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Omb no. 1625-0040 Form: What You Should Know

CMS/OCB P/N. This is an OPTIONAL requirement.  Please complete the following information: Name; Last Name; Date of Birth (Dates are for U.S. Citizenship Only). Your name and date of birth must be in order of appearance. The correct date should not be entered earlier than the correct date of birth. Please specify whether your driver license or motor vehicle registration was suspended or revoked, or  if you have been convicted of either a misdemeanor or felony. Please specify if you have submitted any requests for a criminal record check. Please specify whether you have been convicted of a felony or misdemeanor and if so, when the offense occurred. If you answer “yes” to one or more of the questions above, you may be subject to a criminal record background check. You will be asked to complete the Criminal History Information (CHIC) form on the back of this form. If you choose, you may also print a copy of this document and send it directly to  the location where your background check is being performed. This form will be collected by the NICE Transaction Center and will be submitted to your local FBI Federal Firearms License (FFL) Branch (C&R) for processing.  If you select to provide a copy of your CHIC, no additional fees will be assessed by the NICE Transaction Center. If you select to provide an additional criminal history background check, then an additional fee can be charged, as applicable. When you submit the application, you will be asked for a photograph and/or fingerprints. Please ensure the contact information provided on the application forms is accurate and complete. If any information is incorrect,  it will be considered for exclusion. If you have questions about the process, please contact our toll-free Help Desk at 1-800-3-FBI (), or visit the National Instant Criminal Background Check System (NICE) website. You will be sent a reminder e-mail with the status of your application. You will need to answer all questions on the questionnaire and select the type of check you desire before you proceed to submit. Furthermore, you can apply for a NICE Check within the last 30 days of your eligibility for employment with the Federal Government, the Department of Homeland Security, or the United States Coast Guard.

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