Live Scan Fingerprinting Request Forms

The following referring agencies have made their Live Scan Request Forms available to the public online. Please be sure to print three copies of the form as it must be prepared in triplicate.

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

Bureau of Security and Investigative Services (BSIS):
Alarm Company Operator
Alarm Company Qualified Manager
Alarm Company Qualified Manager Certificate w/Firearm Permit
Alarm Agent Registration
Alarm Agent Registration w/Firearm Permit
Firearm Permit
Locksmith Company License
Locksmith Company Employee Registration
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

Contractors State License Board
Contractors State License Board Information - You must bring the "Request for Live Scan Form" that you received from State License Board.
Home improvement Salesperson License - We have the form for the Home Improvement License. Please make sure you have your 11 Digit application number.

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
Chiropractic
Dental Board of California - Dental License or Examination.
Doctor of Podiatric Medicine
Hearing AID Dispensers Bureau: Hearing Aid Dispenser - License, Certification, Permit
Naturopathic Doctor
Registered Nurse - Endorsement (DOJ + FBI)
Registered Nurse - Examination (DOJ + FBI)
Vocational Nurse or Psychiatric Technician
Certified Nurse Assistant (CNA) or Home Health Aide (HHA)
Paramedic
Pharmacists - Section 4050
Pharmacy Intern - Section 4015
Pharmacy Technician - Section 4015
Pharmacy Wholesaler - Section 4305.5
Physical Therapist or Physical Therapist Assistant
Physician and Surgeon
Medical Board of California (MBC) -Physician and Surgeon, License, Certification, Permit - Licensing Form
Psychology
Respiratory Care Practitioner
Speech-Language Pathology and Audiology Board
Veterinarian or Veterinary Technician
Veterinary Medical Board: Veterinarian/Veterinary Technician - License/Certification.

Legal Industry:
California Bar Determination of Moral Character-Live Scan for the Attorney License in the State of CA.
Identity Theft Live Scan Request form

Miscellaneous:
Board of Occupational Therapy, DCA: Occupational Therapist, Occupational Therapist Assistant.
California Department of Insurance - Company Officers & Directors Live Scan Form
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)
EMT-1 Certification - Live Scan for the Los Angeles County EMS EMT-I certification.
Emergency Medical Services Authority: Paramedic License.
Emergency Medical Agency EMT-I Certification - Santa Barbara County
Professional Fiduciaries Bureau: Professional Fiduciary.
Victim of Identity Theft-Identity Theft Live Scan Request form

Notary Public:
Notary Public (2008 Information)

Pest Control:
DCA/Structural Pest Control Board: Structural Pest Control, License, Certification, Permit

For Use by Applicant Agencies/Employers

Applicant Fingerprint Clearance Fees [PDF 29 kb / 1 pg]
Authorization Request Form for School Contract Employers [PDF 165 kb / 4 pg]
Authorization Request Form for In-home Supportive Care Providers [PDF 518 kb / 7 pg]
Authorization Request Form For Youth Organizations/ Human Resources Agencies [PDF 1.24 mb /19 pg]
FBI Name Check Request [PDF 260 kb / 1 pg]
Live Scan Request Packet [PDF 558 kb / 18 pg]
Fingerprint Processing Follow-up Request [PDF 280 kb / 1 pg]
Agency Information Change Request Form [PDF 75 kb / 1 pg]
Subsequent Arrest Service Contract [PDF 239 kb / 1 pg]
Form 8016 - Request for Live Scan Services [PDF 8.5 kb / 1 pg]
Form 8016A - Request for Live Scan Services [PDF 8.5 kb / 1 pg]
Form 8016 & 8016A Instructions [PDF 8.5 kb / 1 pg]

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.

Live Scan Fingerprinting Plus

For Use by Applicant Agencies/Employers

Send mail to webmaster@livescanfp.com with questions or comments about this web site.
Copyright © 2008 Live Scan Fingerprinting Plus. Last modified: May 13, 2008.

Live Scan Fingerprinting Plus

For Use by Applicant Agencies/Employers

Send mail to webmaster@livescanfp.com with questions or comments about this web site. Copyright © 2008 Live Scan Fingerprinting Plus. Last modified: May 13, 2008.

Send mail to webmaster@livescanfp.com with questions or comments about this web site.
Copyright © 2008 Live Scan Fingerprinting Plus. Last modified: May 13, 2008.