Section_J_Attachment 18 - SF 87 Fingerprint Chart.pdf

Standard Form PDF 70 KB Posted

Attached to
AMENDMENT 0003 _Sol_70FBR427R00000001 Level II Armed Guard Security Services
Solicitation number
70FBR427R00000001
Issued by

About this file

This document is the Standard Form 87 (SF 87), Fingerprint Chart, revised March 2013, issued by the U.S. Office of Personnel Management under Executive Order 10450. The form is used to collect fingerprints and personal identifying information from individuals applying for federal employment or security clearances. Required data fields include the individual's full name, date of birth, Social Security number, physical descriptors (sex, race, height, weight, eye color, hair color, place of birth), aliases, scars/marks/tattoos, FBI number, and miscellaneous identification number. The form contains designated areas for recording the right thumb, right four fingers (index through little), left thumb, and left four fingers (index through little), with specific instructions for obtaining classifiable prints using printer's ink and proper rolling technique to ensure clear delta and loop/whorl pattern visibility.

The form's authority derives from sections 3301, 3302, and 9101 of title 5 of the U.S. Code and Executive Orders 8781, 10450, 10577, and 12968. Collected information will be searched against Federal Bureau of Investigation fingerprint files and other law enforcement agencies' files to determine fitness for federal employment or security clearance eligibility. The instructions include detailed guidance on ink application, finger washing, rolling technique, and classification criteria for loop, whorl, and arch fingerprint patterns, with provisions for resubmission if impressions are unclassifiable. The form notes that furnishing information is voluntary but failure to provide requested data may delay or prevent employment eligibility, and intentional misstatements or false information may result in removal, debarment, or criminal prosecution under 18 U.S. Code section 1001. The estimated public burden is approximately five minutes per response. OMB Number 3206-0150 is currently valid.

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File Revision Posted Attached to
2.2.1 Attachment 18 - SF 87 Fingerprint Chart.pdf Same revision and size as this file Revision not stated Level II Armed Security Guard Services- DR-4847-CTM
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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.

File details come from the government source that posted it. Updated .