Step by Step Guide for Completing Your CBC

• Fill out your full name and date of birth.
• Enter the board to which you have applied for licensure. Do not enter the type of license.
• On Form 2, the driver's license information and current address are optional fields. However, under some specific circumstances, having this information can help process your CBC faster.
• Sign and date both Form 1 and Form 2.

• Fill our your name, date of birth, and board.
• Required fields: The identification information on this form is required. Enter the information for the identification you will present at your fingerprinting appointment.
  • Type: Enter the type of government-issued ID you will present. For examples: Driver's license, Passport, Military ID, Tribal ID, etc.
  • Entity: Enter the name of the government entity that issued the ID. For example, if presenting a driver's license, provide the name of the state that issued the driver's license. If presenting a passport or military ID, provide the name of the issuing country.
  • Number: Enter the ID number.
• Enter a phone number and email address.
• DO NOT SIGN OR DATE FORM 3 UNTIL INSTRUCTED TO DO SO AT YOUR FINGERPRINTING APPOINTMENT. 

Take Form 3 and your photo ID to your fingerprinting appointment. Acceptable forms of government-issued ID include driver's licenses, passports, tribal IDs, and military IDs. (Note: You are only required to bring one form of ID.)

Sign AND date Form 3 after the person taking your fingerprints has checked your identification. 

Important: Form 3 must be signed in front of the person who takes your fingerprints at the time the prints are taken. (NOTE: If this isn't done correctly, you will be required to be fingerprinted again.)

Step 5: The person who takes your fingerprints then completes the bottom portion of Form 3, signs it, and dates it.

After your fingerprints have been taken and the card is completed, the fingerprint card must be dated and signed by both you and the person taking your fingerprints.

Complete and sign the PAS Form.

• If you have any former names or aliases (including maiden name), complete the forms as follows:
  • If your first and middle name were the same as your current name for all former names, you may enter only your former last name(s) on this line.
  • If you used a different first or middle name for any former name, include your full former name for all former names.
  • Only include nicknames if they have been used for legal documents.