2951_8.DOC

This document is Appendix D of Bid #28094-CH, which outlines demographic information requirements mandated by Wisconsin state agencies including the Department of Transportation (DOT), Department of Public Instruction (DPI), Department of Safety and Professional Services (DSPS), Department of Children and Families (DCF), and the Office of the Commissioner of Insurance (OCI). The appendix serves as a standardized form template for collecting applicant information across these state agencies.

The document specifies required demographic data fields including full name, date of birth, address, physical characteristics (weight, height, gender, race, eye color, hair color), Social Security number, driver ID number, place of birth, aliases, and arrest history with dispositions. For paper fingerprint cards, the form mandates signatures from both the person being fingerprinted and the official conducting the fingerprinting process along with the date. This appendix appears to be part of a larger bidding process that involves background checks or security clearances for contractor personnel working with Wisconsin state agencies.