Office of Children and Family Services | Home | OCFS
WAIVER FOR SUBMISSION OF A DUPLICATE FINGERPRINT CARD. Please Print Clearly or Type Information. 1. Last Name. 2. First Name. 3. M.I. 4. Sex. Female. Male 5. Date of Birth. Month Day Year 6. Alias or Maiden Name . 7. Street Address . 8. Check here if this is a new address 9. City/State Address. 10. Zip Code . 11. New Facility/Provider ID# 12. ................
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