Fingerprinting - Request Form

*First Name:
*Last Name:
Address1:
Address2:
City:
State:
Zip:
*Phone:
*Email:
How would you like us to confirm your appointment
 Phone  Email
Occupation:  
Service  Ohio BCI  Ohio BCI and FBI  FBI Only
Payment:  
Money Order Amex Visa Mastercard
(Only forms of payment accepted, please bring payment with you at time of service)
Reason for Fingerprint:
Schedule: *Date:
*Time:

* = required field

EmployeeScreenIQ also has a mobile system that can be transported to any location in NE Ohio. Minimum number of 20 fingerprint subjects required. Please contact us at (800) 235-3954 or email us at fp@employeescreen.com for more information. 

Our Technology

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From setting up an account to getting quick results we make it easy for you to streamline your screening program without sacrificing quality. Check out our video to learn more.