A07.01_-_I_NCIC_CONSENT_FORM_INSTRUCTIONS.pdf

NCIC CONSENT FORM (Required only for visitors who do not have a CAC or other Federal Government ID Card)

All information MUST be legible on this form. If it cannot be read, it will not get processed.

*** Common mistakes

*** I (print full name; first, middle, last): PRINT the visitor's full name; First, Middle, Last ---- It must be in that order.

Signature of Requestor: This is where the individual requesting access signs.

Race: Enter the visitor's race (White, Black, Hispanic…).

Date: Enter the date the form is being signed.

Date of Birth: Enter the visitor's date of birth.

*** Place of Birth (City and State): Enter the city and state of the visitor's place of birth. This is very important and the main reasons forms are returned for correction. If the place of birth is outside the United States it also must contain a city. For example: Tijuana, Mexico

Gender: Enter the visitor's gender.

Social Security Number: Enter the visitor's Social Security Number.

DL#/State: Enter the Visitor’s driver’s license number and state.

Address: Enter the visitor's CURRENT address.

Company Name: Enter the visitor's company name.

Telephone: Enter the visitor's contact information.

It is recommended you type the information on the NCIC and then have the visitor sign the document.

If you send a NCIC form that is not properly filled out, changes cannot and will not be made to

it. LA, CA could almost positively be assumed as Los Angeles, CA, but if it is not spelled out, it will get returned. The NCIC form is authorization to perform a criminal background check utilizing the Federal Bureau of Investigation (FBI) criminal database. Sponsors are not authorized to make alterations to a signed document. They will be held legally liable for the information it contains and the results.

Remember the sponsor is required to review and proofread the request PRIOR to sending it.

Errors cause delay. Best practice: Send it right the first time.