Fingerprint Submission – Paper Card Request Form Fingerprint Submission - Paper Card Request Form This is the Fingerprint Submission Process for Paper Card Requests. Note: To request an ink and paper card, you must first schedule a fieldprint appointment. Your fieldprint confirmation number will be required.* I confirm that I have scheduled my fieldprint appointment.Enter your reason for a paper card request. If you are submitting your fingerprints electronically, you DO NOT need to fill out this paper card request form. Please enter a reason that will support why you cannot submit your fingerprints electronically. I.e. the location is too far away or the hours are not reasonable.* Name* First Last Date of Birth* MM slash DD slash YYYY Phone*Email* EMS Certification Number Social Security Number (Last four digits only)*Enter last four digits onlyFieldprint Confirmation Number*EMS Agency License Number* This is the license number of the EMS Agency that you're requesting to join.CommentsThis field is for validation purposes and should be left unchanged.