Are you wondering about the Missouri Form 984B and what it means for your taxes and financial future? Worry no more! We’re here to provide an in-depth explanation of this form and its purpose. From outlining which individuals should complete the form to answering any lingering questions, we’ll cover everything you need to know so you don’t have any surprises during tax season. Whether you are a seasoned pro with taxes or just starting out, this comprehensive guide will help ensure that all of your needs related to filing the Missouri Form 984B are taken care of properly. So read on and get ready to learn all there is about filling out Form 984B!
| 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.