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Customer Service Announcement:

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
State of Maryland


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.  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.

*License Title:

 (ie."Board of Physicians, "Social Worker" etc.)

*ORI Number:

*CJIS Authorization Number:

*Last Name:


*First Name:

 Middle Name:

*Date of Birth:







 5'2"=502, 5'8"=508



*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