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STATE BUREAU OF IDENTIFICATION, AUGUSTA, MAINE

CIVIL FINGERPRINT CARD
FOR PERSONAL IDENTIFICATION PURPOSES ONLY

Name: _______________________________________
 Remarks: Complete name and address of nearest relative or person to to be notified in case of emergency.
Address: _____________________________________ _______________________________________________
City: _________________________________________ _______________________________________________
Place of Birth: __________________________________ _______________________________________________
Date of Birth: __________________________________ _______________________________________________
Descent: _____________________________________

Naturalized [    ]                       Alien [   ]

 _______________________________________________

_______________________________________________
Height: __________________ Build: ______________ _______________________________________________
Weight: _________________ Comp: ______________ _______________________________________________
Eyes: ___________________ Hair: ________________ _______________________________________________
Scars and Marks: _______________________________ _______________________________________________
_____________________________________________ _______________________________________________
_____________________________________________ _______________________________________________

 

Paste
Photograph Here
(Optional)

 Title: __________________________________________
Industry: _______________________________________
Location: _______________________________________
_______________________________________________
Identification Folder: ______________________________
______________________________________________

 

 

 

 

PERSONAL IDENTIFICATION
Name: ___________________________________________________ Class:____________________________________________________

________________________________________________________ Ref: __________________________________

No: ______________ Color: _______________ Sex: ___________ Ref: _____________________________________

State Bureau No: _____________                                      

RIGHT HAND
1. THUMB

 

 

 2. INDEX FINGER 3. MIDDLE FINGER 4. RING FINGER 5. LITTLE FINGER

LEFT HAND
6. THUMB

 

 

 7. INDEX FINGER 8. MIDDLE FINGER 9. RING FINGER 10. LITTLE FINGER
Classified:__________Assembled:_________

Searched:____________Verifed:____________

Index Card:___________Answered:_________

 NOTE AMPUTATIONS Signature

 

________________________________________
FOUR FINGERS TAKEN SIMULTANEOUSLY

IMPRESSIONS TAKEN BY:

 FOUR FINGERS TAKEN SIMULTANEOUSLY
LEFT HAND RIGHT HAND

Signature of Official (taking prints)

L. THUMB

 

 R. THUMB