Illinois Perc Card Template

Illinois Perc Card Template

The Illinois Permanent Employee Registration Card (PERC) form is a necessary document for individuals seeking employment in specific security-related positions within the state. This card must be renewed every three years, and certain exemptions apply, such as for licensed peace officers. To start your application process, please fill out the form by clicking the button below.

Table of Contents

For those looking to work in the security or investigative fields in Illinois, the Permanent Employee Registration Card (PERC) is a crucial document. This card is necessary for individuals seeking employment with licensed agencies, ensuring they meet the state’s requirements for professionalism and safety. The PERC is valid for three years, and its renewal process is straightforward, with notifications sent out via email about 90 days before expiration. However, not everyone needs a PERC; for instance, individuals holding valid licenses as detectives, security contractors, alarm contractors, or locksmiths are exempt from this requirement. The application process involves several important steps, including completing an application form, submitting a non-refundable fee, and undergoing a security clearance through fingerprinting. It’s essential to provide accurate information and adhere to deadlines to avoid delays in processing. Additionally, certain exemptions apply, such as for peace officers or unarmed security guards at regulated facilities. Understanding these nuances can simplify the path to obtaining a PERC, allowing applicants to focus on their career aspirations in a regulated and secure environment.

Illinois Perc Card Sample

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)

Document Attributes

Fact Name Details
Expiration Period The Illinois Permanent Employee Registration Card (PERC) expires every three years, with the last expiration noted as May 31, 2018.
Renewal Notification Renewals are sent via email approximately 90 days before the expiration date of the PERC.
Exemptions Peace officers and certain security personnel at regulated nuclear sites are exempt from needing a PERC.
Application Fee A non-refundable fee of $55.00 is required for the PERC application, payable to the Department of Financial and Professional Regulation.
Age Requirement Applicants must be at least 18 years old to apply for a PERC in an unarmed capacity.
Governing Laws The application process is governed by 225 ILCS 447/1 et. seq. and 5 Illinois Compiled Statutes 100/10-65.

Illinois Perc Card: Usage Instruction

Filling out the Illinois Permanent Employee Registration Card (PERC) form is a straightforward process, but it's important to pay attention to the details to ensure everything is completed correctly. Once you have submitted your application, it will be processed, and you can expect to receive your card if all requirements are met. Below are the steps to guide you through filling out the form.

  1. Begin by carefully reading the entire application form to understand what information is required.
  2. Fill in your full name, including your last name, first name, and middle initial.
  3. Provide your U.S. Social Security number. This is mandatory for the application.
  4. Enter your home street address. Remember, P.O. Boxes are not acceptable.
  5. Complete the city, state, and ZIP code fields.
  6. Indicate your county of residence.
  7. Include a valid email address, as this is required for communication regarding your application.
  8. Input your date of birth in the format M/D/Y.
  9. State your age, ensuring you are at least 18 years old to apply.
  10. Provide your telephone number, including the area code.
  11. Answer the questions regarding any criminal convictions, military discharge status, and health conditions as applicable. Attach any required statements or documentation.
  12. Certify that you have completed the application and that all information is accurate. Sign and date the form.
  13. Prepare a non-refundable registration fee of $55.00 made payable to the Department of Financial and Professional Regulation.
  14. Gather the appropriate security clearance documents, including your electronic fingerprint receipt.
  15. Send the completed application, fingerprint receipt, and fee payment to the Illinois Department of Financial and Professional Regulation at the specified address.

Frequently Asked Questions

  1. What is the Illinois PERC Card, and who needs it?

    The Illinois Permanent Employee Registration Card (PERC) is required for individuals working in unarmed security positions in Illinois. If you are at least 18 years old and plan to work for a licensed agency in security, you must obtain a PERC. However, if you hold a valid Illinois detective, security contractor, alarm contractor, or locksmith license, you do not need a PERC to work.

  2. How do I apply for a PERC Card?

    To apply for a PERC, follow these steps:

    • Complete the application in full. An incomplete application will be returned.
    • Provide your U.S. social security number, which is mandatory.
    • Submit a non-refundable registration fee of $55.00.
    • Include the necessary security clearance documents.
    • Send your application, fingerprint receipt, and payment to the Illinois Department of Financial and Professional Regulation.

    Make sure to check that your fingerprints are processed within 60 days of submitting your application.

  3. What if my PERC Card 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. Make sure to provide your updated address if it has changed. If you have lost your PERC, you can retrieve a copy online by visiting the IDFPR website and using the e-License Search link.

  4. Are there any exemptions to needing a PERC?

    Yes, certain individuals are exempt from needing a PERC. Peace officers, as defined in the relevant Illinois legislation, do not require a PERC. Additionally, unarmed security guards working at nuclear facilities who have completed required training and background checks are also exempt. If you believe you qualify for an exemption, ensure you provide the necessary documentation with your application.

Common mistakes

When applying for a Permanent Employee Registration Card (PERC) in Illinois, individuals often make mistakes that can delay the processing of their applications. Understanding these common pitfalls can help ensure a smoother application process. Here are five frequent errors to watch out for.

One significant mistake is failing to complete the application in its entirety. An incomplete application will be returned, leading to unnecessary delays. Applicants should take the time to carefully fill out every section of the form. This includes providing accurate personal information, such as name, address, and social security number. Omitting any required detail can result in rejection.

Another common error is neglecting to provide the correct registration fee. The application requires a non-refundable fee of $55.00. Submitting an incorrect amount or failing to include the payment altogether can halt the application process. Always double-check the payment method and ensure it is made out to the appropriate department.

Additionally, applicants sometimes overlook the importance of submitting the necessary security clearance documents. The application cannot be processed until security clearance is completed. This includes providing a copy of the electronic fingerprint receipt. Failing to include these documents can cause significant delays in obtaining the PERC.

Furthermore, many individuals forget to update their contact information. If there has been a change of address or contact number since the last application, it is crucial to indicate this on the new application. Inaccurate or outdated information can lead to communication issues, resulting in missed notifications about the application status.

Lastly, some applicants mistakenly believe they can apply for a new PERC if their previous card has expired. However, if an individual has held a PERC in the past, they should seek a renewal rather than submitting a new application. This misunderstanding can lead to additional complications and delays. By being aware of these common mistakes, applicants can navigate the PERC application process more effectively.

Documents used along the form

When applying for a Permanent Employee Registration Card (PERC) in Illinois, several additional forms and documents may be necessary to ensure a smooth application process. Below is a list of commonly required documents that accompany the PERC application, along with brief descriptions of each.

  • Application for Permanent Employee Registration Card: This is the primary form needed to apply for a PERC. It collects personal information and requires a non-refundable fee.
  • Fingerprint Receipt: This document serves as proof that the applicant has undergone the required fingerprinting for a criminal background check. It must be submitted with the application.
  • VE-PEC Form: This form is used by retired peace officers to verify their retirement status, allowing them to waive the security clearance requirement.
  • Identity Verification Certifying Statement: This form is necessary for applicants who need to have their fingerprints taken out of state. It certifies the identity verification process completed by a police department.
  • Criminal Background Check Information: This document outlines the process and requirements for undergoing a criminal background check as part of the PERC application.
  • Employee's Statement: This form must be completed by the employing agency and retained in the employee's personnel file. It includes information about the employee's background and any criminal convictions.
  • Proof of Age: Applicants must provide documentation that verifies they are at least 18 years old, as this is a requirement for applying for a PERC.
  • Social Security Number Disclosure: This is a mandatory disclosure form that allows the state to use the applicant's social security number for identification and compliance checks.
  • Payment Receipt: A copy of the payment receipt for the non-refundable registration fee must be included to confirm that the fee has been paid.
  • Change of Address Notification: If the applicant has moved since their last application, they must notify the Department of Financial and Professional Regulation of their new address.

Gathering these documents can significantly streamline the application process for a PERC. Ensuring that all forms are completed accurately and submitted together will help avoid delays and complications in obtaining the necessary registration card.

Similar forms

  • Illinois Firearm Owner's Identification (FOID) Card: Similar to the PERC, the FOID card is required for individuals who wish to possess firearms in Illinois. Both documents require an application process, background checks, and renewal every few years.
  • Illinois Concealed Carry License: This license allows individuals to carry concealed firearms. Like the PERC, it necessitates a thorough application process, including fingerprinting and proof of training.
  • Illinois Private Detective License: This license is needed for individuals working as private detectives. Both the PERC and this license require background checks and adherence to state regulations.
  • Security Guard License: Similar to the PERC, this license is mandatory for those working as security guards. Both require completion of an application, payment of fees, and background screening.
  • Alarm Contractor License: Individuals working as alarm contractors must obtain this license. The application process mirrors that of the PERC, involving fees and background checks.
  • Locksmith License: Similar to the PERC, a locksmith license is required for those in that profession. Both require applicants to submit personal information and undergo a background check.
  • Real Estate License: This license is necessary for real estate agents. Both the PERC and real estate licenses require an application, payment of fees, and proof of background checks.
  • Insurance Producer License: Individuals seeking to sell insurance must obtain this license. The application process is similar to the PERC, requiring personal information and background verification.
  • Massage Therapy License: This license is required for practicing massage therapists. Like the PERC, it involves an application, fees, and proof of education and background checks.

Dos and Don'ts

When filling out the Illinois Permanent Employee Registration Card (PERC) form, there are several important guidelines to follow. Adhering to these can help ensure a smooth application process. Below is a list of things you should and shouldn't do.

  • Do complete the application in its entirety. An incomplete application will be returned.
  • Do provide your U.S. social security number if you have one, as it is mandatory.
  • Do submit the non-refundable registration fee of $55.00 made payable to the Department of Financial and Professional Regulation.
  • Do ensure that you are at least 18 years old when applying for a PERC in an unarmed capacity.
  • Do include any required security clearance documents with your application.
  • Don't forget to sign your application. A missing signature can delay processing.
  • Don't submit another application if you have already applied within the last three years without completing the process.
  • Don't use a P.O. Box for your home address; provide a physical street address instead.
  • Don't neglect to check for any updates or changes in the application requirements before submission.

Following these guidelines can help facilitate a more efficient application process. If you have any questions or uncertainties, consider reaching out to the appropriate authorities for assistance. Your diligence in completing the form accurately is crucial for a successful outcome.

Misconceptions

Misconceptions about the Illinois Permanent Employee Registration Card (PERC) form can lead to confusion during the application process. Below are seven common misconceptions clarified:

  • A PERC is not necessary if you have a valid Illinois detective or security contractor license. This is true. If you hold a valid Illinois detective, security contractor, alarm contractor, or locksmith license, you do not need a PERC to work for a licensed agency.
  • Renewal notices are sent out on the expiration date. This is incorrect. You will receive a renewal notice approximately 90 days before your PERC expires, not on the expiration date itself.
  • Anyone can apply for a PERC at any time. This is misleading. You must be at least 18 years old to apply for a PERC in an unarmed capacity. Additionally, if you have applied within the past three years but did not complete the process, you should not submit another application.
  • The application fee is refundable. This is false. The $55 registration fee is non-refundable, regardless of the application outcome.
  • Fingerprinting is optional. This is not accurate. A criminal background check, including fingerprinting, is mandatory for all applicants. The security clearance must be completed before a PERC can be issued.
  • Previous PERC holders can apply for a new card anytime. This is incorrect. If you have been issued a PERC in the past, you cannot apply for an additional card. If your original card has expired, you should contact the Division's Call Center for renewal instructions.
  • Providing a Social Security number is optional. This is misleading. Disclosure of your U.S. Social Security number is mandatory for obtaining a license, as per Illinois law.

Understanding these misconceptions can help streamline the application process and ensure compliance with the requirements for obtaining a PERC in Illinois.

Key takeaways

Filling out the Illinois PERC Card form requires careful attention to detail. Here are some key takeaways to keep in mind:

  • Ensure that your application is complete and legible. An incomplete or unclear application will be returned, causing delays.
  • Applicants must be at least 18 years old to qualify for a PERC in an unarmed capacity.
  • A non-refundable registration fee of $55.00 must accompany your application. This fee is payable to the Department of Financial and Professional Regulation.
  • Security clearance is mandatory before a PERC is issued. Be sure to submit the required fingerprinting documents as part of your application.

By following these guidelines, you can help ensure a smoother application process for your Permanent Employee Registration Card in Illinois.