Account Update Request

If you currently have or are in the process of obtaining a BIM fingerprint system from BIM and you wish to make a change to your account record, please completely fill out and submit this form.

This form will submit to our Support team who will then make the requested changes on your account.

"*" indicates required fields

Step 1 of 2

In which state does your fingerprint system reside?

Please summarize what is changing.

Agency Information

Agency Name*

Enter the name of your agency, company organization, entity, etc.

Agency Address*

There is where your fingerprint system resides.

Address Line 1 Address Line 2 City State ZIP Code

County*

BCI Agency Code

Your 6-digit Agency Code provided by Ohio BCI for Ohio National Webcheck systems. If you do not have or do not know your Agency Code from Ohio BCI, please leave this field blank.

ORI

Your FBI-assigned ORI, typically for law enforcement or judicial systems. If you do not have or do not know your FBI-assigned ORI, please leave this field blank.

Device TCN Prefix

Your 5-to-7-digit Device Transaction Control Number (TCN) prefix provided by FDLE. If you do have or do not know your Device TCN prefix from FDLE, please leave this field blank.

Device Registration ID

Your 9-digit Device Registration ID provided by FDLE. If you do not have or do not know your Device Registration ID from FDLE, please leave this field blank.

Contact Information

Primary Contact Name

The primary buyer or organizer for the fingerprint system within your agency.

First Last

Primary Contact Phone #

Primary Contact Email Address

LSA/Technical Contact Name

Live Scan Administrator or Technical contact; who we may contact for Support.

First Last

LSA/Technical Contact Phone #

LSA/Technical Contact Email Address

Billing Contact Name

Person responsible for handling A/R or A/P for fingerprint system.

First Last

Billing Contact Phone #

Billing Contact Email Address*

Billing Address (optional)

Check here if your billing address is the same as your agency address

Billing Address (if different than agency address)

It is only necessary to complete the billing address fields IF your billing address differs from your agency address.

Address Line 1 Address Line 2 City State ZIP Code

Are you tax exempt?*

If you answer YES for your agency, you must submit your state sales tax exemption certificate to accounting@bioinfomgt.com.