The Shp 984B Missouri form plays a crucial role in the process for conducting state and national criminal history background checks in Missouri. Managed by the Missouri State Highway Patrol Applicant Fingerprint Services of Missouri, the form serves as an official document for individuals needing to submit their fingerprints for various purposes, including employment, licensing, or other statutory requirements. The form consists of several sections, starting with agency information, which requires the entry of specific identification numbers and mailing details. Subsequently, the applicant information section collects comprehensive personal data, from basic identification to more detailed physical descriptions. The provision for service center information outlines the process for scheduling fingerprint appointments through L-1 Enrollment Services, indicating payment methods and the expected turnaround time for results. Additionally, the form’s final part is designated for completion by the fingerprint technician, ensuring that the fingerprints taken match the government-issued identification presented by the applicant. This thorough documentation is vital for maintaining the integrity and efficiency of the background check process, ultimately contributing to the safety and security measures within the state.
| Question | Answer |
|---|---|
| Form Name | Shp 984B Missouri Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Missouri, missouri fingerprint, ORI, MOAPS |
SHP- 9 8 4 B 0 1 / 09
Missouri State Highway Patrol
Applicant Fingerprint Services of Missouri
This Document is your Applicant Fingerprint Form for State and National Criminal History
Background Checks.
Section One: Agency Information
Agency ORI: ____________________________________________ OCA Number: ___________________________________
Agency Name: ___________________________________________ Mailing Address _________________________________
City __________________________ State _____ Zip ___________ FBI TCN ____________________________________
(if resubmission of rejected fingerprint)
Section Two: Applicant Information
Applicant Last Name _____________________________________First Name_________________Middle Name__________
(Please Print Name) |
|
Social Security Number __________________________________Date of Birth ______________ Sex: |
Male |
Female
Race: _____________________________ Height ___________ Weight _________ Hair Color ________ Eye Color ________
(White, Black, Asian, American Indian) (Feet/Inches)
Place of Birth _________________________________________ Citizenship _________________________________________
(State or Country)(Country)
DL / ID No. __________________________________________ State Issuing DL / ID No. ______________________________
Home Street Address ______________________________________________________________________________________
City _____________________________________ State ______________________________ Zip ________________________
Section Three: Service Center Information
When utilizing MOAPS fingerprinting services through
1.Logon to www.L1id.com and select Missouri.
2.Enter your name (first and last name).
3.Enter ____________________ when prompted for Agency Number or ORI.
4.Enter ____________________ when prompted for OCA Number.
5.Follow the prompts to enter your personal information and select service location, date and time.
6.Bring this completed form with you to your appointment.
Section Four: Service Center Information (To be Completed by Fingerprint Technician)
Date Prints Taken _____________________________ Amount Charged For Service _______________________________________________
Paid by (enter payment form): |
Check |
Money Order |
Visa |
MasterCard |
Billing Acct. _____________________________ |
Applicant TCN/OCN __________________________________________________________________________________________________
I have compared the
Printed Name of Fingerprint Technician____________________________________________________________________________________
Signature of Fingerprint Technician________________________________________________________________________________________
APPLICANT – THIS FORM IS YOUR RECEIPT FOR SERVICES – RETAIN FOR YOUR RECORDS.