NJDOE Home Families Students Educators Community


Criminal History Review

Forms

These documents are in Adobe Acrobat (PDF). PDF formatted documents appear the same as the original printed forms. In order to view and print these forms, you must have the PDF Reader which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.

  • MorphoTrak (Formerly Sagem Morpho) Universal Applicant Fingerprint Form (76 Microsoft Word) | 42 kb PDF)
    (For Employers Only)

  • The Criminal History Review Unit has received several requests to clarify information on the new Universal Form, Version 4.0.  Please follow the instructions below for completing this form.  Contributors (educational facilities and authorized school bus contractors) may complete fields (1) through (8) and (26) prior to making this form available to the applicant or employee.  Please note that field (8) is for school bus drivers to insert their driver’s license number and expiration date

    • (1) Originating Agency Number: (ORI#)

    Please enter - NJ930100Z

    (2) Category:

    Please enter EDK (EDV for Volunteers/Student Teachers)

    (3) Statute Number:

    District/Contractor/Nonpublic School must select the applicable statute number
    18A:6-7.2  (for public school employment – volunteers/student teachers)
    18A:39-19.1  (for employment as a school bus driver)
    18A:6-4.14  (for nonpublic school employment)
    18A:12-1.2 (for School Board Member/Trustee)

    (4) Reason For Fingerprinting:

    District/Contractor/Nonpublic School must enter applicable title listed below
    Public School Employment  (Use only for 18A:6-7.2)
    School Board Member/Trustee (Use only for 18A:12-1.2)
    DOE Volunteer  (Student teacher insert DOE Volunteer)  (Use only For 18A:6-7.2)                                                       
    School Bus Driver Employment  (Use only for 18A:39-19.1)
    Nonpublic School Employment  (Use only for 18A:6-4.14)
    Nonpublic Volunteer (Insert DOE Volunteer NP)  (Use only for 18A:6-4.14)

    (5) Document Type:

    Please enter RB1 or (VB1 – Volunteers/Student Teachers only)

    (6) Payment Information

    The following information must be entered in block #6
    "Applicant pays the fee of $67.50" or (“Volunteer/Student Teacher Pays the Fee of $26.00”)

    (7) Contributor’s Case Number:

    Please enter the applicable numerical code numbers
    County (2 digit) + District/Contractor (4 digit) codes   (public schools/school bus driver)
    County (2 digit) + (4 digit) + (3 digit) codes  (private handicapped schools)
    County (2 digit) + (4 digit) + (3 digit) codes  (nonpublic schools)

    (8) Miscellaneous:

    School Bus Drivers please enter driver’s license number and expiration date.

    25) Occupation:

    Please use one of the following literals to describe the position you are seeking.
    ADMINISTRATOR/SUPERVISOR
    ATHLETIC PERSONNEL
    BOARD MEMBER/TRUSTEE
    CLASSROOM TEACHER
    CLERICAL
    COLLEGE STUDENT
    CUSTODIAL/MAINTENANCE
    EDUCATIONAL SUPPORT SERVICES
    FOOD SERVICES
    HEALTH PROFESSIONAL
    INVESTIGATOR ONLY
    NURSE
    PHYSICIAN
    SCHOOL BUS AIDE (NON DRIVER)
    SCHOOL BUS DRIVER
    SECRETARIAL
    SECURITY
    STATE MONITOR
    SUBSTITUTE CLERICAL
    SUBSTITUTE CUSTODIAL/MAINTENANCE
    SUBSTITUTE FOOD SERVICES
    SUBSTITUTE HEALTH PROFESSIONAL
    SUBSTITUTE NURSE
    SUBSTITUTE SECRETARIAL
    SUBSTITUTE SECURITY
    SUBSTITUTE TEACHER
    SUBSTITUTE TEACHER AIDE
    TEACHER AIDE
    TUTOR

    VOLUNTEER

    (26) Employer Name & Address:

    Please list the new employer’s name and address with which you are now seeking employment.

PLEASE NOTE: USE ONLY THE INFORMATION IN BOLD AS STATED ABOVE

PDF