129 Permanent Employee Registration Card Perc New -Books Pdf

 129 Permanent Employee Registration Card PERC New
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General Information,Instructions, 1 Before completing the application package read each step This will aid you in accurately completing your application. and eliminate any delay in processing, 2 Applicant must be at least 18 years of age to apply for a PERC in an unarmed capacity. 3 Submit the appropriate security clearance documents in the form of a fingerprint background check. 4 Disclosure of your U S social security number if you have one is mandatory in accordance with 5 Illinois Compiled. Statutes 100 10 65 to obtain a license The social security number may be provided to the Illinois Department of. Public Aid to identify persons who are more than 30 days delinquent in complying with a child support order or to. the Illinois Department of Revenue to identify persons who have failed to file a tax return pay tax penalty or interest. shown in a filed return or to pay any final assessment or tax penalty or interest as required by any Tax Act. administered by the Illinois Department of Revenue or to other entities for verification of identification. 5 If you have been issued a Permanent Employee Registration Card in the past you may not apply for an. additional card The application which you submit is valid for 3 years from date of receipt If you have applied for. a Permanent Employee Registration Card within the past 3 years but did not complete the application process or. previously had a PERC card than is now expired DO NOT submit another application Contact the Division s Call Center. at 1 800 560 6420 and request the status of your application. 6 If your PERC has been lost you can print your PERC online by clicking here. 7 The PERC shall expire on May 31 2018 and every 3 years thereafter You will receive your PERC renewal by email. approximately 90 days prior to the expiration date of your PERC. Qualifications Exemptions, Detective Security Contractor Alarm Contractor or Locksmith Licensees. If you possess a valid Illinois detective security contractor alarm contractor or locksmith license then a PERC is. not required to work for a licensed agency,Peace Officer Exemption. A peace officer as defined in the Private Detective Private Alarm Private Security Fingerprint Vendor and. Locksmith Act is exempt from the requirements relating to the possession of a permanent employee registration. card PERC The employing agency shall remain responsible for any peace officer employed under this exemption. A person employed as an unarmed security guard at a nuclear energy storage weapons or development site or. facility regulated by the Nuclear Regulatory Commission who has completed the background screening and. training mandated by the rules and regulations of the Nuclear Regulatory Commission is exempt from registration. for a Permanent Employee Registration Card, If you wish to apply for the Peace Officer Exemption listed above Include a completed Peace Officer.
Exemption Form VE PEC in your application This form can be found at the back of this packet. Application Requirements,Designation Requirements Submitted. 1 Completed online application including all required information. Date and Place of Birth,Social Security Number or an SSN Affidavit. Name Change Information, 2 Record of Licensure list all other related or non related professional. licenses held in Illinois or another state s, 3 You must be at least 18 years of age to apply for a Permanent Employee. Registration Card PERC, Permanent Employee 4 Fingerprint Information the fingerprint Transaction Control Number.
Registration Card TCN from your fingerprint receipt This number is 16 characters long ONLINE. PERC with and can be found on the receipt provided by your fingerprint vendor PORTAL. Fingerprints Illinois Please keep your fingerprint receipt until your license has been issued. The IDFPR may request it if any issues in the fingerprinting process arise. 5 Personal History Information if applicable including. Criminal History,Felony Convictions,Dishonorable discharge from military service. Disease or conditions that may interfere with professional work. Denial of a prior professional license, 6 Failure to comply with a child support order defaulting on a student. loan or defaulting on taxes, 1 Completed online application including all required information. Date and Place of Birth,Social Security Number or an SSN Affidavit. Name Change Information, 2 Record of Licensure list all other related or non related professional.
licenses held in Illinois or another state s, 3 You must be at least 18 years of age to apply for a Permanent Employee. Registration Card PERC, Permanent Employee 4 Fingerprint Information the fingerprint Transaction Control Number. Registration Card TCN from your fingerprint receipt This number is 16 characters long ONLINE. PERC with and can be found on the receipt provided by your fingerprint vendor PORTAL. Fingerprints Out of Please keep your fingerprint receipt until your license has been issued. State The IDFPR may request it if any issues in the fingerprinting process arise. 5 Personal History Information if applicable including. Criminal History,Felony Convictions,Dishonorable discharge from military service. Disease or conditions that may interfere with professional work. Denial of a prior professional license, 6 Failure to comply with a child support order defaulting on a student. loan or defaulting on taxes,Designation Requirements Submitted.
1 Completed online application including all required information. Date and Place of Birth,Social Security Number or an SSN Affidavit. Name Change Information, 2 Record of Licensure list all other related or non related professional. licenses held in Illinois or another state s, Permanent Employee 3 You must be at least 18 years of age to apply for a Permanent Employee. Registration Card Registration Card PERC, 4 Peace Officer Exemption Upload a completed copy of form Verification ONLINE. of Peace Officer Exemption VE PEC PORTAL,Fingerprints Out of.
State 5 Personal History Information if applicable including. Criminal History,Felony Convictions,Dishonorable discharge from military service. Disease or conditions that may interfere with professional work. Denial of a prior professional license, 6 Failure to comply with a child support order defaulting on a student. loan or defaulting on taxes if applicable,Application Fees. Fees collected through the licensing process are NOT REFUNDABLE OR TRANSFERABLE. Complete License Type Submitted,ALL ONLINE, 129 Permanent Employee Registration Card PERC 55 00. DESIGNATIONS PORTAL, NOTES All major credit and debit cards as well as ACH and eCheck are accepted.
Security Clearance Information, Individuals applying for licensure for professions that require fingerprints must submit to a criminal background check. and provide evidence of fingerprint processing from a fingerprint vendor licensed by the Department Fingerprints must. be taken within 60 days from the date that the application is submitted to the Department or the Department s testing. Illinois Fingerprint Vendors, 1 Applicants may contact a licensed fingerprint vendor to schedule an appointment for fingerprinting by clicking. here The Illinois State Police will transmit electronic results of fingerprint processing to the Department. Applicants fingerprinted in Illinois will no longer be required to submit a physical copy of their live scan. receipt as a part of their initial license application Instead they will be required to enter their 16 digit. Transaction Control Number TCN found on the fingerprint receipt issued by their licensed fingerprint. Applicants should still retain a copy of this fingerprint receipt until their license has been issued as the. Department may request a copy of it if any issues in the fingerprinting process arise during the application. Out of State Fingerprint Vendors, Out of State applicants who are unable to schedule an appointment for fingerprinting through a licensed fingerprint. vendor need to complete the following steps, 1 Obtain one 1 Illinois State Police ISP Fee Applicant Card for processing Applicants may contact the. Department at 1 800 560 6420 or send an email request on your profession page of the Department website at. http www idfpr com The ISP will transmit electronic results of the fingerprint processing to the Department. 2 Complete Section 1 of the Identity Verification Certifying Statement form OOS FP See the end of this packet. for form OOS FP, 3 The Fee Applicant Card shall be taken to a police department in another state to obtain classifiable prints.
4 Section 2 of the Identity Verification Certifying Statement form OOS FP shall be completed and signed by the. police department, 5 Click here to select a licensed Illinois fingerprint vendor that has Card Scan capability Contact the vendor to. determine the fee for a Card Scan, 6 Mail the original Identity Verification Certifying Statement form OOS FP with Sections 1 and 2 completed. Fee Applicant Card and fingerprint fee to the licensed fingerprint vendor selected from the Division of. Professional Regulation website, 7 To verify applicants have completed the fingerprinting process IDFPR will require applicants to enter the 16 digit. Transaction Control Number TCN found on their Fee Applicant Card issued by the Illinois State Police This. number can be found in the upper right hand corner of the Fee Applicant Card and begins with the letters. Applicants should still retain a copy of all OOS FP related forms until their license has been issued as the. Department may request a copy of it if any issues in the fingerprinting process arise during the application. IMPORTANT NOTICE Completion of,this form is necessary for licensure. employment under provision set forth,IDENTITY VERIFICATION CERTIFYING.
within the Illinois Compiled Statutes or,other related Federal laws Disclosure. of this information is VOLUNTARY STATEMENT,However failure to comply may result. in the denial of your application, Pursuant to Title 68 Part 1240 535 of the Private Detective Private Alarm Private Security Fingerprint Vendor and. Locksmith Act of 2004 Rules fingerprint vendors are required to confirm identity of the individual seeking to be finger. printed This identity verification form must be completed for out of state residents applying for licensure employment in. the State of Illinois This form will be utilized to confirm the personal identifying information being placed on the Illinois. State Police ISP Fee Applicant fingerprint card form number ISP 404 The out of state agency chosen to take your. fingerprints must complete this form as written confirmation that a valid government issued drivers license or State ID. was presented and that the identification provided belongs to the individual being fingerprinted. Instructions This form must be submitted along with a manual Fee Applicant fingerprint card to which your finger. prints have been applied to a licensed live scan fingerprint vendor in the State of Illinois possessing Scan Card capa. bility to ensure electronic transmission of the Fee Applicant fingerprint card The electronic transmission of fingerprints. to the ISP is mandated pursuant to Title 20 Part 1265 Electronic Transmission of Fingerprints The manual submis. sion of fingerprints to ISP is no longer acceptable Once your fingerprints have been taken a signed original of this. form must be attached to your Fee Applicant fingerprint card and submitted to an Illinois licensed live scan fingerprint. vendor As well an additional copy may be required to be submitted to the requesting State Agency along with any ad. ditional application or required documentation specified by the State Agency. Section 1 Applicant Information All fields mandatory. LAST NAME FIRST MIDDLE PHONE NUMBER, MAIDEN NAME GIVEN SURNAME POSITION REASON FINGERPRINTED NURSE DOCTOR SECURITY GUARD ETC. ADDRESS STREET CITY STATE ZIP DATE OF BIRTH SOCIAL SECURITY NUMBER. Section 2 Certifying Agency Taking Fingerprints Include TCN from Fee Applicant card. AGENCY NAME,DATE FINGERPRINT TAKEN CONTACT PHONE NUMBER.
PRINTING AGENT S NAME LAST FIRST, I have compared the government issued identification presented by the applicant and attest that to the. best determination I have fingerprinted the same individual Must be checked to certify. PRINTING AGENT S SIGNATURE,Illinois Live Scan Fingerprint Vendor Information. Section 3 Fingerprint Vendor Agency Name,LIVE SCAN FP AGENCY NAME. REQUESTING STATE AGENCY REQUESTING STATE AGENCY ORI. DATE FINGERPRINTS SUBMITTED TO ISP COST CENTER USED. IL486 2222 4 15, IMPORTANT NOTICE Completion of this form SUPPORTING DOCUMENT. is necessary for consideration for licensure under. PEACE OFFICER EMPLOYMENT,225 ILCS 447 1 et seg Illinois Compiled Statutes.
Disclosure of this information is VOLUNTARY, However failure to comply may result in this form VERIFICATION. not being processed, Persons retired from a peace of cer position within 1 year of application are exempt from the ngerprint requirement for a. permanent employment registration card PERC If you meet the conditions of a Peace Of cer complete the applicant section. of this form and forward it to the Law Enforcement Agency Department for whom you worked for completion After it is. completed return it to this Department in lieu of the ngerprint cards The employing agency shall remain responsible for any. peace of cer employed under this exemption for a PERC regardless if the peace of cer is compensated as an employee or an. independent contractor, Peace Officer means any person who by virtue of his her office or public employment is vested by law with a duty to maintain public order. or to make arrests for offenses whether that duty extends to all offenses or is limited to specific offenses officers agents or employees of. the federal government commissioned by federal statute to make arrests for violations of federal laws shall be considered peace of cers. APPLICANT SECTION, 1 LAST NAME FIRST NAME MIDDLE NAME 2 DATE OF BIRTH. Month Day Year, 3 BADGE OR IDENTIFICATION NUMBER 3 US SOCIAL SECURITY NUMBER.
I hereby authorize to furnish to the Illinois Department of. Name of Law Enforcement Agency Department, Financial and Professional Regulation or its designated testing service the information requested below. Signature Date, Complete this section and return it for inclusion in the. LAW ENFORCEMENT AGENCY SECTION,professional s license application. A NAME OF SUPERVISOR PERSONNEL OFFICER B NAME OF LAW ENFORCEMENT AGENCY OR DEPARTMENT. C BUSINESS PHONE NUMBER D BUSINESS ADDRESS STREET CITY STATE ZIP CODE. E Date Applicant Retired from Law Enforcement Agency Department. Month Day Year, I do hereby declare that the information I have recorded is true and correct. PRINT NAME OF SUPERVISOR PERSONNEL OFFICER,Signature Date.
IL486 1578 12 15 DE,EMPLOYEE NUMBER,IMPORTANT NOTICE Completion of this form. is necessary to accomplish the requirements EMPLOYEE S STATEMENT. outlined in 225 ILCS 447 1 et seq Illinois,Compiled Statutes Disclosure of this information. To be retained in employee s personnel file by the em DATE OF EMPLOYMENT. is REQUIRED Failure to provide any information ploying agency. will result in this form not being processed, NAME AND ADDRESS OF EMPLOYING AGENCY NAME OF EMPLOYEE SOCIAL SECURITY NUMBER. ADDRESS OF EMPLOYEE Include Street City State and ZIP Code. DATE OF BIRTH Month Day Year PLACE OF BIRTH,E MAIL ADDRESS REQUIRED. Have you been convicted of or pled guilty or nolo contendere to any criminal offense in any state or in Yes No. federal court Please do not give details on minor traffic charges but do include information relating to. Driving While Intoxicated DWI charges If yes attach a certified copy of the court records regarding your. conviction the nature of the offense and date of discharge if applicable as well as a statement from the. probation or parole office, Have you ever been discharged other than honorably from the armed services or from a city county state.
or federal position If yes attach explanation Yes No. Do you have any disease or condition that interferes with your ability to perform the essential functions of. your profession including any disease or condition generally regarded as chronic by the medical community. i e 1 mental or emotional disease or condition 2 alcohol or other substance abuse 3 physical disease Yes No. or condition that presently interferes with your ability to practice your profession If yes attach a detailed. statement including an explanation whether or not you are currently under treatment. Have you ever had a license or registration denied suspended or revoked under the Illinois Private Detective. Private Alarm Private Security Fingerprint Vendor and Locksmith Act Yes No. If yes attach explanation, Please state business or occupation engaged in for the five 5 years immediately preceding the date of execution of this. statement the location of such business or occupation and the names of employers if any.


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