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EDP-21 (Rev 05/19)

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Security Background Document

Date:

Consultant/Applicant Instructions
Complete all forms in their entirety. The Standard Clauses for Consultant/Contractor/Vendor Services and Authorization for Release of
Information must be complete and the signature witnessed. These forms can be witnessed by anyone who will verify your identity.

Only original copies will be accepted.
You or your agency should mail all documents in the same envelope to the CJIS Audit and Compliance Unit at the address below. (You
may place several transactions in the same envelope; however, it is recommended that you keep a record of the fingerprint transactions you
mail for your reference.)

Attn: CJIS Audit and Compliance Unit
New York State Police
1220 Washington Ave, Bldg. 22
Albany, NY 12226

Checklist
Submit the following items to the CJIS Audit and Compliance Unit:
Completed Security Background Document
Copy of current Driver’s License or State Identification
Pre-enrollment Ide