I-783 (Rev. 04-02-2014) OMB-1110-0052 PRIVACY ACT ...
Mail the signed applicant information form, fingerprint card, and payment of $18 U.S. dollars to the following address: FBI CJIS Division – Summary Request 1000 Custer Hollow Road Clarksburg, West Virginia 26306 You may request a copy of your own Identity History Summary to review it or obtain a change, correction, or an update to the summary. ................
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