Download:
pdf |
pdfLEAVE BLANK
SF 87 (REV. DECEMBER
2017) US OFFICE OF
PERSONNEL
MANAGEMENT
E.O. 10450
SIGNATURE OF PERSON FINGERPRINTED
RESIDENCE OF PERSON FINGERPRINTED
TYPE OR PRINT ALL INFORMATION IN BLACK
LAST NAME
NAM
FIRST NAME
O
R
I
LEAVE BLANK
SERIAL NO. (OPM USE ONLY) OCA
S
O
N
S
O
I
IPAC
ALIASES AKA
DATE
FBI
MIDDLE NAME
DATE OF BIRTH DOB
MONTH
DAY
MISCELLANEOUS NO. MNU
SEX
RACE
HGT.
WGT.
EYES
HAIR PLACE OF BIRTH POB
SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
LEAVE BLANK
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
CLASS
REF.
1. R. THUMB
2. R. INDEX
3. R. MIDDLE
4. R. RING
5. R. LITTLE
6. L. THUMB
7. L. INDEX
8. L. MIDDDLE
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 OPM is requesting the information on this form.
Authority: OPM is authorized to collect the information requested on this form, including your Social Security number, pursuant to 5 U.S.C. §§ 3301,
3302, and 9101; and Executive Orders 8781, 10450, 10577, and 12968.
Purpose: OPM 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 determining your fitness for Federal employment or a security clearance. It may also be used for searches of other law
enforcement agencies’ fingerprint files for the same purpose.
Routine Uses: The information on this form may be shared externally as a “routine use” with other government agencies, contractors, and commercial
entities in order to determine your qualifications, suitability, and security access; and for other purposes permitted by the Privacy Act. A complete list of
the routine uses can be found in the applicable system of records notice, OPM/Central 9 Personnel Investigations Records, 81 Fed. Reg. 70193
(Oct. 11, 2016).
Consequences of Failure to Provide Information: Providing this information is voluntary. However, failure to provide the requested information may
delay or prevent your eligibility for employment, a clearance or a credential. An intentional misstatement or omission will negatively affect your
employment, up to and including removal and debarment. In addition, knowingly providing false information may be punishable by law (title 18,
U.S. Code, section 1001).
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 U.S. Office of Personnel Management, Federal Investigative
Services, Attn: OMB Number 3206-0150, 1900 E Street, N.W., Washington, DC 20415. The OMB Number 3206-0150 is currently valid.
OPM may not collect this information and you are not required to respond unless this number is displayed.
SF 87 (REV. DECEMBER 2017)
NSN 7540-00-634-4037
ALL OTHER PREVIOUS EDITIONS UNUSABLE
FORM APPROVED
87-207
✩ OMB NO. 3206-0150
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 | 2017-11-29 |
File Created | 2017-11-29 |