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Customer Service Announcement:

bullet The office will be closed Thursday, November 23rd and Friday, November 24th in observance of the Thanksgiving day holiday, Additionally, the office will be closed Monday, December 25th, 2017 and will reopen Tuesday, January 2, 2018 in observance of the Christmas and New Year holiday's. We wish everyone a merry Christmas and healthy and prosperous New Year. 
bullet The new, on-site state-of-the-art computer lab is available to all applicant and licensees. The lab provides applicants and licensees with the necessary resources to complete and print on-line registrations and licensing applications at the time of being fingerprinted and photographed.

Livescan FingerprintingexpressRegistration
ADULT DEPENDANT CARE LICENSING
State of Maryland

mdseal

Instructions: Complete all required sections of this form. Review all information entered is correct. Click the "Register Now" button and you will prompted for payment of the required fee. In accordance with Maryland COMAR 12.15.01.14 fees associated with the requested applicant/licensing livescan service are; Electronic data terminal usage and administration processing $15.00, Certificate of Compliance $8.00 and Livescan terminal maintenance $2.00. Express registration is nonrefundable or transferable. You must appear within 30 day's of submitting your registration to be fingerprinted with a valid photo ID and copy of your paid receipt.

*CJIS Authorization Number:

*Last Name:

 *First Name:

 Middle Name:

*Date of Birth:

 yyyy-mm-dd

*Sex:

*Race:

*Height:

 5'2"=502, 5'8"=508

*Weight:

 Lbs.

*Eye Color:

*Hair Color:

*Place of Birth:

*Country of Citizenship:

*Home Address:

Complete address including City, State, Zip Code

*Phone Number:

 Driver's License Information:

Issuing State & Number