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Criminal History Record Check (CHRC) Instructions

  1. Submit an online RN or LPN initial application by exam or endorsement OR include one of the following forms:
  • An RN or LPN Reactivation form or;
  • An initial APRN application or;
  • A UAP/Technician/MA III initial or reactivation form
  1. 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 are to use the standard FBI Applicant card (FD-258) for fingerprints
  1. Submit the following to North Dakota Board of Nursing (NDBON); 919 S 7th Street, Suite 504; Bismarck, ND 58504

  • Criminal History Record Check form found here -Attorney General nd.gov 
    • 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
    • Do not fold fingerprint cards
  • Money Order or Cashier Check for $41.25, with a current date, and must be made payable to BCI (no personal checks accepted)
  1. 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 you

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

  • Last Name, First Name, Middle Name
  • Signature of Person Fingerprinted (Your Signature)
  • Aliases/AKA (Do Not Leave Blank)
    • Maiden Name
    • Other names used by you
    • Insert N/A if you have none
  • Date of Birth (MM/DD/YYY format)
  • Residence of Person Fingerprinted (your 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 you are 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