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The Illinois Permanent Employee Registration Card (PERC) form is a crucial document for individuals seeking to work in specific security-related roles within the state. This card is mandatory for unarmed security personnel and must be renewed every three years. When applying, individuals must be at least 18 years old and provide a valid U.S. social security number. The application process includes submitting a non-refundable fee of $55, along with essential security clearance documents. Notably, certain exemptions exist, such as for peace officers and specific security roles at regulated nuclear facilities. Applicants should be aware that if they have previously held a PERC, they cannot apply for a new one unless their original has expired. In such cases, renewal procedures must be followed. The application requires complete and accurate information to avoid delays, and applicants are encouraged to contact the Division's Call Center for any clarifications. Completing the fingerprinting process is also a key step, as it ensures a thorough background check, which is a prerequisite for obtaining the PERC. Understanding these requirements will streamline the application process and help individuals secure their positions in the security industry.

Sample - Illinois Perc Card Form

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)

File Specs

Fact Name Description
Expiration Period The Illinois PERC card expires every three years, with the last expiration date being May 31, 2018.
Age Requirement Applicants must be at least 18 years old to apply for a PERC in an unarmed capacity.
Application Fee A non-refundable fee of $55.00 is required when submitting the application for the PERC.
Governing Law The application process is governed by 225 ILCS 447/1 et. seq. of the Illinois Compiled Statutes.

Illinois Perc Card - Usage Guidelines

Filling out the Illinois PERC Card form is an important step in obtaining your Permanent Employee Registration Card. This process ensures that you meet the necessary requirements and helps streamline your application. Follow the steps carefully to avoid any delays in processing your application.

  1. Begin by completing the application in its entirety. Make sure all fields are filled out clearly to prevent any issues.
  2. Confirm that you are at least 18 years old, as this is a requirement for applying for a PERC in an unarmed capacity.
  3. Provide your U.S. social security number, if applicable. This is mandatory and will be used for various verification purposes.
  4. Prepare a non-refundable registration fee of $55.00, payable to the Department of Financial and Professional Regulation.
  5. Gather the necessary security clearance documents, as outlined in the security clearance section of the instructions.
  6. Send your completed application, a copy of your electronic fingerprint receipt, and your fee payment to the following address:
    • Illinois Department of Financial and Professional Regulation
    • ATTN: Division of Professional Regulation
    • P.O. Box 7007
    • Springfield, Illinois 62791

After submitting your application, it will be reviewed by the Illinois Department of Financial and Professional Regulation. Be sure to keep an eye on your email for any updates or requests for additional information. Completing this process accurately will help ensure that you receive your PERC in a timely manner.

Your Questions, Answered

What is the Illinois PERC Card?

The Illinois Permanent Employee Registration Card (PERC) is a license required for individuals working in certain security-related jobs in Illinois. It ensures that employees meet specific standards and regulations set by the state.

How long is the PERC Card valid?

The PERC Card is valid for three years from the date it is issued. It will expire on May 31 of the expiration year. You will receive a renewal notice via email approximately 90 days before your card expires.

Who is exempt from needing a PERC Card?

Some individuals do not need a PERC Card. Peace officers, as defined by the Private Detective, Private Alarm, Private Security, Fingerprint Vendor and Locksmith Act, are exempt. Additionally, unarmed security guards working at certain regulated nuclear facilities may also be exempt if they meet specific training and background requirements.

What is the application fee for the PERC Card?

The application fee for the PERC Card is $55. This fee is non-refundable and must be submitted with your application. Make sure to pay it to the Department of Financial and Professional Regulation.

What are the requirements to apply for a PERC Card?

To apply for a PERC Card, you must be at least 18 years old. You must also complete the application in full, provide your U.S. social security number, and submit a non-refundable registration fee. Additionally, you need to pass a criminal background check.

How do I complete the security clearance process?

To complete the security clearance, you must undergo fingerprinting through a licensed vendor. This process must be done within 60 days of submitting your application. You will need to include a receipt from the fingerprint vendor with your application.

What should I do if my PERC Card is lost?

If your PERC Card is lost, you can print a copy online at the Illinois Department of Financial and Professional Regulation website. Use the e-License Search link to obtain your card.

Can I apply for a new PERC Card if my previous one expired?

If your PERC Card has expired, you cannot apply for a new card. Instead, you should contact the Division's Call Center at 1-800-560-6420 to request a renewal.

What if I have applied for a PERC Card in the past but did not finish the process?

If you started the application process within the past three years but did not complete it, do not submit a new application. Instead, contact the Division's Call Center to check the status of your previous application.

How can I get additional forms for my application?

You can download additional application forms from the Illinois Department of Financial and Professional Regulation website. Ensure that you have all necessary documents before submitting your application.

Common mistakes

  1. Incomplete Application: Failing to fill out all sections of the application can lead to delays. Each part of the form must be completed for it to be processed.

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

  3. Missing Social Security Number: Not providing a U.S. social security number when required is a common error. This information is mandatory for processing the application.

  4. Failure to Submit Fees: The registration fee of $55.00 must be included with the application. Applications submitted without payment will not be processed.

  5. Neglecting Security Clearance Documents: Applicants must include the appropriate security clearance documents. Omitting these can delay the issuance of the PERC.

Documents used along the form

The Illinois Permanent Employee Registration Card (PERC) form is essential for individuals seeking employment in specific security-related roles. Along with this application, several other forms and documents may be necessary to ensure compliance with state regulations. Below is a list of commonly used documents that accompany the PERC application.

  • Fingerprint Receipt: This document serves as proof that the applicant has undergone the required fingerprinting process. It is crucial for the criminal background check and must be submitted with the PERC application.
  • Identity Verification Certifying Statement: This form is needed for applicants who cannot get fingerprinted through a licensed vendor. It verifies the applicant's identity and must be completed by a police department.
  • VE-PEC Form: This document is for retired peace officers seeking an exemption from the PERC requirement. It verifies the individual’s retirement status and must be submitted alongside the application.
  • Personal Statement: If an applicant has any criminal convictions, this statement must detail the circumstances surrounding those convictions. It should be attached to the PERC application along with certified court records.

Completing the PERC application accurately and including all necessary documents can help prevent delays in processing. It's important to stay informed about the requirements and ensure that all forms are submitted in a timely manner.

Similar forms

The Illinois PERC Card form shares similarities with the application for a state-issued driver's license. Both documents require personal identification information, including the applicant's name, address, and date of birth. Just as individuals must provide proof of residency and identity for a driver's license, the PERC application mandates the disclosure of a Social Security number and may require background checks. Both processes involve submitting a fee and can be renewed periodically, ensuring that the applicant remains compliant with state regulations.

Another document comparable to the Illinois PERC Card form is the application for a professional license, such as for nurses or teachers. Similar to the PERC application, these professional licenses require background checks and the submission of specific qualifications. Applicants must provide detailed personal information and may also need to submit proof of education or training. Both processes aim to ensure that individuals meet the necessary standards to work in their respective fields, enhancing public safety and trust.

The application for a concealed carry license in Illinois is also akin to the PERC Card form. Both require applicants to undergo a background check and provide personal information, including Social Security numbers. Just like the PERC application, there is a mandatory fee associated with applying for a concealed carry license. Both processes are designed to ensure that only qualified individuals receive permission to carry firearms or work in security-related positions, thereby promoting safety in the community.

Applications for firearm owner identification (FOID) cards present another similarity. Like the PERC Card, FOID applications require personal information and background checks to assess eligibility. Both documents are subject to renewal and require payment of a fee. This shared goal of ensuring responsible ownership and employment underscores the importance of thorough vetting in professions and activities that may impact public safety.

The application for a real estate license in Illinois is yet another document that parallels the PERC Card form. Both applications necessitate the submission of personal details, a background check, and proof of completion of specific training or education. Additionally, both require a fee and are subject to renewal every few years, ensuring that professionals remain current in their knowledge and practices.

Similar to the PERC Card form is the application for a cosmetology license. Both documents require applicants to provide personal identification, undergo a background check, and submit proof of training from an accredited institution. The fee structure and renewal process also mirror that of the PERC application, highlighting the regulatory measures in place to maintain industry standards and protect consumers.

The application for a pharmacy technician registration can also be compared to the Illinois PERC Card form. Both require personal information, a criminal background check, and evidence of training or certification. The fee and renewal requirements are similar, emphasizing the importance of maintaining accountability and professionalism in roles that directly affect public health and safety.

Another comparable document is the application for a home inspector license. Like the PERC Card application, this process requires applicants to disclose personal information, pass a background check, and provide evidence of training or certification. Both applications involve a fee and must be renewed periodically, ensuring that individuals maintain the necessary qualifications to perform their duties effectively.

Finally, the application for a private investigator license shares similarities with the PERC Card form. Both require personal identification, background checks, and proof of relevant training or experience. The fee structure and renewal process are also alike, reflecting the shared objective of ensuring that individuals in these roles meet the necessary legal and professional standards to operate safely and effectively within their respective fields.

Dos and Don'ts

When filling out the Illinois PERC Card form, it is essential to follow specific guidelines to ensure a smooth application process. Below are four important dos and don'ts to keep in mind.

  • Do complete the application in its entirety. An incomplete form will be returned, causing delays.
  • Do ensure that you provide your U.S. social security number, as it is mandatory for processing your application.
  • Don't submit your application without the required non-refundable registration fee of $55.00.
  • Don't forget to include any necessary security clearance documents, as these are essential for your application to be processed.

By adhering to these guidelines, you can help facilitate the processing of your application and avoid unnecessary complications. Remember, attention to detail is key.

Misconceptions

  • Misconception 1: The PERC card is valid indefinitely.
  • The PERC card actually expires every three years. It is essential to renew it before the expiration date to maintain compliance.

  • Misconception 2: You need a PERC card to work if you have a detective or security contractor license.
  • If you possess a valid Illinois detective, security contractor, alarm contractor, or locksmith license, a PERC is not required to work for a licensed agency.

  • Misconception 3: You can apply for a new PERC card if your original one has expired.
  • Individuals who have previously been issued a PERC cannot apply for an additional card. Instead, they should contact the Division's Call Center to request a renewal.

  • Misconception 4: The application process is straightforward and does not require specific documentation.
  • The application requires various documents, including security clearance documents and fingerprinting evidence, which must be submitted along with the application.

  • Misconception 5: You can submit an incomplete application without consequences.
  • An incomplete or illegible application will be returned. Therefore, it is crucial to complete the application in its entirety to avoid delays.

  • Misconception 6: You do not need to provide your social security number.
  • Disclosure of your U.S. social security number is mandatory for obtaining a PERC, as required by Illinois law.

  • Misconception 7: Fingerprinting is optional for the PERC application.
  • Fingerprinting is a requirement for the application process. A criminal background check must be completed before a PERC can be issued.

Key takeaways

Key Takeaways for Filling Out and Using the Illinois PERC Card Form

  • The PERC card expires every three years, with renewal notifications sent via email about 90 days before expiration.
  • Applicants must be at least 18 years old and complete the application fully to avoid delays in processing.
  • A non-refundable fee of $55 is required, payable to the Department of Financial and Professional Regulation.
  • Disclosure of your U.S. social security number is mandatory, as it may be used for child support and tax compliance verification.
  • Fingerprinting is necessary for a criminal background check, and applicants must submit evidence of this with their application.
  • If you previously held a PERC card that has expired, contact the Division's Call Center for renewal instead of applying for a new card.