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Important Update: Licensing System Now Live

The North Dakota Board of Nursing is excited to announce that our new licensing system is now live. You can access the system by clicking "Nurse Portal" in the below navigation bar. Learn more by reading our news release at: https://www.ndbon.org/article.asp?id=190.

Criminal History Record Check (CHRC) Instructions

After reviewing the instruction below visit the quick checklist (make this a link to the CHRC Helpful Check List to avoid rejection of CHRC packet) document to ensure accuracy.

  1. Submit an application
  2. Contact your local law enforcement agency or a private agency that provides fingerprinting services to make an appointment to be fingerprinted
    • Fee for fingerprinting will vary depending upon agency charges
    • Agencies and law enforcement must use the standard FBI Applicant card (FD-258) for fingerprints
  3. Download and complete the Criminal History Record Check form available at the bottom of this page
    • Complete the last section titled "To be Completed by Subject of Record Check" only
    • Sign and date the form
    • Completed fingerprint cards (from the law enforcement agency/private agency)
    • TWO completed fingerprint cards if ink and roll
    • ONE completed fingerprint card if electronic (electronic means the fingerprints are electronically scanned and printed onto the fingerprint cards. Applicants are still required to mail in the hard copy of the fingerprint cards)
    • Do not fold fingerprint cards
    • Money Order, Cashier Check, or personal check for $41.25, with a current date, and must be made payable to ND Attorney General
  4. Mail the form to the North Dakota Board of Nursing
    North Dakota Board of Nursing
    919 S 7th Street, Suite 504
    Bismarck, ND 58504
  5. NDBON will submit the completed form, fee, and fingerprint cards to Bureau of Criminal Investigations (BCI).
    • BCI will return the background check results to NDBON
    • If fingerprints are rejected by BCI, NDBON will notify the applicant
IF FINGERPRINT CARDS ARE INCOMPLETE, APPLICANT WILL BE REQUIRED TO SUBMIT NEW CARDS

Required fields to be completed at the top of the fingerprint cards using BLACK ink:

  • Last Name, First Name, Middle Name
  • Last Name, First Name, Middle Name
  • Signature of Person Fingerprinted (Applicant's Signature)
  • Aliases/AKA (Do Not Leave Blank)
    • Maiden Name
    • Other names used by applicant
    • Insert N/A if you have none
  • Date of Birth (MM/DD/YYY format)
  • Residence of Person Fingerprinted (applicant's physical residence NOT mailing address)
  • Citizenship (US or other country)
  • Sex (M for male; F for female)
  • Race
    • A - Asian/Pacific Islander
    • B - Black/African American
    • I - American Indian or Alaskan Native
    • W - White or Hispanic
    • U - Unknown
  • Height (Enter in feet & inches. Example - if 5 feet 7 inches tall enter 507; if 5 feet 10 inches tall enter 510)
  • Weight (in pounds)
  • Eyes (color-use color code below)
  • Hair (color-use color code below)
  • Place of birth (If in US, use 2 letter state abbreviation. If foreign country enter full name)
  • Date (date prints taken)
  • Signature of Official Taking fingerprints
  • Reason Fingerprinted (clearly state “license/registration” for which applicant is applying)
  • Social Security Number

Eye and hair color codes:

  • BAL - Bald
  • BLK - Black
  • BLN - Blond or Strawberry
  • BLU - Blue
  • BRO - Brown
  • GRY - Gray
  • GRN - Green
  • HAZ - Hazel
  • MAR - Maroon
  • MUL - Multi-colored
  • ONG - Orange
  • PLE - Purple
  • PNK - Pink
  • RED - Red
  • SDY - Sandy
  • WHI - White
Resources Updated: 6/16/2024 5:43:36 PM
Page Updated: 9/19/2016 4:02:18 PM