Live Scan – Fingerprinting

The following referring agencies have made their Live Scan Request Forms available to the public online. Please be sure to print one copy of the form and remember to bring your ID.

Blank Form:
Request For Live Scan Service Form – BCII 8016 – State of
California.Department of Justice.

Forms:

Bureau of Security and Investigative Services (BSIS)
Criminal Record Review/Immigration/U.S. Citizenship/Visa
Department of Motor Vehicles (DMV)
Department of Real Estate (DRE)
Department of Social Services
Education
Financial

Gambling
Healthcare/Medical/Psychological
Legal Industry
Miscellaneous
Notary Public
Pest Control
For Use by Applicant Agencies/Employers

Bureau of Security and Investigative Services (BSIS)	Alarm Company Qualified Manager Alarm Company Qualified Manager Certificate w/FirearmPermit Alarm Agent Registration Firearm Permit Locksmith Company License Private Patrol Operator Private Patrol Operator License w/Firearm Permit Private Investigator License Private Investigator License w/Firearm Permit Proprietary Private Security Officer Registration Repossession Agency License Repossession Agency Qualified Manager Certificate Repossession Agency Employee Registration Security Guard Registration Security Guard Registration w/Firearm Permit Training Facility Firearm Certificate Training Facility Baton Certificate Training Instructor Baton Certificate Training Instructor Firearm Certificate Entertainment Firearms Permit Application & Live Scan Form
Criminal Record Review / Immigration / U.S. Citizenship / Visa	Criminal Record Review Secretary of State Immigration Consultant Citizenship/Foreign Adoption/Immigration/Letter of Good Conduct/Police Certificate/Student or Work Visa
Department of Motor Vehicles (DMV): We have these form in stock.	Ambulance Driver Certificate Business Partner Automation Program/Registration Service Owner Business Partner Automation Program/Dealer Owner Business Partner Automation Program/Employee – i.e., Registration Service, Dealer, Automobile Club, Rental Car, Leasing Company employee. Dealer License Dismantler/Wrecker License Distributor License Distributor Representative License Driving School Instructor License Driving School Operator License Driving School Owner License Lessor/Retailer License Manufacturer License – includes Remanufactures Manufacturer Representative License Registration Service License Salesperson License Transporter License Traffic Violation School Owner License -includes Operator or Instructor Vehicle Verifier Permit
Department of Real Estate (DRE)	Real Estate – Live Scan for the Real Estate Salesperson License
Department of Social Services	Trust Line Live Scan Form – Use this form to obtain Live Scan for the Dept. of Social Services Related services Like Trustline – A1157. CA Dept of Social Services – Use this form to obtain Live Scan for the Dept. of Social Services Related services – LIC 9163
Education	Applicant for Teacher Credential California Commission on Teaching Credentialing
Financial	Certified Public Accountant – California CPA Certified Public Accountant License Live scan Fingerprinting form Check Cashers Permit Deferred Deposit Transaction Law License Department of Corporations -Broker-Dealer Certificate/Securities Agent Employment Department of Corporations Finance Lender License Escrow Agents License Mortgage Banker License
Gambling	Gambling Card Room Key Gambling Card Room Owner Gambling Card Room Work Permit Gambling Third Party Tribal Gaming Key Employee Tribal Gaming Vendor
Healthcare / Medical / Psychological	Acupuncture Board: Acupuncture License Board of Behavioral Sciences: Marriage and Family Therapist, Clinical Social Worker, Educational Psychologist. Board of Optometry: Optometrist Doctor of Podiatric Medicine Naturopathic Doctor Registered Nurse – Endorsement (DOJ + FBI) Registered Nurse – Examination (DOJ + FBI) Vocational Nurse or Psychiatric Technician Registered Nurse Renewal Form Pharmacists – Section 4050 Pharmacy Intern – Section 4015 Pharmacy Technician – Section 4015 Pharmacy Wholesaler – Section 4305.5 Medical Board of California (MBC)-Physician and Surgeon, License, Certification, Permit – Licensing Form Psychology Respiratory Care Practitioner Speech-Language Pathology and Audiology Board
Legal Industry	Identity Theft Live Scan Request form
Miscellaneous	Board of Occupational Therapy, DCA: Occupational Therapist, Occupational Therapist Assistant. Cemetery and Funeral Bureau City of Chino – Massage Therapy/Outcall Massage – Request for Live Scan Service Form. Christian Athletic League, Riverside – Volunteer – Request for Live Scan Service Form. Electronic Recording Delivery System (ERDS Program) Victim of Identity Theft – Identity Theft Live Scan Request form
Notary Public	Notary Public (2008 Information)
For Use by Applicant Agencies / Employers	Applicant Fingerprint Clearance Fees Authorization Request Form for School Contract Employers Authorization Request Form for In-home Supportive Care Providers FBI Name Check Request Live Scan Request Packet Fingerprint Processing Follow-up Request Agency Information Change Request Form Subsequent Arrest Service Contract Form 8016 – Request for Live Scan Services Form 8016A – Request for Live Scan Services Form 8016 & 8016A Instructions

Please note that as a courtesy to our clients we have blank Request for Live Scan Service forms available for your convenience. However, it is your responsibility to obtain the necessary ORI Code, Agency Set Address and Mail Code that pertains to your referring agency.

fingerprint-forms

Live Scan – Fingerprinting