Wayne County Sheriff's Office OH Online License to Carry Concealed Handguns and Fingerprinting PermitDirector Application

Welcome! This is an official order form for fingerprinting services. You must completely and accurately fill-out this application to be considered for finrgerprinting.

IMPORTANT NOTICE:

IF YOU SELECT INKED CARDS: Please complete the personal demographic information on the cards BEFORE arriving at your appointment. If you don't have the blank cards, please arrive 15 minutes early and request them so you can fill them in BEFORE your scheduled appointment time.

You must choose the correct Ohio Revised Code and make sure you are choosing the correct type(BCI&I/FBI) of check you need for your background check. There will be NO REFUNDS

DO NOT SELECT FBI as an option if you do not have a valid FBI reason code (NO ORC is not a valid code selection)

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth County:

Birth Country:

Citizenship Country:

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Physical Description:

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Work Information And Address: ^{(enter your place of employment)}

Employer Name:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Delivery Options:

Please mail results to

Person or Organization Name:

Attn:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Phone number:

Direct Copy (select one)

Select Purchase Option:

BCI FBI BCI and FBI Inked Fingerprint Card (Maximum of 2 cards) 3 Inked Fingerprint Cards 4 Inked Fingerprint Cards 5 Inked Fingerprint Cards Court Ordered Juvenile ITN Prints

Total Fee:

$0

I CERTIFY THAT THE PERSONAL IDENTIFIERS PROVIDED ON THIS FORM ARE ACCURATE, AND I VOLUNTARILY AND KNOWINGLY AUTHORIZE THE BUREAU OF CRIMINAL IDENTIFICATION & INVESTIGATION TO CONDUCT A CRIMINAL RECORDS CHECK FOR THE INFORMATION RELATING TO ME. I ALSO VOLUNTARILY AND KNOWINGLY AUTHORIZE BCI&I TO DISSEMINATE CRIMINAL ARREST, CONVICTION, AND JUVENILE DELINQUENCY ADJUDICATION RECORDS TO THE PERSON OR ORGANIZATION RECEIVING RESULTS).

I VOLUNTARILY AND KNOWINGLY RELEASE AND DISCHARGE THE WAYNE COUNTY SHERIFF’S OFFICE, OHIO ATTORNEY GENERAL’S OFFICE, BCI&I AND THEIR EMPLOYEES FROM ALL CLAIMS AND LIABILITY RELATED TO THIS AUTHORIZED . CRIMINAL RECORD REVIEW AND DISSEMINATION.

Your Initials:

Application Qualification Questions:

Please enter your reason for the background check (be specific)

Yes No

Is this request for BCI?

NOTE: It is the responsibility of each customer to provide the appropriate BCI or FBI code - the Wayne County Sheriff's Office cannot tell you what code to use. Please check with the organization requiring the background check if you have questions regarding the correct code.

Yes No

Is this request for FBI?

Your Initials:

Back To Previous Step

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

AN APPLICANT WHO KNOWINGLY GIVES A FALSE ANSWER TO ANY QUESTION OR SUBMITS FALSE INFORMATION ON, OR A FALSE DOCUMENT WITH, THE APPLICATION MAY BE PROSECUTED FOR FALSIFICATION TO OBTAIN A CONCEALED HANDGUN LICENSE, A FELONY OF THE FOURTH DEGREE, IN VIOLATION OF ORC 2921.13.

(1) I have read the publication that explains Ohio firearms laws, provides instruction in dispute resolution and explains the Ohio laws related to that matter, and provides information regarding aspects of the use of deadly force with a firearm, and I am knowledgeable of the provisions of those laws and of the information on those matters.

(2) I desire a legal means to carry a concealed handgun for defense of myself or a member of my family while engaged in lawful activity.

(3) I have never been convicted of or pleaded guilty to a crime of violence in the state of Ohio or elsewhere (if you have been convicted of or pleaded guilty to such a crime, but the records of that conviction or guilty plea have been sealed or expunged by court order or a court has granted relief pursuant to ORC 2923.14 from the disability imposed pursuant to ORC 2923.13 relative to that conviction or guilty plea, you may treat the conviction or guilty plea for purposes of this paragraph as if it never had occurred). I am of sound mind. I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein I am subject to penalties prescribed by law. I authorize the sheriff or the sheriff’s designee to inspect only those records or documents relevant to information required for this application.

(4) The information contained in this application and all attached documents is true and correct to the best of my knowledge.

Coupon Code:

Your Initials:

Back To Previous Step

Wayne County Sheriff's Office

Fingerprints Online Scheduling / Application Please Enter All Information

IMPORTANT NOTICE:

Applicant Information:

Previous Aliases: ^{(please list all previous aliases)}

Information Related To Your Birth:

Demographic Information:

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Delivery Options:

Select Purchase Option:

Total Fee:

$0

Application Qualification Questions:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Fingerprints Online Scheduling / Application Please Enter All Information

IMPORTANT NOTICE:

Add An Address

Applicant Information:

Previous Aliases: (please list all previous aliases)

Information Related To Your Birth:

Demographic Information:

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Work Information And Address: (enter your place of employment)

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Delivery Options:

Select Purchase Option:

Total Fee:

$0

Application Qualification Questions:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Additional Information Required

Error processing application

Donations cant be taken with cash

Previous Aliases: ^{(please list all previous aliases)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Work Information And Address: ^{(enter your place of employment)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}