Illinois Perc Card PDF Template

The Illinois Permanent Employee Registration Card (PERC) form is a crucial document for individuals seeking employment in certain security-related positions within the state. This card, which must be renewed every three years, is not required for those holding specific licenses, such as a detective or security contractor license. Understanding the application process and requirements is essential for a smooth submission; click the button below to start filling out the form.

Article Guide

The Illinois Permanent Employee Registration Card (PERC) form serves as a crucial document for individuals seeking to work in specific security-related roles within the state. This application must be completed accurately and submitted to the Illinois Department of Financial and Professional Regulation (IDFPR). Notably, the PERC is valid for three years, expiring on May 31 of the expiration year, with renewal notifications sent via email approximately 90 days prior. While many individuals need this card to work for licensed agencies, certain exemptions exist. For instance, peace officers and unarmed security guards at regulated nuclear facilities may not require a PERC if they meet specific conditions. Completing the application involves several steps, including providing a valid social security number, paying a non-refundable fee of $55, and obtaining necessary security clearance through fingerprinting. Applicants must also disclose any criminal history and confirm compliance with child support and tax obligations, as these factors can affect eligibility. It is essential for applicants to follow the instructions carefully to avoid delays in processing their applications.

Illinois Perc Card 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
IMPORTANT NOTICE: Completion of this form		EMPLOYEE'S STATEMENT
is necessary to accomplish the requirements		EMPLOYEE'S STATEMENT
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	To be retained in employee's personnel file by the em-				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.	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	Yes	No
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)

↓ Illinois Perc Card

File Properties

Fact Name	Details
Expiration Period	The Illinois Permanent Employee Registration Card (PERC) expires every three years, with the last noted expiration on May 31, 2018.
Renewal Notification	Renewal notices are sent via email approximately 90 days before the card's expiration date.
Exemptions	Certain individuals, such as peace officers and unarmed security guards at regulated nuclear facilities, are exempt from needing a PERC.
Age Requirement	Applicants must be at least 18 years old to apply for a PERC in an unarmed capacity.
Social Security Disclosure	Providing a U.S. social security number is mandatory for the application, as per 5 Illinois Compiled Statutes 100/10-65.
Application Fee	A non-refundable registration fee of $55.00 must be submitted with the application.
Security Clearance	Security clearance is required before a PERC can be issued, with specific instructions for fingerprinting provided.
Criminal Background Check	Applicants must undergo a criminal background check, with results transmitted electronically to the Department.
Application Validity	The application submitted is valid for three years from the date it is received by the Department.
Governing Laws	The PERC is governed under 225 ILCS 447/1 et seq., which outlines the licensing requirements for private security professions.

Instructions on Utilizing Illinois Perc Card

Filling out the Illinois Permanent Employee Registration Card (PERC) form requires careful attention to detail. Following the steps below will help ensure that the application is completed accurately and submitted correctly.

Begin by completing the application in its entirety. An incomplete application will be returned.
Verify that you are at least 18 years old, as this is a requirement for applying for a PERC in an unarmed capacity.
Provide your U.S. social security number. This is mandatory for obtaining a license.
Prepare a non-refundable registration fee of $55.00, made payable to the Department of Financial and Professional Regulation.
Gather the necessary security clearance documents as outlined in the application instructions.
Send the completed application, a copy of the electronic fingerprint receipt, and the 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

Once your application is submitted, it will undergo processing, which may include a criminal background check. It is important to ensure that all required documents are included to avoid any delays. If you have any questions or need further assistance, contacting the Division's Call Center is advisable.

Important Facts about Illinois Perc Card

What is the Illinois Permanent Employee Registration Card (PERC) and who needs it?

The Illinois Permanent Employee Registration Card (PERC) is a requirement for individuals who want to work in certain security-related jobs in Illinois. This includes positions like security guards and private detectives. However, if you already hold a valid Illinois license as a detective, security contractor, alarm contractor, or locksmith, you do not need a PERC to work for a licensed agency. It’s essential to understand that a PERC is valid for three years and must be renewed before it expires.

How do I apply for a PERC?

To apply for a PERC, you need to complete an application form in its entirety. Make sure your application is legible and complete, as an incomplete application will be returned. You must be at least 18 years old and provide your U.S. social security number. Additionally, you will need to submit a non-refundable fee of $55 along with your application. Don’t forget to include the necessary security clearance documents, as your PERC will not be issued until you have completed this step. Finally, send your application and payment to the Illinois Department of Financial and Professional Regulation.

What if my PERC has expired or I lost it?

If your PERC has expired, you should contact the Division's Call Center at 1-800-560-6420 to request a renewal. It’s important to indicate any change of address during this process. If you have lost your PERC, you can easily print a copy online by visiting www.idfpr.com and using the e-License Search link. Make sure to have your details handy to retrieve your card.

Are there any exemptions from needing a PERC?

Yes, there are specific exemptions. For instance, peace officers, as defined in the relevant Illinois law, do not need a PERC. Additionally, individuals working as unarmed security guards at nuclear facilities who have completed the required training and background checks are also exempt. If you believe you qualify for an exemption, be sure to have the necessary documentation to support your claim.

Common mistakes

When filling out the Illinois Permanent Employee Registration Card (PERC) form, applicants often make several common mistakes that can delay the processing of their application. One frequent error is submitting an incomplete application. Each section of the application must be filled out completely. If any part is left blank or is illegible, the application will be returned, causing unnecessary delays.

Another common mistake is failing to provide a valid social security number. Disclosure of your social security number is mandatory. Not including this information can result in the application being deemed incomplete. Applicants should also ensure that they understand the implications of providing this information, as it may be shared with various state agencies.

Additionally, many applicants overlook the requirement to submit a non-refundable registration fee of $55.00. This fee must be included with the application, made payable to the Department of Financial and Professional Regulation. Without this payment, the application will not be processed, leading to further delays.

Another mistake is not providing the necessary security clearance documents. Security clearance is a crucial part of the application process. If applicants fail to submit the required fingerprint receipt or do not complete the background check within the specified timeframe, their applications will be stalled.

Lastly, applicants sometimes neglect to check for address changes or other updates that need to be communicated. If there has been a change in address or other personal information since the last application, it is essential to indicate this on the current form. Failing to do so can lead to complications or miscommunication regarding the application status.

Documents used along the form

When applying for a Permanent Employee Registration Card (PERC) in Illinois, several other forms and documents are often required or beneficial to the application process. Each of these documents serves a specific purpose, ensuring that applicants meet all necessary requirements and maintain compliance with state regulations. Below is a list of these important documents.

Application for Permanent Employee Registration Card: This is the primary form that applicants must complete to request a PERC. It requires personal information, including social security number and employment history.
Fingerprint Processing Receipt: Applicants must submit proof of fingerprint processing from a licensed vendor. This receipt confirms that the applicant has undergone a criminal background check, which is a crucial part of the security clearance process.
Identity Verification Certifying Statement: For out-of-state applicants, this form is necessary to verify their identity when obtaining classifiable prints from a police department outside Illinois.
VE-PEC Form: This document is used by retired peace officers to verify their status and may exempt them from certain requirements related to the PERC application.
Personal Statement of Conviction: If an applicant has a criminal conviction, they must provide a detailed personal statement explaining the circumstances, along with certified copies of court records.
Employee’s Statement: This form is often completed by the employing agency and includes information about the employee’s criminal history and any conditions that may affect their ability to perform job duties.
Payment Receipt for Registration Fee: A receipt showing payment of the non-refundable registration fee is necessary to complete the application process.
Background Check Authorization: This document authorizes the release of criminal history records and is essential for the security clearance process. It ensures that the applicant understands how their information will be used.

Each of these documents plays a vital role in the PERC application process, ensuring that all applicants are thoroughly vetted and compliant with state regulations. By preparing these forms in advance, individuals can help facilitate a smoother application experience.

Similar forms

Employment Application Form: Like the Illinois PERC Card form, an employment application requires personal information such as name, address, and social security number. Both documents assess the applicant's background and qualifications for a specific role.
Background Check Authorization Form: This document is similar in that it requires consent for a criminal background check. Just as the PERC Card form mandates a criminal history check, this form is used to authorize the release of an applicant's criminal records.
Professional License Application: A professional license application shares similarities with the PERC Card form in that both require detailed personal information and may involve background checks. Each application serves to verify the applicant's eligibility to work in a regulated profession.
Fingerprinting Consent Form: This form is akin to the PERC Card application because it involves the submission of fingerprints for identification purposes. Both documents ensure that the applicant meets the necessary security and background standards required for employment.

Dos and Don'ts

When filling out the Illinois PERC Card form, it's essential to follow specific guidelines to ensure your application is processed smoothly. Here are four important dos and don'ts to keep in mind:

Do complete the application in its entirety. An incomplete or illegible application will be returned.
Do provide your U.S. social security number, as it is mandatory for processing your application.
Don't submit another application if you have applied for a PERC within the past three years without completing the process. Instead, contact the Division's Call Center for assistance.
Don't forget to include the non-refundable registration fee of $55.00, made payable to the Department of Financial and Professional Regulation.

By adhering to these guidelines, you can help ensure a smoother application process for your Permanent Employee Registration Card.

Misconceptions

Understanding the Illinois Permanent Employee Registration Card (PERC) form can be challenging. Here are ten common misconceptions about the PERC card that you should be aware of:

Only security guards need a PERC. Many believe that only security personnel require a PERC. However, it is also necessary for individuals in roles such as private detectives and alarm contractors.
The PERC is valid indefinitely. Some think that once they obtain a PERC, it lasts forever. In reality, the card expires every three years and requires renewal.
Renewal notices are sent out at random times. Many assume they will receive renewal reminders whenever. In fact, renewal notifications are sent via email approximately 90 days before the expiration date.
Social security numbers are optional. Some applicants believe they can skip providing their social security number. This is incorrect; disclosing this information is mandatory for processing the application.
Only new applicants need to complete a full application. It's a common misconception that if you've applied before, you can skip some steps. Every application must be completed in its entirety, regardless of prior submissions.
Past criminal convictions automatically disqualify applicants. Many think that any criminal record will lead to denial. While convictions are considered, they do not always result in automatic disqualification.
Fingerprinting is optional. Some individuals believe they can bypass fingerprinting. However, all applicants must undergo a criminal background check, which includes fingerprinting.
Lost PERC cards cannot be retrieved. There is a misconception that if a PERC is lost, applicants must reapply. In fact, individuals can print their PERC online if it has been lost.
There are no exemptions for specific roles. Some assume that everyone must have a PERC. In reality, peace officers and certain security personnel at regulated sites may be exempt from this requirement.
The application fee is refundable. Many applicants believe they can get their fee back if their application is denied. However, the registration fee is non-refundable, regardless of the outcome.

Being informed about these misconceptions can help streamline the application process and ensure compliance with the requirements for obtaining or renewing a PERC in Illinois.

Key takeaways

When filling out and using the Illinois Permanent Employee Registration Card (PERC) form, it is essential to understand the key aspects of the process. Here are nine important takeaways:

Expiration and Renewal: The PERC expires every three years, with the next renewal notice sent approximately 90 days before the expiration date.
Eligibility: Applicants must be at least 18 years old to apply for a PERC in an unarmed capacity.
Social Security Number: Providing a U.S. social security number is mandatory for application processing.
Non-Refundable Fee: A non-refundable registration fee of $55.00 must accompany the application.
Complete Application: Ensure that the application is filled out completely and legibly; incomplete applications will be returned.
Security Clearance: Security clearance documents are required, and the PERC will not be issued until this clearance is completed.
Criminal Background Check: Applicants must undergo a criminal background check, and fingerprints must be processed within 60 days of application submission.
Exemptions: Certain individuals, such as peace officers and unarmed security guards at regulated nuclear sites, may be exempt from needing a PERC.
Lost or Expired Cards: If a PERC is lost or expired, applicants should contact the Division's Call Center for renewal or replacement instructions.

Understanding these points will help streamline the application process and ensure compliance with the requirements set forth by the Illinois Department of Financial and Professional Regulation.