Information Technology Vendor

Employee Name______

Vendor Name ______

Vendor Contact Person ______

Vendor Contact Telephone Number ______

PSP Project, Application, or System______

Commonwealth of Pennsylvania

Vendor Fingerprint Authorization Letter

The possessor of this Vendor Fingerprint Authorization Letter is an employee of an information technology vendor contracted to complete work on Pennsylvania State Police (PSP) network systems that have access to the Commonwealth Law Enforcement Assistance Network/National Crime Information Center (CLEAN/NCIC) and/or Criminal History Record Information (CHRI). The vendor/contractor employee must take this Vendor Fingerprint Authorization Letter to a PSP Stationin order to be fingerprinted. The vendor/contractor employee must provide a valid photo driver's license, passport, or other acceptable photo identification, along witha vendor identification card or other proof of employment when they appear for fingerprinting.

Fingerprintingshall be completed at any PSP Station. A complete list of PSP Station locations is available on the PSPpublic website at under the “Public Services” tab. The vendor/contractor and/or their employee must contact the appropriate PSP Station to schedule an appointment to be fingerprinted. The fingerprinting process will take approximately 30 minutes.

Procedures for Fingerprinting Vendors

LiveScan/electronic fingerprinting machine procedures:

  • Select “Applicant” from menu. Applicant type: Criminal Justice Employment.
  • Originating Agency ORI: Use live scandefault.
  • Controlling Agency Identifier: PAPSP0015.
  • Enter demographics. Roll fingerprints.
  • State and Federal responses will be returned to both ORIs listed.

Ink procedures(only used if alive scan machine is unavailable):

  • Roll fingerprints on a blue and white FBI Applicant Fingerprint Card, Form FD-258.
  • Ensure all mandatory fields listed below are completed.

Mandatory Fields:

  • ORI: PAPSP0015—PSP CLEAN/ADMIN SECTION.
  • First and Last Name, DOB, SSN. All identifiers (e.g., sex, race, height, etc.).
  • Home Address,Present Employer, and Employer's Address.
  • REASON FINGERPRINTED: “Criminal Justice Employment.” NOTE: This must be hand printed on the FBI Applicant Fingerprint Card.

In those instances wherealive scan machine is unavailable, the completed fingerprint card and Vendor Fingerprint Authorization Letter shall be mailed to: PSP Fingerprint Card Query Mailing Unit, 1800 Elmerton Ave., Harrisburg, PA 17110,by the PSP personnel taking the fingerprints. The PSP Bureau of Records and Identification will process the completed fingerprint card, and the responses will be sent to the submitting Station and the CLEAN Administrative Section, Bureau of Communications & Information Services.

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NAME OF OFFICIAL TAKING FINGERPRINTS DATE

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