1-178 (Rev. 08-07-07)
CJIS FINGERPRINTING SUPPLY REQUISITION FORM
To: Federal Bureau of Investigation Date
Attention: Logistical Support Unit (LSU), CJIS Division
1000 Custer Hollow Road
Clarksburg, WV 26306
Form Number
Description Quantity
without ORI#
Quantity
with ORI#
FD-249
Arrest and Institution Fingerprint Cards
(white card with red ink)
FD-258
Applicant Fingerprint Cards
(white card with blue ink)
MISCELLANEOUS CARDS and FORMS
Quantity
FD-353
Personal Identification Fingerprint Cards
FD-884
Palm Prints (white card with red ink)
FD-884a
Standard Supplemental Finger & Palm Print Cards (white card with red ink)
Live Scan Card Completely Blank (white card)
R-84
Final Disposition Report Form
I-12 Flash/Cancellation Notice
1-433a
Supervision Transfer Notice
ENVELOPES ( 8 3/4" X 8 3/4" self -addressed)
Quantity
Manila Envelopes: (Used in mailing Criminal & Federal applicant prints)
Blue Envelopes: (Use for mailing “direct billing” prints)
Green Envelopes: (Used when payment is enclosed with prints)
ABA Envelopes
with Packing Slip: (Used only by American Bankers Assoc.)
Orders may be faxed to (304) 625-3984
or
Submitted electronically at :
www.FBI.Gov
Click on: More Services
Click on: Fingerprint Card Orders
Service Numbers: Questions may be directed to LSU at (304) 625-3983