Halifax County Sheriff's Office Fingerprinting

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

A non-refundable processing fee of $25.00 is required. In addition, a convenience fee of $4.00 is required to process payment if paying online and using a credit/debit card.

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:

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:

^Cell:

^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

Reason for Request of Fingerprinting:

Employment Screening / Pre-screening Confirm Identity Weapons Permit Other

Select Purchase Option:

1 Fingerprint Card 2 Fingerprint Cards 3 Fingerprint Cards

Total Fee:

$0

Your Initials:

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

To Reserve An Appointment Select The Date & Time Below

← prior month
← prior

next month→
next →

None Selected

YES! I would like to make a donation to support the Sheriffs across North Carolina by donating to the NC Sheriffs' Association.

Through your donation you will receive timely e-mail updates from the North Carolina Sheriffs’ Association on important gun law changes on both the state and federal levels that affect you.

Donation Amount:

I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY FALSIFICATION OF THE ABOVE INFORMATION WILL RESULT IN THE REFUSAL OF MY APPLICATION FOR A CONCEALED HANDGUN PERMIT. IN ADDITION, BY SUBMITTING THIS APPLICATION, I AUTHORIZE THE HALIFAX COUNTY CLERK OF COURTS TO RELEASE MENTAL HEALTH INFORMATION TO THE HALIFAX COUNTY SHERIFF'S OFFICE. CAUTION: FEDERAL LAW AND STATE LAW ON THE POSSESSION OF HANDGUNS AND FIREARMS DIFFER.

Coupon Code:

Your Initials:

Back To Step 1

Halifax County Sheriff's Office
Step 1, Please Enter All Information

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)}

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)}

Reason for Request of Fingerprinting:

Select Purchase Option:

Total Fee:

$0

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

To Reserve An Appointment Select The Date & Time Below

Please select a time below:

Halifax County Sheriff's Office Step 1, Please Enter All Information

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)

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)

Reason for Request of Fingerprinting:

Select Purchase Option:

Total Fee:

$0

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

To Reserve An Appointment Select The Date & Time Below

Please select a time below:

Your Appointment Choice Is:

Additional Information Required

Error processing application

Attention:

Halifax County Sheriff's Office
Step 1, Please Enter All Information

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

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