FP-1020 05/22 Page 1 of 1 Kansas Department for Children and Families
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the signed Fingerprint Waiver 3) Mail in Address: Office of Background Investigations, Kansas Dept for
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/DCF Required Forms.pdf
Revised 06/2022 Waiver and FBI Privacy Act Statement without ID verification
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Fingerprint-Based Record Checks for Noncriminal Justice Purposes
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I hereby authorize (Name of Authorized
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/Waiver and Privacy Agreement.pdf
THIS AGENCY HAS BEEN APPROVED BY THE KBI TO SUBMIT FINGERPRINTS ELECTRONICALLY
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PLEASE SUBMIT COMPLETED FINGERPRINT SUBMISSION VIA LIVESCAN
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Failure to follow instructions may result in
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/LEA-DCF Forms.pdf