Nj Fingerprint Form PDF Details

If you are a resident of the state of New Jersey, you will need to complete and submit a NJ fingerprint form in order to have your fingerprints taken. This is a requirement for many different types of jobs, including those in child care or education. Completing the form is not difficult, but there are a few things you should know before getting started. In this article, we'll provide an overview of the process and what you can expect when having your fingerprints taken.

We've gathered some general facts about the nj fingerprint form. This table provides information about the form's length, completion time, and the parts you're expected to fill.

Form NameNj Fingerprint Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesnjuniversal fingerprint form, nj fingerprinting card nursing applicant, nj universal fingerprint form, get the blank identogo nj universal fingerprint form

Form Preview Example

New Jersey Universal Fingerprint Form


(1) Originating Agency Number (ORI #)

(2) Category


Statute Number












Reason for Fingerprinting


(5) Document Type

(6) Payment Information












Contributor’s Case # (Unique Identifier)






(9) First Name

(12) Daytime Phone Number

( ) -

(17) Maiden or Alias Last Name



(11) Last Name












Social Security Number (Optional)

(14) Date of Birth

(15) Height

(16) Weight








Place of Birth (US State if US Citizen; Country for all others)


(19) Country of Citizenship








(20) Home Address
















(21) Gender (Select one)

(22) Hair Color

(23) Eye Color

(24) Race (Select One)







[ A ] Asian/ Pacific Islander (includes Asian Indian)




[ B ]











[ I ] American Indian / Alaska Native










[ W ] White ( Includes Hispanic/ Spanish Origin)













[ U ]







(25) Occupation / Position (with respect to

(26) Employer / Organization Name (with respect to Requirement)











Employer Address



















Identification Requirement - Identification must be presented at the time of printing. Identification presented MUST be one (1) document that is current (not expired). A combination of documents will not be accepted. The single document must include the following criteria; Photo, Name, Address (home/employer), Date of Birth and is issued by a Federal, State, County or Municipal entity for Identification purposes. Examples of acceptable ID are:

1)Valid U.S. State Photo Driver’s License/ Non Driver’s License, 2) U.S. Passport, 3) USCIS Permanent Resident ID Card (issued after 5/10/2010), and

4)USCIS Employment Authorization Card (issued after 10/31/2010).

Please READ this form carefully

and follow all of the instructions provided by your agency/employer to complete the fingerprint process. You must have this form (Blocks 1 through 26) completed prior to scheduling your fingerprint appointment via the website or call center. PLEASE PRINT LEGIBLY. It is required you present this completed Universal Fingerprint Form, IDG_NJAPP_110113, at your scheduled appointment.

Appointment Scheduling:

Scheduling is available anytime at www.bioapplicant.com/nj. Appointments may also be scheduled through our Call Center. English and Spanish speaking agents are available at 1-877-503-5981, Monday through Friday, 8:00AM to 5:00PM EST and Saturday, 8:00AM to 12 Noon EST.


When an Applicant is responsible for payment, Payment Is Required at the time of scheduling. The following forms of payment are accepted: Visa, MasterCard, or electronic debit (ACH) from a checking account; accounts will be debited immediately. Money Order is the only form of payment accepted at the enrollment center.

Cancel/ Reschedule:

Appointments may be canceled or rescheduled via the website or the call center before the deadline of 5PM EST the business day prior to the scheduled appointment (Saturday Noon for Monday appointments). An appointment fee of $10.00 will be incurred by applicants who do not cancel/reschedule their appointment prior to the deadline; MorphoTrust will refund the remainder of the fee paid (state/federal search fees) to the original payment method.

Unable to be Fingerprinted:

An applicant is considered “Unable to be Fingerprinted” for any of the following reasons: Failure to appear for scheduled appointment; Inability to present proper Identification; Inability to present this completed Universal Fingerprint Form IDG_NJAPP_110113; Information on this form does not exactly match the information provided during the scheduling process. Applicants unable to be fingerprinted will incur a $10.00 appointment fee; MorphoTrust will refund the remainder of the fee paid (state/federal search fees) to the original payment method.

PCN and Receipts:

Upon the completion of fingerprinting you will be assigned a PCN number. The PCN will be recorded on this form and on your receipt. MorphoTrust will not provide duplicate receipts, PCN Numbers or any appointment/printing information after the time of printing.


Applicant ID
















Day & Date:








Agency Information:







You MUST retain a copy of this form and the receipt of printing for your personal records.



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example of gaps in nj fingerprinting card nursing applicant

You should enter the crucial data in the Occupation Position with respect, Employer Organization Name with, Employer Address, City State Zip, Identification Requirement, Please READ this form carefully, Cancel Reschedule Appointments may, Applicant ID Number, Payment Authorization, and PCN field.

nj fingerprinting card nursing applicant Occupation  Position with respect, Employer  Organization Name with, Employer Address, City State Zip, Identification Requirement, Please READ this form carefully, Cancel Reschedule Appointments may, Applicant ID Number, Payment Authorization, and PCN fields to fill

You will be required to note the information to let the software fill in the area Applicant ID Number, Scheduled Day Date, Agency Information, Payment Authorization, Scheduled Time, Scheduled Site, You MUST retain a copy of this, APPLICANTS MUST NOT ALTER SHARE OR, and IDGNJAPP.

step 3 to filling out nj fingerprinting card nursing applicant

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