Official Illinois Perc Card Form in PDF Open Editor

Official Illinois Perc Card Form in PDF

The Illinois Permanent Employee Registration Card (PERC) is a crucial document for individuals seeking employment in specific security-related roles within the state. This card must be renewed every three years, and certain exemptions apply based on professional licensing or employment status. Understanding the application process is essential for timely and accurate submissions, ensuring compliance with state regulations.

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The Illinois Permanent Employee Registration Card (PERC) form is an essential document for individuals seeking employment in various security-related positions within the state. This card, which is valid for three years, is required for unarmed security guards, among others, unless the applicant holds a valid license as a detective, security contractor, alarm contractor, or locksmith. The application process involves several key steps, including the completion of the form, payment of a non-refundable fee, and submission of security clearance documents. Applicants must also be at least 18 years old and provide their Social Security number, which is mandatory for processing. Exemptions exist for certain peace officers and unarmed security guards working in regulated nuclear facilities, easing the requirements for those individuals. It’s important to note that the PERC expires every three years, and renewal notifications are sent via email approximately 90 days before expiration. Failure to adhere to the application instructions can lead to delays, so careful attention to detail is crucial. Additionally, individuals who have previously held a PERC and whose card has expired must follow specific renewal procedures rather than submitting a new application. Understanding these requirements and the importance of timely submission can significantly impact one’s ability to work in the security field in Illinois.

Frequently Asked Questions

What is the Illinois PERC Card and who needs it?

The Illinois Permanent Employee Registration Card (PERC) is a credential required for individuals working in certain security-related positions, such as unarmed security guards. It is essential for those who do not hold a valid Illinois detective, security contractor, alarm contractor, or locksmith license. The PERC is valid for three years and must be renewed before it expires.

How do I apply for a PERC Card?

To apply for a PERC Card, you need to complete the application form in its entirety. Ensure that you are at least 18 years old and include your U.S. social security number. You must also submit a non-refundable fee of $55. Additionally, you will need to provide security clearance documents and a copy of your electronic fingerprint receipt. Send your completed application and payment to the Illinois Department of Financial and Professional Regulation.

What happens if my PERC Card expires?

If your PERC Card expires, you will need to renew it. You can request a renewal by contacting the Division's Call Center at 1-800-560-6420. It is important to update your address if it has changed since your last application. You should receive a renewal notice via email approximately 90 days before the expiration date.

Are there any exemptions to needing a PERC Card?

Yes, there are exemptions. Peace officers, as defined in the Private Detective, Private Alarm, Private Security, Fingerprint Vendor, and Locksmith Act, do not need a PERC Card. Additionally, individuals working as unarmed security guards at specific nuclear facilities who have completed the required background screening and training are also exempt from obtaining a PERC.

What should I do if my PERC Card is lost?

If you lose your PERC Card, you can print a replacement online. Visit the Illinois Department of Financial and Professional Regulation website and use the e-License Search link to obtain a copy of your card.

What is the process for fingerprinting as part of the application?

Fingerprinting is a mandatory part of the application process for a PERC Card. You must visit a licensed fingerprint vendor to have your fingerprints taken within 60 days of submitting your application. The vendor will provide you with a receipt that you must include with your application. If you are an out-of-state applicant, there are specific steps you need to follow to obtain classifiable prints, which involve contacting the Department for an Illinois State Police Fee Applicant Card.

Form Specifications

Fact Name Details
Expiration and Renewal The Illinois Permanent Employee Registration Card (PERC) expires every three years, with the next renewal notification sent via email approximately 90 days before expiration.
Exemptions Certain individuals, such as peace officers and unarmed security guards at regulated nuclear facilities, are exempt from needing a PERC under specific conditions outlined in the Private Detective, Private Alarm, Private Security, Fingerprint Vendor and Locksmith Act.
Application Requirements Applicants must be at least 18 years old, complete the application fully, and submit a non-refundable fee of $55. Additionally, a social security number is required for processing.
Security Clearance Before a PERC is issued, applicants must complete a criminal background check. The Illinois State Police will send the results to the Department of Financial and Professional Regulation.

Common mistakes

  1. Incomplete Application: Failing to fill out the application completely can lead to delays. Each section must be addressed fully to avoid rejection.

  2. Incorrect Age: Applicants must be at least 18 years old. Providing an incorrect age can result in disqualification.

  3. Missing Social Security Number: Not including a U.S. social security number, if applicable, is a common mistake. This information is mandatory for processing the application.

  4. Improper Payment: Submitting the registration fee incorrectly can lead to processing delays. Ensure that the payment of $55.00 is made payable to the correct entity.

  5. Not Providing Security Clearance Documents: Failing to include the necessary security clearance documents can prevent the issuance of the PERC. These documents are essential for processing.

  6. Ignoring Background Check Requirements: Applicants must submit to a criminal background check. Not following this step can result in application denial.

  7. Submitting Multiple Applications: If an application has been submitted within the last three years but not completed, do not submit another. This can complicate the process and lead to confusion.

Form Preview

INSTRUCTIONS FOR MAKING APPLICATION FOR A

PERMANENT EMPLOYEE REGISTRATION CARD (PERC)

NOTICE: The PERC shall expire on May 31, 2018 and every 3 years thereafter. You will receive your PERC renewal by e-mail approximately 90 days prior to the expiration date of your PERC. If you possess a valid Illinois detective, security contractor, alarm contractor, or locksmith license, then a PERC is not required to work for a licensed agency.

Before completing the application package, read each of the steps below and follow them as they apply to you. This will aid you in accurately completing your application and eliminate any delay in processing. The application which you submit is valid for three years from the date of receipt.

EXEMPTIONS: A peace officer as defined in the Private Detective, Private Alarm, Private Security, Fingerprint Vendor and Locksmith Act is exempt from the requirements relating to the possession of a permanent employee registration card (PERC). The employing agency shall remain responsible for any peace officer employed under this exemption.

A person employed as an unarmed security guard at a nuclear energy, storage, weapons, or development site or facility regulated by the Nuclear Regulatory Commission who has completed the background screening and training mandated by the rules and regulations of the Nuclear Regulatory Commission is exempt from registration for a Permanent Employee Registration Card.

NOTE: If you have been issued a Permanent Employee Registration Card in the past, you may not apply for an additional card. If your original PERC has expired, contact the Division's Call Center at 1-800-560-6420 and request a renewal. Please indicate any change of address on your renewal.

If your PERC has been lost you can print your PERC on-line at www.idfpr.com by selecting the e-License Search link.

If you have applied for a Permanent Employee Registration Card within the past 3 years but did not complete the application process, DO NOT submit another application. Contact the Division's Call Center at 1-800-560-6420 and request the status of your application.

APPLICATION INSTRUCTIONS

1.Complete the application in its entirety. An incomplete or illegible application will be returned.

2.Applicant must be at least 18 years of age to apply for a PERC in an unarmed capacity.

3.Disclosure of your U.S. social security number, if you have one, is mandatory, in accordance with 5 Illinois Compiled Statutes 100/10-65 to obtain a license. The social security number may be provided to the Illinois Department of Public Aid to identify persons who are more than 30 days delinquent in complying with a child support order, or to the Illinois

Department of Revenue to identify persons who have failed to file a tax return, pay tax, penalty or interest shown in a filed return, or to pay any final assessment or tax penalty or interest, as required by any tax Act administered by the Illinois Department of Revenue, or to other entities for verification of identification.

4.Submit a non-refundable registration fee of $55.00, made payable to the Department of Financial and Professional Regulation.

5.Submit the appropriate security clearance documents (See Security Clearance below).

6.Forward application, copy of the electronic fingerprint receipt, and fee payment to:

Illinois Department of Financial and Professional Regulation

ATTN: Division of Professional Regulation

P.O. Box 7007

Springfield, Illinois 62791

SECURITY CLEARANCE

Permanent Employee Registration Cards will not be issued until security clearance is completed. Reference the page entitled Important Notice / Criminal Background Check Information for details on fingerprinting.

The security clearance requirement is waived for those applicants who submit supporting document VE-PEC, verifying their retirement from a peace officer position within one year of application. To order the VE-PEC form Contact the Division's Call Center at 1-800-560-6420.

Additional application forms can be downloaded from the IDFPR Web site at www.idfpr.com.

DPR-PERC (Instructions Revised 6/16)

Packet updated 6/30/16

IMPORTANT NOTICE

CRIMINAL BACKGROUND CHECK INFORMATION

Individuals applying for licensure for professions that require fingerprints must submit to a criminal back- ground check and provide evidence of fingerprint processing from a fingerprint vendor licensed by the Department. Fingerprints must be taken within 60 days from the date that the application is submitted to the Department or the Department’s testing vendor.

=Applicants may contact a licensed fingerprint vendor to schedule an appointment for fingerprinting by going to https://www.idfpr.com/FPVendor.asp. The Illinois State Police will transmit electronic results of fingerprint processing to the Department. A receipt issued by a licensed fingerprint ven - dor agency must be submitted with the application fee. The receipt shall be issued by the fingerprint vendor at the time the fingerprints are obtained.

=Out-of-State applicants who are unable to schedule an appointment for fingerprinting through a licensed fingerprint vendor need to complete the following steps:

=Obtain one (1) Illinois State Police (ISP) Fee Applicant Card for processing. Applicants may contact the Department at 1-800-560-6420 or send an email request on your profession page of the Department website at www.idfpr.com. The ISP will transmit electronic results of the fingerprint processing to the Department.

=Complete Section 1 of the Identity Verification Certifying Statement form.

=The Fee Applicant Card shall be taken to a police department in another state to obtain classifiable prints.

=Section 2 of the Identity Verification Certifying Statement shall be completed and signed by the police department.

=Go to www.idfpr.com to select a licensed fingerprint vendor that has “Card Scan” capability. Contact the vendor to determine the fee for a “Card Scan”.

=Mail the original Identity Verification Certifying Statement (with Sections 1 and 2 completed), Fee Applicant card and fingerprint fee to the licensed fingerprint vendor selected from the Division of Professional Regulation website.

=Mail the completed application, licensing fee and a copy of the Identity Verification Certifying Statement (with Sections 1 and 2 completed) to the Division of Professional Regulation.

PRIVACY STATEMENT

I, the undersigned, hereby authorize the release of any criminal history record information that may exist regarding me from any agency, organization, institution, or entity having such information on file. I am aware and understand that my fingerprints may be retained and will be used to check the criminal history record information files of the Illinois State Police and/or the Federal Bureau of Investigation. I also understand that if my photo was taken, my photo may be shared only for employment or licensing purposes. I further understand that I have the right to challenge any information disseminated from these criminal justice agencies regarding me that may be inaccurate or incomplete pursuant to Title 28 Code of Federal Regulation 16.34 and Chapter 20 ILCS 2630/7 of the Criminal Identification Act.

IL486-2052 NEW 4/15

If you possess a valid Illinois Detective, Security Contractor, Alarm Contractor or Lock- smith license, then a PERC is NOT required to work for a licensed agency.

APPLICATION FOR PERMANENT EMPLOYEE

REGISTRATION CARD

IMPORTANT NOTICE: Submit a non-refundable registration fee of $55.00 made payable to IDFPR. Completion of this form is necessary to accomplish the requirements outlined in 225 ILCS 447/1 et. seq. (Illinois Compiled Statutes). Disclosure of this information is REQUIRED. Failure to provide any information will result in this form not being processed.

FOR OFFICIAL USE ONLY

1.

NAME (Last Name, First Name, Middle Initial)

 

 

2.

UNITED STATES SOCIAL SECURITY NUMBER:

 

 

 

 

 

(See Box # 16 Below.)

 

 

 

 

 

 

 

 

 

3.

HOME STREET ADDRESS (No P.O. Boxes)

4.

CITY

5.

STATE

6. ZIP CODE

7. COUNTY

 

 

 

 

 

 

 

8.

E-MAIL ADDRESS (REQUIRED)

9.

DATE OF BIRTH (M/D/Y)

10. AGE (18 yrs min.)

11. TELEPHONE NUMBER

 

 

 

 

 

 

(__ __ ___ ) ___ ___ ___ — ___ ___ ___ ___

 

 

 

 

 

 

 

 

12.Have you been convicted of or pled guilty or nolo contendere to any criminal offense in any state or in federal court? Please do not give details on minor traffic charges, but do include information relating to Driving While Intoxicated (DWI) charges. If yes, attach a personal statement describing the circumstances of the conviction and certified copies of court records of your conviction including the nature of the offense, date of discharge, and a statement from the probation or parole office. In general, a criminal conviction by itself

does not usually result in denial of licensure.

Yes

No

 

 

 

13. Have you ever been discharged other than honorably from the armed services or from a city, county, state,

 

 

or federal position? If yes, attach explanation.

Yes

No

14.Do you have any disease or condition that interferes with your ability to perform the essential functions of your profession, including any disease or condition generally regarded as chronic by the medical community, i.e., (1) mental or emotional disease or condition; (2) alcohol or other substance abuse; (3) physical disease or condition, that presently interferes with your ability to practice your profession? If yes,

attach a detailed statement, including an explanation whether or not you are currently under treatment.

Yes

No

15. Have you ever had a license or registration denied, suspended or revoked under the Illinois Private Detective,

 

 

Private Alarm, Private Security, Fingerprint Vendor and Locksmith Act? If yes, attach explanation.

Yes

No

16.In accordance with 5 Illinois Compiled Statutes 100/10-65(c), applications for renewal of a license or a new license shall include the applicant's Social Security number, and the licensee shall certify, under penalty of perjury, that he or she is not more than 30 days delinquent in complying with a child support order. Failure to certify shall result in disciplinary action, and making a false statement may subject the licensee to contempt of court.

Are you more than 30 days delinquent in complying with a child support order?

Yes

No

(NOTE: If you are not subject to a child support order, answer "no.")

17.In accordance with 20 ILCS 2105-15(g), "The Department shall deny any license application or renewal authorized under any licensing

Act administered by the Department to any person who has failed to file a return, or to pay the tax, penalty, or interest shown in a filed return, or to pay any final assessment of tax, penalty, or interest, as required by any tax Act administered by the Illinois Department of Revenue, until such time as the requirement of any such tax Act is satisfied."

Are you delinquent in the filing of state taxes?

Yes

No

I hereby certify that I personally completed this application, that the answers appearing hereon are true and correct to the best of my knowledge and belief and that I am legally authorized to sign this application.

Signature (in full-use no initials)

 

Date

I UNDERSTAND THAT FEES ARE NOT REFUNDABLE. My signature above authorizes the Department of Financial and Professional Regulation to reduce the amount of this check if the amount submitted is not correct. I understand this will be done only if the amount submitted is greater than the required fee hereunder, but in no event shall such reduction be made in an amount greater than $50.

RETURN TO: ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

ATTN: DIVISION OF PROFESSIONAL REGULATION, P.O. BOX 7007, SPRINGFIELD, ILLINOIS 62791

IL486-1120 4/19 (DE)

IMPORTANT NOTICE: Completion of this form

 

 

 

 

EMPLOYEE NUMBER

 

EMPLOYEE'S STATEMENT

 

 

is necessary to accomplish the requirements

 

 

 

outlined in 225 ILCS 447/1 et. seq. (Illinois

To be retained in employee's personnel file by the em-

 

 

Compiled Statutes). Disclosure of this information

DATE OF EMPLOYMENT

is REQUIRED. Failure to provide any information

 

 

ploying agency.

 

 

will result in this form not being processed.

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME AND ADDRESS OF EMPLOYING AGENCY

 

 

NAME OF EMPLOYEE

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

ADDRESS OF EMPLOYEE (Include Street,

City, State, and ZIP Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH (Month/Day/Year)

PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

E-MAIL ADDRESS (REQUIRED)

 

 

 

 

 

 

 

 

 

Have you been convicted of or pled guilty or nolo contendere to any criminal offense in any state or in

Yes

No

federal court? Please do not give details on minor traffic charges, but do include information relating to

 

 

Driving While Intoxicated (DWI) charges. If yes, attach a certified copy of the court records regarding your

 

 

conviction, the nature of the offense and date of discharge, if applicable, as well as a statement from the

 

 

probation or parole office.

 

 

 

 

 

Have you ever been discharged other than honorably from the armed services or from a city, county, state,

Yes

No

or federal position? If yes, attach explanation.

 

 

 

 

 

Do you have any disease or condition that interferes with your ability to perform the essential functions of

 

 

your profession, including any disease or condition generally regarded as chronic by the medical community,

Yes

No

i.e., (1) mental or emotional disease or condition; (2) alcohol or other substance abuse; (3) physical disease

or condition, that presently interferes with your ability to practice your profession? If yes, attach a detailed

 

 

statement, including an explanation whether or not you are currently under treatment.

Have you ever had a license or registration denied, suspended or revoked under the Illinois Private Detective,

Private Alarm, Private Security, Fingerprint Vendor and Locksmith Act? Yes No If yes, attach explanation.

Please state business or occupation engaged in for the five (5) years immediately preceding the date of execution of this statement, the location of such business or occupation, and the names of employers, if any.

Date:

 

Signature of Employee:

IL486-0495 6/16 (DE)

Dos and Don'ts

When filling out the Illinois PERC Card form, keep these tips in mind:

  • Complete the application in full. An incomplete form will be returned.
  • Provide your U.S. social security number, if applicable. This is mandatory for processing.
  • Submit the non-refundable registration fee of $55.00 along with your application.
  • Ensure you include all required security clearance documents.

Avoid these common mistakes:

  • Do not use a P.O. Box for your home address; provide a physical address instead.
  • Do not forget to sign the application; an unsigned form will not be processed.
  • Do not submit your application without the fingerprint receipt; it's essential for security clearance.
  • Do not apply for a new PERC if you already have one; check if you can renew instead.

Documents used along the form

When applying for a Permanent Employee Registration Card (PERC) in Illinois, several other forms and documents may be required to complete the application process. Each of these documents serves a specific purpose and helps ensure compliance with state regulations.

  • Fingerprint Receipt: This document provides proof that the applicant has undergone the required fingerprinting process. It must be submitted along with the PERC application to confirm that a criminal background check has been completed.
  • VE-PEC Form: This form is used by retired peace officers to verify their retirement status. If submitted, it waives the security clearance requirement for the PERC application, simplifying the process for eligible applicants.
  • Identity Verification Certifying Statement: This form is necessary for out-of-state applicants who cannot access a licensed fingerprint vendor. It certifies the identity of the applicant and must be completed by a police department in the applicant's state.
  • Boat Bill of Sale Form: For those looking to transfer boat ownership, it's important to review the detailed Boat Bill of Sale form guidelines, ensuring compliance with state requirements.
  • Application for Permanent Employee Registration Card: This is the main form that must be filled out to initiate the PERC application process. It collects essential information about the applicant, including personal details and background history.
  • Criminal Background Check Information: This document outlines the requirements for the criminal background check. It provides guidance on how to obtain fingerprints and what to expect during the process.
  • Employee Statement: This form is used by the employing agency to collect information about the employee. It includes questions about criminal history and any medical conditions that may affect job performance.
  • Fee Applicant Card: This card is required for out-of-state applicants who need to obtain classifiable prints at a police department. It is part of the process to ensure that the applicant's fingerprints are properly recorded.
  • Payment Confirmation: A receipt or confirmation of the non-refundable registration fee payment must be included with the application. This payment is essential for processing the application.

These documents play a crucial role in the application process for a PERC in Illinois. Ensuring that each form is completed accurately and submitted on time can significantly reduce delays and facilitate a smoother approval process.

Misconceptions

Misconception 1: A PERC is required for all security-related jobs in Illinois.

In reality, individuals holding valid licenses as a detective, security contractor, alarm contractor, or locksmith do not need a PERC to work for a licensed agency.

Misconception 2: The PERC is a one-time application.

The PERC must be renewed every three years. If you do not renew, your card will expire, and you will need to go through the application process again.

Misconception 3: Once a PERC is issued, it can be replaced easily if lost.

While you can print a lost PERC online, you must follow specific steps to verify your identity and ensure your application is processed correctly.

Misconception 4: Completing the application is straightforward and does not require any additional documents.

Applicants must provide a variety of documents, including fingerprint clearance and a non-refundable fee, to complete the application process.

Misconception 5: Background checks are optional for PERC applicants.

Background checks are mandatory. The Illinois State Police will conduct these checks, and applicants must submit evidence of fingerprint processing.

Misconception 6: You can apply for a PERC if you have had one in the past, regardless of its status.

If you have been issued a PERC previously, you cannot apply for an additional card. Instead, you must renew your existing card.

Misconception 7: Providing your social security number is optional on the application.

Disclosure of your social security number is mandatory as part of the application process, in compliance with state regulations.

Misconception 8: The application process is the same for all applicants, regardless of their background.

Different applicants may have different requirements based on their previous licenses or exemptions. For example, peace officers may be exempt from needing a PERC.