
		Hiram Grau, Director	Pat Quinn, Governor

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Uniform Conviction Information Forms

Please complete the order form below. UCIA forms will be mailed via the U.S. Postal Service to the mailing address provided below.

Name:

Email Address:

Street Address	Apt/POB	City	State *	Zip Code
Country			* Select Non-US for STATE if outside of the US.

Form	Qty
Non-Fingerprint Request Form (ISP6-405B)
Fingerprint Request Form (ISP6-404B)

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