Form 1-791 FBI Name Checks For Fingerprint Submission Rejected Twic

FBI Name Checks for Fingerprint Submissions
Rejected Twice Due to Image Quality
When can I request a Name Check?

A Name Check can be requested when the fingerprints have been rejected twice for image
quality by the FBI’s Criminal Justice Information Services (CJIS) Division.

Who can request a Name Check?

The Name Check is limited to state, federal, and regulatory agencies that already have legal
authority to submit fingerprints for non-criminal justice purposes.

If you have submitted fingerprints as part of the Departmental Order Process, please refer to
this site: www.fbi.gov/about-us/cjis/identity-history-summary-checks

How do I get the Name Check procedure started?

Complete the attached Name Check request form and submit via one of the following methods:
• Fax: (304) 625-5102
• Email: [email protected]
• Mail:
FBI CJIS Division
Attn: Name Check Request
1000 Custer Hollow Road
Clarksburg, WV 26306

What do I need to include with my Name Check request?
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Reason for request: Adoption, Foster Care/Child Placement, Double Amputee, or Other.
(Double amputee requests also require a fingerprint card with “AMP” stamped in each
fingerprint block and all biographic data completed on the card.)
The Originating Agency Identifier (ORI) of the agency and corresponding address.
Contact information for the agency including agency preference for receipt of the results, either
by fax or email.
The Transaction Control Number(s) [TCNs], name, date of birth, sex, and race from the rejected
fingerprint submissions. (Exception: TCNs are not required for double amputee requests.)

NOTE: If a candidate is identified to an existing criminal record, the requesting agency will be
provided with a copy of the Identity History Summary Report (IdHS).

Is there a time limit for obtaining these Name Checks?

Yes. The Name Check request must be submitted within 90 days of the last rejection date. The
first rejection must be within 1 year prior to the second rejection.

Who can I contact if I have further questions about the Name Check process?

Should you have any questions, please contact the Biometric Services Section (BSS) Customer
Service line at (304) 625-5590 between the hours of 8:00am and 5:00pm Eastern Standard Time,
Monday through Friday. You may also call the Name Check informational line at (304) 625-9450
that will provide you with the date that the FBI is currently processing as we process in order
received.

1-791 (Rev. 12/15/2017)
OMB 1110-0060

CJIS NAME CHECK REQUEST
*Reason for Request:
_____Adoption
_____Foster Care/Child Placement
_____Double Amputee
_____Other (employment, licensing, etc.)
Please complete this form to request a name check. Please be advised that an individual's
fingerprints must be rejected twice for image quality prior to requesting a name check. PLEASE
TYPE OR PRINT CLEARLY
*ORI of State/Federal/Regulatory Agency: __________________________________
*Name and Address of requesting agency:
Name:

______________________________________________________

Address:

______________________________________________________

*Your agency's Point of Contact (POC) for the response: __________________________
*Phone number of POC: ________________________
*Choose your preferred method of receiving responses:
Fax number of POC: __________________________
Email address: _______________________________

PLEASE COMPLETE ALL OF THE ABOVE FIELDS

Subject of Name Check
*Two TCN’s (E#s) of the subject’s fingerprint submission:
(1) _______________________________

(2) _______________________________

*Name: _______________________________ Alias: ________________________________
*Date of Birth: ___________________ Place of Birth: ________ *Sex: ____ *Race: ____
Social Security Number: ______________________ Miscellaneous Number: _____________
State Identification Number: ____________________ OCA: __________________________
*Please note the asterisked fields are required for Name Check searches. The results provided will
be the result of the biographic information included in the original fingerprint submission.