Attachment 8 - NCIC Background Check Form.pdf

This is a JBCC Event-Project Roster form for official use only, designed to collect and track participant information for events or projects requiring criminal justice background checks.

The form serves as a pre-arrival roster submission document that must be completed and returned electronically to CJIS-JFHQ between 3-5 working days prior to event arrival to allow time for background pre-approval. As of May 7th, 2025, all applicants must be REAL ID compliant and valid. The form captures essential event details including the event/project name, destination, start and end dates, sponsor information, and company point of contact details. Participants must provide personal identification information including last name, first name and middle initial, state or country code, driver's license number or passport number, date of birth, and ID compliance status. Passport entries specifically require an informational photo of the passport to be uploaded, and all identification documents are subject to visible inspection upon entry. All parties listed on the roster agree to CJIS (Criminal Justice Information System), NCIC (National Crime Information Center), and III (Interstate Identification Index) background checks. The form includes fields for CJIS clerk signature confirmation, NCIC approval status, and originating agency contact information. The originating agency contact listed is Brian O'Kane from the U.S. Coast Guard (BRIAN.C.O'KANE@USCG.MIL), with NCIC approval marked as "Yes."