Fingerprint Check Instructions Form

FINGERPRINT CHECK INSTRUCTIONS AND SERVICE AGREEMENT

Client Name:    Provider Name:

Effective Date:

WHEREAS

WHEREAS, Requesting Entity named above requires fingerprint-based background checks, identity verification, and related processing for individuals engaged by Requesting Entity; and

WHEREAS, Provider is duly authorized, qualified, and equipped to collect fingerprints, submit electronic and/or ink-based fingerprints to authorized repositories, and to receive and report results to Requesting Entity in accordance with applicable legal requirements; and

WHEREAS, the parties desire to set forth the instructions, scope, payment terms and contractual terms governing the performance of fingerprinting services.

SCOPE OF WORK

Provider shall perform fingerprint collection, processing, submission to the appropriate criminal history repositories, and delivery of results to Requesting Entity in accordance with the specifications set forth below. Provider shall comply with applicable statutes, rules, and technical requirements for electronic or ink-card submission.

FINGERPRINT COLLECTION INSTRUCTIONS

Appointment Location / Address:

Typical Hours of Operation:

Processing Time Estimate:

Government-issued photo ID (driver's license, passport)

Secondary ID (if required)

Proof of address (if required)

Accepted payment method confirmation required at appointment

PAYMENT TERMS

Fee Per Individual: $

Late Payment Fee:

TERM AND TERMINATION

Contract Start Date:    Contract End Date:

Either party may terminate this Agreement for convenience upon written notice to the other party delivered at least days prior to the intended termination date.

Termination for Cause: Either party may immediately terminate for material breach if the breaching party fails to cure within a commercially reasonable period not to exceed 30 days after written notice.

CONFIDENTIALITY

The parties acknowledge that any criminal history information, personal identifiers, and background check results are confidential and subject to applicable privacy and record-control laws. Provider shall limit disclosure of such information to Requesting Entity and authorized personnel and shall implement reasonable administrative, physical and technical safeguards to protect confidentiality.

Confidentiality Period (retention after final report):

APPLICANT AUTHORIZATION AND INFORMATION

Requesting Entity represents that it has obtained all necessary consents and authorizations from the individuals whose fingerprints will be collected. Provider will rely on Requesting Entity's confirmation of such consent and will not be responsible for third-party consent deficiencies.

Date of Birth:    ID Type Presented:

ID Number (record only last 4 digits where required):

DATA RETENTION, DESTRUCTION, AND RECORDS

Provider shall retain fingerprint records and associated reports only for the period required by law or as instructed in writing by Requesting Entity. Upon expiration of the retention period Provider shall securely destroy or return records as directed by Requesting Entity.

Retention Period:

INDEMNIFICATION

Each party agrees to indemnify, defend and hold harmless the other party from and against any claims, liabilities, losses, damages or expenses arising from the indemnifying party's negligent acts, omissions, or willful misconduct in connection with performance of this Agreement, except to the extent caused by the indemnitee's own negligence or willful misconduct.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement, including any attachments and instructions executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written.

NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses specified above, or to such other address as either party may designate in writing.

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