2.2.1 Attachment 18 - SF 87 Fingerprint Chart.pdf
PDF 70 KB Posted
- Attached to
- Level II Armed Security Guard Services- DR-4847-CTM Federal contract opportunity
- Solicitation number
- 70FBR826Q00000004
About this file
This is the SF 87 (Fingerprint Chart), a standard federal form used by the U.S. Office of Personnel Management for collecting and classifying fingerprints of individuals undergoing background investigations for federal employment or security clearance determinations.
The form serves as a template for capturing classifiable fingerprints and collects supporting personal identification information including name, date of birth, social security number, physical descriptors (sex, race, height, weight, eye color, hair color), place of birth, aliases, scars/marks/tattoos, and FBI identification numbers. The form includes 10 individual boxes for recording fingerprint impressions (right thumb, right four fingers, left thumb, and left four fingers) along with detailed instructions for proper fingerprinting procedures using printer's ink on an inking slab. The form emphasizes the importance of obtaining clear, classifiable impressions following specific patterns: loops (with one delta point), whorls (with two delta points), or arches (with no deltas). If more than three impressions are unclassifiable, a new chart must be completed. Authority for the collection derives from 5 U.S.C. sections 3301, 3302, and 9101, and Executive Orders 8781, 10450, 10577, and 12968. The estimated public burden for completion is approximately five minutes per response. The form is approved under OMB Number 3206-0150.
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Text version
SF 87 (REV. MARCH 2013)
US OFFICE OF PERSONNEL
MANAGEMENT
E.O. 10450
LEAVE BLANK
SIGNATURE OF PERSON FINGERPRINTED
RESIDENCE OF PERSON FINGERPRINTED
DATE
TITLE AND ADDRESS
POSITION TO WHICH APPOINTED
DEPARTMENT, BUREAU, AND DUTY STATION (CITY AND STATE)
SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
1. R. THUMB
6. L. THUMB
LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY
2. R. INDEX
7. L. INDEX 8. L. MIDDDLE
3. R. MIDDLE
9. L. RING
4. R. RING
10. L. LITTLE
5. R. LITTLE
L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
O R I
MISCELLANEOUS NO. MNU
ALIASES AKA
SCARS, MARKS, AND TATTOOS
FBI NO. FBI
SOCIAL SECURITY NO. SOC
SEX RACE HGT. WGT. EYES HAIR PLACE OF BIRTH POB
LEAVE BLANK
FBI
FIRST NAME MIDDLE NAMELAST NAME NAM
TYPE OR PRINT ALL INFORMATION IN BLACK
LEAVE BLANK
CLASS
REF.
MONTH DAY YEAR
DATE OF BIRTH DOBS
O N
SERIAL NO. (OPM USE ONLY) OCA
S O I
IPAC
1. LOOP
THE LINES BETWEEN CENTER OF
LOOP AND DELTA MUST SHOW
CENTER
OF LOOP
DELTA
2. WHORL
THESE LINES RUNNING BETWEEN
DELTAS MUST BE CLEAR
DELTA
3. ARCH
ARCHES HAVE NO DELTAS
PURPOSE, AUTHORITY, and PRIVACY STATEMENT Solicitation of this information is authorized by sections 3301, 3302, and 9101 of title 5 of the U.S. Code; Executive Orders 8781, 10450, 10577 and 12968. This information will be used to search the Federal Bureau of Investigation’s fingerprint files in determining your fitness for Federal employment or a security clearance. It may also be used for searches of other law enforcement agencies’ fingerprint files for the same purpose. The information on this form, and information collected during an investigation, may be disclosed without your consent, as permitted by the Privacy Act (5 U.S.C. 552a(b)) and the applicable routine uses, including disclosure to government agencies for determining qualifications, suitability, and security access.
Your Social Security Number (SSN) is being requested under the authority of Executive Order 9397. Furnishing the requested information is voluntary, however, your failure to provide requested information may delay or prevent your eligibility for employment, a clearance or a credential. An intentional misstatement or omission will negatively affect your employment, up to and including removal and debarment.
In addition, knowingly providing false information may be punishable by law (title 18, U.S. Code, section 1001).
PUBLIC BURDEN STATEMENT
We estimate the Public Burden for this collection of information is approximately five minutes per response. This includes time for reviewing the instructions, completing the form, and the actual fingerprinting. Send comments regarding our estimate or any other aspect of this form, including suggestions for reducing completion time, to the U.S. Office of Personnel Management, Federal Investigative Services, Attn: OMB Number 3206-0150, 1900 E Street, N.W., Washington, DC 20415. The OMB Number 3206-0150 is currently valid.
OPM may not collect this information and you are not required to respond unless this number is displayed.
SF 87 (REV. MARCH 2013)
NSN 7540-00-634-4037
ALL OTHER PREVIOUS EDITIONS UNUSABLE
FORM APPROVED 87-207
OMB NO. 3206-0150
INSTRUCTIONS FOR OBTAINING CLASSIFIABLE FINGERPRINTS ON STANDARD FORM 87, FINGERPRINT CHART
1. USE PRINTER’S INK.
2 DISTRIBUTE INK EVENLY ON INKING SLAB.
3. WASH AND DRY FINGERS THOROUGHLY.
4. ROLL FINGERS FROM NAIL TO NAIL AND AVOID ALLOWING FINGERS TO SLIP.
5. BE SURE IMPRESSIONS ARE RECORDED IN CORRECT ORDER.
6. IF AN AMPUTATION OR DEFORMITY MAKES IT IMPOSSIBLE TO PRINT A FINGER,
MAKE A NOTATION TO THAT EFFECT IN THE INDIVIDUAL FINGER BLOCK.
7. IF SOME PHYSICAL CONDITION MAKES IT IMPOSSIBLE TO OBTAIN PERFECT
IMPRESSIONS, SUBMIT THE BEST THAT CAN BE OBTAINED WITH A MEMO
STAPLED TO THE CARD EXPLAINING THE CIRCUMSTANCES.
8. EXAMINE THE COMPLETED PRINTS TO SEE IF THEY CAN BE CLASSIFIED,
BEARING IN MIND THE FOLLOWING; MOST FINGERPRINTS FALL INTO THE
PATTERNS SHOWN BELOW:
(OTHER PATTERNS OCCUR INFREQUENTLY AND ARE NOT SHOWN HERE)
(A) A DELTA (Δ) IS THE POINT AT WHICH THE LINES FORMING THE LOOP OR WHORL
PATTERN SPREAD AND BEGIN GOING IN DIFFERENT DIRECTIONS. ALL LOOP PRINTS
HAVE ONE DELTA. WHORL PRINTS HAVE TWO.
(B) LOOP PRINTS CANNOT BE CLASSIFIED UNLESS THE CENTER OF THE LOOP AND DELTA,
AND THE LINES BETWEEN THEM, ARE CLEAR.
(C) WHORL PRINTS CANNOT BE CLASSIFIED UNLESS THE TWO DELTAS, AND THE LINES
CONNECTING THE DELTAS, ARE CLEAR.
(D) ARCH FINGERPRINTS CAN BE CLASSIFIED IF A SUFFICIENTLY CLEAR IMPRESSION IS
OBTAINED TO PERMIT IDENTIFICATION OF THE PATTERN AS BEING AN ARCH.
9. IF, UPON EXAMINATION, IT APPEARS THAT ANY OF THE IMPRESSIONS CANNOT BE
CLASSIFIED, NEW PRINTS SHOULD BE MADE. IF NOT MORE THAN THREE IMPRESSIONS
ARE UNCLASSIFIABLE, NEW PRINTS OF THESE FINGERS MAY BE TAKEN AND PASTED
OVER THE DEFECTIVE ONES. IF MORE THAN THREE ARE UNCLASSIFIABLE MAKE A NEW
CHART.
THIS SPACE FOR FBI USE
PRINTED ON RECYCLED PAPER
MLDemari Sticky Note CHANGE FROM: Solicitation of this information is authorized by sections 3301, 3302, and 9101 of title 5 of the U.S. Code; Executive Orders 8781, 10450, 10577 and 12968. This information will be used to search the Federal Bureau of Investigation’s fingerprint files in determining your fitness for Federal employment or a security clearance. It may also be used for searches of other law enforcement agencies’ fingerprint files for the same purpose. The information on this form, and information collected during an investigation, may be disclosed without your consent, as permitted by the Privacy Act (5 U.S.C. 552a(b)) and the applicable routine uses, including disclosure to government agencies for determining qualifications, suitability, and security access.
CHANGE TO: Solicitation of this information is authorized by sections 3301, 3302, and 9101 of title 5 of the U.S. Code; Executive Orders 8781, 10450, 10577 and 12968. This information will be used to search the Federal Bureau of Investigation’s fingerprint files to establish that such persons are eligible for logical and physical access to Government facilities and systems; suitable or fit to perform work for, on behalf of, the Federal Government; suitable for employment or retention in a public trust position, eligible for employment or retention in a national security position, and/or eligible for access to classified national security information. It may also be used for searches of other law enforcement agencies’ fingerprint files for the same purpose. The information on this form, and information collected during an investigation, may be disclosed without your consent, as permitted by the Privacy Act (5 U.S.C. 552a(b)) and the applicable routine uses, including disclosure to government agencies for determining qualifications, suitability, and security access.
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