Testing Center - Fingerprinting Services

Applicant Information

First Name	Middle Initial	Last Name
Address	City	State
Zip Code	Phone	Applicant Email

Type of Service and Date

Please enter the date you will be coming in for the service:

Please select the service(s) you need:

1 (10 print) fingerprint card $151 (4 print) fingerprinting $152 (10 print) fingerprint cards $25Teachers/Child Care Workers $20Utah State Electronic Submission $15

We provide FD-258 fingerprint cards. If you're not getting cards, but instead getting an electronic or Direct Submission, please bring any and all forms required for your situation. If sent by your employer with a live scan direct submission form, bring an additional copy if your employer needs one for their records.

Payment Information

Company Name, if applicable

Payee First Name

Payee Last Name

Email receipt to:

Total Due

Credit Card Information

Type of Credit Card

Credit Card Number

Month

Year

CVV

Zip Code (of billing address)

enter the five digit zip code of your billing address

Contact Communication Permission

Yes, I would like to receive information about other programs offered at the College.

We will not share your information with any third party outside of our organization. You may unsubscribe at any time.

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Contact Information

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