Attachment 8: NCIC Background Check Form

As of May 7th 2025, all applicants must be real ID compliant & valid

JBCC EVENT - PROJECT ROSTER- OFFICIAL USE ONLY

Event/Project Name:

Date Submitted: 10/29/26 14:13

Destination:

CJIS Clerk:

Start & End Dates:
Sponsor
Name/Phone:

POC Contacted:
Roster Status:
CJIS Date:

Company/POC/Phone:

COMPLETE & RETURN ELECTRONIALLY TO CJIS-JFHQ, 3-5 WORKING DAYS PRIOR TO ARRIVAL FOR BACKGROUNDS PRE-APPROVED PASSPORT ENTRIES REQUIRE INFORMATIONAL PHOTO OF PASSPORT UPLOADED - ALL ID'S SUBJECT TO VISIBLE INSPECTION UPON ENTRY

Last Name

First Name, MI

State or

Ctry Code

OLN or Passport NO

DOB

MM/DD/YYYY

06/01/2026

ALL PARTIES ABOVE AGREE TO CJIS/NCIC/III CHECKS

NCIC APPROVAL:

Yes

Originating Agency Contact Information:

CJIS Clerk Signature:

BRIAN O'KANE / BRIAN.C.O'[email protected]

ID

Compliance

Details

CJIS

Status