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pdfSF 87 (REV. OCTOBER 2019)
US DEPT OF DEFENSE
E.O. 13869
LEAVE BLANK
TYPE OR PRINT ALL INFORMATION IN BLACK
LAST NAME
NAM
FIRST NAME
SIGNATURE OF PERSON FINGERPRINTED
O
R
I
RESIDENCE OF PERSON FINGERPRINTED
S
O
N
LEAVE BLANK
SERIAL NO. (DOD USE ONLY) OCA
S
O
I
IPAC
MISCELLANEOUS NO. MNU
SEX
ALIASES AKA
DATE
FBI
MIDDLE NAME
HGT.
WGT.
EYES
DATE OF BIRTH DOB
MONTH
DAY
HAIR PLACE OF BIRTH POB
SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
RACE (SELECT ONE OR MORE)
TITLE AND ADDRESS
SCARS, MARKS, AND TATTOOS
POSITION TO WHICH APPOINTED
FBI NO. FBI
DEPARTMENT, BUREAU, AND DUTY STATION (CITY AND STATE)
SOCIAL SECURITY NO. SOC
LEAVE BLANK
___ AMERICAN INDIAN OR ALASKA NATIVE
___ ASIAN
___ BLACK OR AFRICAN AMERICAN
CLASS
___ HISPANIC OR LATINO
___ NATIVE HAWAIIAN OR OTHER PACIFIC
I
REF.
ISLANDER
___ WHITE
1. R. THUMB
2. R. INDEX
3. R. MIDDLE
4. R. RING
5. R. LITTLE
6. L. THUMB
7. L. INDEX
8.L. MIDDLE
9. L. RING
10. L. LITTLE
LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY
L. THUMB
R. THUMB
RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
YEAR
INSTRUCTIONS FOR OBTAINING CLASSIFIABLE FINGERPRINTS ON STANDARD FORM 87, FINGERPRINT CHART
1. USE PRINTER’S INK.
(OTHER PATTERNS OCCUR INFREQUENTLY AND ARE NOT SHOWN HERE)
2 DISTRIBUTE INK EVENLY ON INKING SLAB.
(A) A DELTA (Δ) IS THE POINT AT WHICH THE LINES FORMING THE LOOP OR WHORL
PATTERN SPREAD AND BEGIN GOING IN DIFFERENT DIRECTIONS. ALL LOOP PRINTS
HAVE ONE DELTA. WHORL PRINTS HAVE TWO.
3. WASH AND DRY FINGERS THOROUGHLY.
(B) LOOP PRINTS CANNOT BE CLASSIFIED UNLESS THE CENTER OF THE LOOP AND DELTA,
AND THE LINES BETWEEN THEM, ARE CLEAR.
4. ROLL FINGERS FROM NAIL TO NAIL AND AVOID ALLOWING FINGERS TO SLIP.
5. BE SURE IMPRESSIONS ARE RECORDED IN CORRECT ORDER.
6. IF AN AMPUTATION OR DEFORMITY MAKES IT IMPOSSIBLE TO PRINT A FINGER,
MAKE A NOTATION TO THAT EFFECT IN THE INDIVIDUAL FINGER BLOCK.
7. IF SOME PHYSICAL CONDITION MAKES IT IMPOSSIBLE TO OBTAIN PERFECT
IMPRESSIONS, SUBMIT THE BEST THAT CAN BE OBTAINED WITH A MEMO
STAPLED TO THE CARD EXPLAINING THE CIRCUMSTANCES.
(D) ARCH FINGERPRINTS CAN BE CLASSIFIED IF A SUFFICIENTLY CLEAR IMPRESSION IS
OBTAINED TO PERMIT IDENTIFICATION OF THE PATTERN AS BEING AN ARCH.
9. IF, UPON EXAMINATION, IT APPEARS THAT ANY OF THE IMPRESSIONS CANNOT BE
CLASSIFIED, NEW PRINTS SHOULD BE MADE. IF NOT MORE THAN THREE IMPRESSIONS
ARE UNCLASSIFIABLE, NEW PRINTS OF THESE FINGERS MAY BE TAKEN AND PASTED
OVER THE DEFECTIVE ONES. IF MORE THAN THREE ARE UNCLASSIFIABLE MAKE A NEW
CHART.
8. EXAMINE THE COMPLETED PRINTS TO SEE IF THEY CAN BE CLASSIFIED,
BEARING IN MIND THE FOLLOWING; MOST FINGERPRINTS FALL INTO THE
PATTERNS SHOWN BELOW:
1. LOOP
(C) WHORL PRINTS CANNOT BE CLASSIFIED UNLESS THE TWO DELTAS, AND THE LINES
CONNECTING THE DELTAS, ARE CLEAR.
2. WHORL
3. ARCH
CENTER
OF LOOP
▼
DELTA
▲
▼
▲
DELTA
▼
THESE LINES RUNNING BETWEEN
DELTAS MUST BE CLEAR
THE LINES BETWEEN CENTER OF
LOOP AND DELTA MUST SHOW
PRIVACY ACT STATEMENT
Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why the DoD is requesting the information on this form.
Authority: The Defense Counterintelligence and Security Agency (DCSA) is authorized to collect the information requested on this form, including
your Social Security number, pursuant to Section 925 of Public Law 115-91; Executive Orders 8781, and 9397 as amended, and Executive Order
13467 as amended by Executive Order 13869.
Purpose: DCSA is requesting this information in connection with your background investigation and will use it to search the Federal Bureau of
Investigation’s fingerprint files in connection with investigating and determining your initial or continued: eligibility for access to classified national
security information or assignment to positions with sensitive duties, enlistment or appointment into military service, suitability for federal
employment, fitness for assignment to work under contract for or on behalf of the government, or eligibility for physical or logical access to U.S.
Government systems or facilities. This information may also be used for searches of other law enforcement agencies’ fingerprint files for the same
purpose.
Routine Uses: The information on this form will be shared with the Federal Bureau of Investigation, and may be shared by DCSA as a routine use with
other government agencies, and commercial entities as part of a background investigation conducted to verify your identity, for any of the purposes
described in the “PURPOSE” section above; and, for other purposes permitted under subsection (b) of the Privacy Act of 1974, as amended (5 USC
§552a). A complete list of the routine uses can be found in the system of records notice for the Department of Defense Personnel Vetting Records
System, “DUSDI 02-DoD”, at https://www.federalregister.gov/documents/2018/10/17/2018-22508/privacy-act-of-1974-system-of-records. You may also
wish to refer to the FBI’s Privacy Act Statement here: https://www.fbi.gov/services/cjis/compact-council/privacy-act-statement
Consequences of Failure to Provide Information: Disclosure is voluntary. However, failure to provide the requested information may delay or
prevent a determination regarding qualifications, suitability, eligibility or fitness.
PUBLIC BURDEN STATEMENT
We estimate the Public Burden for this collection of information is approximately five minutes per response. This includes time for reviewing the
instructions, completing the form, and the actual fingerprinting. Send comments regarding our estimate or any other aspect of this form, including
suggestions for reducing completion time, to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to
any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
SF 87 (REV. OCTOBER 2019)
NSN 7540-00-634-4037
ALL OTHER PREVIOUS EDITIONS UNUSABLE
FORM APPROVED
✩ OMB NO. 0705-0002
87-207
Exp. XX/XX/202X
PRINTED ON RECYCLED PAPER
ARCHES HAVE NO DELTAS
THIS SPACE FOR FBI USE
File Type | application/pdf |
File Title | SF 87-FINAL to GSA for PRINT--11-19-13, Change to Purpose and PA.pdf |
Author | MLDemari |
File Modified | 2020-10-21 |
File Created | 2017-11-29 |