMARY REQUEST FORM

Information * Denotes Required Fields

*Last Name

Middle Name 1

*First Name

Middle Name 2

 

*Date of Birth:

*Place of Birth:

 

*U.S. Citizen or Legal Permanent Resident:

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

*Country of Citizenship:

Country of Residence:

 

Prisoner Number (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Last Four Digits of Social Security Number:

*Race (please check appropriate box):

Asian

Black

Caucasian

Native American

Unknown

*Sex (please check appropriate box):

Male Female Other

Address

C/O

*Address

ATTN

 

 

 

 

 

 

 

 

 

 

 

*City

 

 

 

*State

 

 

 

 

 

 

 

 

 

 

 

 

 

*Postal (Zip) Code

 

*Country

 

 

 

Phone Number

 

E-Mail

 

 

 

 

 

 

Payment Enclosed: (please check appropriate box)

CERTIFIED CHECK

MONEY ORDER

CREDIT CARD FORM

You may request a copy of your own Identity History Summary to review it or obtain a change, correction, or an update to the summary. This is not a national background check and may not include information from state repositories which would be included on an employment background check. If you are requesting a background check for employment or licensing within the U.S., you may be required by state statute or federal law to submit your request through your state identification bureau, the requesting federal agency, or another authorized channeling agency.

* REQUESTOR SIGNATURE

DATE____________________

Mail the signed requestor information form, fingerprint card, and payment of $18 U.S. dollars to the following address:

FBI CJIS Division – Summary Request

1000 Custer Hollow Road

Clarksburg, West Virginia 26306

PRIVACY ACT STATEMENT

The FBI’s acquisition, retention, and sharing of information submitted on this form is generally authorized under 28 USC 534 and 28 CFR 16.30-16.34. The purpose for requesting this information from you is to provide the FBI with a minimum of identifying data to permit an accurate and timely search of FBI identification records. Providing this information (including your Social Security Account Number) is voluntary; however, failure to provide the information may affect the completion of your request. The information reported on this form may be disclosed pursuant to your consent and may also be disclosed by the FBI without your consent pursuant to the Privacy Act of 1974 and all applicable routine uses.

PAPERWORK REDUCTION ACT STATEMENT:

Under the Paperwork Reduction Act, you are not required to complete this form unless it contains a valid OMB control number. The form takes approximately 3 minutes to complete.

How to Edit FBI I-783 Form Online for Free

Our PDF editor allows you to manage the information form fbi document. It will be easy to make the document right away by using these simple actions.

Step 1: The first step requires you to hit the orange "Get Form Now" button.

Step 2: Now you are on the form editing page. You may enhance and add text to the document, highlight words and phrases, cross or check specific words, add images, sign it, get rid of needless fields, or eliminate them entirely.

The PDF document you are going to prepare will include the following areas:

entering details in applicant information stage 1

Add the requested particulars in the City Postal Zip Code Phone Number, State Country EMail, Payment Enclosed please check, CERTIFIED CHECK, MONEY ORDER, CREDIT CARD FORM, You may request a copy of your own, REQUESTOR SIGNATURE DATE, Mail the signed requestor, FBI CJIS Division Summary Request, and PRIVACY ACT STATEMENT The FBIs section.

applicant information City Postal Zip Code Phone Number, State Country EMail, Payment Enclosed please check, CERTIFIED CHECK, MONEY ORDER, CREDIT CARD FORM, You may request a copy of your own, REQUESTOR SIGNATURE DATE, Mail the signed requestor, FBI CJIS Division Summary Request, and PRIVACY ACT STATEMENT The FBIs fields to fill

Step 3: Select the "Done" button. At that moment, you can export your PDF file - upload it to your device or deliver it via electronic mail.

Step 4: It's going to be easier to prepare duplicates of the form. You can be sure that we will not display or view your information.

Watch FBI I-783 Form Video Instruction

FBI I-783 Form isn’t the one you’re looking for?

Related Documents

  • I 821D

    "... Form 821-04-24 19 must be filled out by an attorney. If applicable, an accredited representative. ..."

  • I 765 Form

    "... Page of form 765 Edition 08-25 20 Authorization extension Valid from for Usc Is Use Only Application for Employment Authorization Department of Homeland Security Citizenship and Immigration Services usc form 765 expires on 07/31/2022 type ..."

  • I 765Ws Form

    "... Form 765 ws Edition 08-25 20 Page of form 765 Worksheet Department of Homeland Security Citizenship and Immigration Services Usc forms 765 Ws Om No 1615 0040 is due 07/31/2022. To determine if employment authorization ..."

  • I 797A Form

    "... A receipt of notification is sent when you receive this notice. It formally acknowledges that your petition for the h3 visa has been approved. The I-seven nine seven form, or notice of reception, is intended ..."

Please rate I 783 Form

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .