You can now submit name check searches to the FBI (Federal Bureau
of Investigation).
It is no longer necessary to contact the Illinois State Police to conduct this
Please use the attached form and fill out the information needed. Please read
the instructions on the back to complete the form.
Please complete the attached form to request a name check. Please be advised that an
individual’s fingerprints must be rejected twice for technical issues prior to requesting a
name check.
ORI of State/Federal/Regulatory Agency: ____________
Your agency’s Point of Contact (POC) for the response: _____
Phone Number of POC: ________________________
Fax Number of POC:
Address of requesting agency: ____________________
Please fax _____ or mail _____ my response to this request.
Subject of Name Check
Transaction Control Number (TCN) of subject’s fingerprint submission:
1) _______________________
2) _______________________
Name: ________________________________ Alias: ___________________________
Date of Birth: _____________
Place of Birth: _____________________
Sex: _____ Race: _____ Height: _____ Weight: ______ Eyes: ______ Hair: _______
Social Security Number: __________________ Miscellaneous Number: ____________
State Identification Number: ________________ OCA: _______________________
CJIS Name Search Request Procedures
The Name Search Request form should be used by Agencies for non-criminal justice
purposes in those instances where the fingerprints have been twice rejected.
Agencies will be required to provide the Transaction Control Number of the rejected
fingerprint submissions as well as the Originating Agency Identifier of the
Contributing agency. The FBI will confirm that the subject of a name check request
90 days after the second fingerprint rejection. After the name checks are completed,
have the results faxed or sent by mail. If candidates are generated during the name
search record, then agencies will be provided a mailed copy of the criminal history
record. Contributors should complete the form and mail to the following address or
fax to the following number:
FBI CJIS Division
Identification and Investigative Services Section
Module E-2
1000 Custer Hollow Road
Clarksburg, WV 26306
Attention: Name Check Request
The form can also be faxed to: (304) 625-5102, Attention: Name Check
Should you have any questions regarding this notice, please contact the Identification
and Investigative Services Section Liaison Office at (304) 625-5590.