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

non-refundable processing fee of $10.00 is required. In addition, a service fee of $4.00 is required to process payment if paying online and using a credit/debit card.

Applicant Information:

Previous Aliases: (please list all previous aliases)
Previous Last Name Previous First Name Previous Middle Name

Information Related To Your Birth:


Demographic Information:

feet inches

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)

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:


Select Purchase Option:


Total Fee:

$0

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 TO COMPLETE THE PROCESS OF FINGERPRINTING.

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

To Reserve An Appointment Select The Date & Time Below
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  • Your Appointment Choice Is:

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.

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 PURCHASE PERMIT. IN ADDITION, BY SUBMITTING THIS APPLICATION, I AUTHORIZE THE DUPLIN COUNTY CLERK OF COURTS TO RELEASE MENTAL HEALTH INFORMATION TO THE DUPLIN COUNTY SHERIFF'S OFFICE. CAUTION: FEDERAL LAW AND STATE LAW ON THE POSSESSION OF HANDGUNS AND FIREARMS DIFFER.

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