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Request for Fingerprint Cards 

The fingerprint request form is temporarily down. Please print this page and mail the completed form to the Arizona Department of Financial Institutions for processing.

Mail to:

Arizona Department of Financial Institutions

Attn: Licensing

2910 N. 44th St. Suite 310

Phoenix, AZ 85018

 

*Name: 

Company Name: 

*Address line 1: 

Address line 2: 

*City: 

    State:    Zip:

Telephone: 

*Number of Cards: 

                                              * Required Field

   
  Arizona @ Your Service   Governor Janet Napolitano  
Contact Us Contents Last Updated01.23.2008

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