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Live Scan Fingerprinting,
Ink Card FBI FD-258
Fingerprinting, International
Passport/VISA/ID Citizenship, Green Card Custom Size Photos, Public
Notary, Website Design,
Business Card Design, Lamination, Insurance,
ISP Listing, Job
- Resume, Business Supply,
$0 Deals, Tours
and Travels, Website Design
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Live Scan Fingerprinting Request Forms |
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Live
Scan Fingerprinting Plus - Riverside and Chino Office - Business Flyer.
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Live
Scan Fingerprinting Plus - Riverside and Chino Office - Letter to Employers.
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Live
Scan Fingerprinting Plus - Service List and Price Information.
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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.
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| Blank
Form
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Blank Form:
Request
For Live Scan Service Form - BCII 8016 - State of California.
Department of Justice.
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.
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| Bureau of Security
and Investigative Services (BSIS)
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Bureau of Security
and Investigative Services (BSIS):
Live
Scan - Forms
Select
the Type of Certificate/License/Permit/Registration for which you are applying:
DOJ
Firearms Division - POST Certification
DOJ/Firearms
Division -
P.O.S.T. Certification (Non-Sponsored)
Entertainment
Firearms Permit Application & Live Scan Form
Firearms
Eligibility Cert - Firearm
Eligibility Certification, Certificate of Eligibility, Department of
Justice, Bureau of Firearms.
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| Contractors State
License Board
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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. We have the form for the
"Request for Live Scan Form"
but make sure you have your 11 Digit application number, if you do
not have the form.
Home improvement Salesperson
License - We have the form for the Home Improvement
License. Please make sure you have your 11 Digit application number.
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| Criminal Record
Review/Immigration/U.S. Citizenship/Visa:
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Criminal Record
Review/Immigration/U.S. Citizenship/Visa:
Criminal
Record Review -
Personal Record Review / Back Ground Check - Department of
Justice (DoJ) California
Secretary
of State Immigration Consultant
Citizenship/Foreign
Adoption/Immigration/Letter of Good Conduct/Police
Certificate/Student or Work Visa
Criminal
Record Review
Secretary
of State Immigration Consultant
Citizenship/Foreign
Adoption/Immigration/Letter of Good Conduct/Police
Certificate/Student or Work Visa
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| Department of Motor
Vehicles (DMV):
We have these form in stock.
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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
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Department of Real Estate - DRE
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Department of Real Estate (DRE):
Real
Estate - Live
Scan for the Real Estate Salesperson License.
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Department of Social Services
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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.
LIC279:
Application For a Family Child Care Home License
LIC508: CRIMINAL
RECORD STATEMENT
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Education
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Education:
Applicant
for Teacher Credential
California
Commission on Teaching Credentialing
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EMT-I: Emergency
Medical Agency -
EMS
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EMT-I: Emergency
Medical Agency -
EMS
EMT-I
Certification - Riverside County EMS Agency - Live
Scan Service request form.
EMT-I
Certification - San Bernardino County Inland
Counties Emergency Medical Agency (EMS Agency) - Live Scan
Service request form.
OCEMSA
Emergency Medical Technician - Orange County Emergency
Medical Agency
EMT-I
Certification - Los Angeles County EMS EMT-I certification.
Emergency
Medical Agency EMT-I Certification
- Santa Barbara County
Emergency
Medical Services Authority: Paramedic
License.
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Financial
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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
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Gambling
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Gambling:
Gambling
Card Room Key
Gambling
Card Room Owner
Gambling
Card Room Work Permit
Gambling
Third Party
Tribal
Gaming Key Employee
Tribal
Gaming Vendor
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Insurance
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Insurance:
California
Department of Insurance: Live Scan Service
Request (Applicant) LIC 442-39A (Rev. 09/2008) Form for Insurance
service providers.
AGENTS
& BROKERS: Producer Licensing Requirements
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Healthcare
Medical
Psychological
Vocational
Nursing
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Healthcare/Medical/Psychological:
Acupuncture Board:
Acupuncture License
Board
of Behavioral Sciences: Marriage and
Family Therapist, Clinical Social Worker, Educational
Psychologist.
Board
of Optometry: Optometrist
Board of Occupational Therapy, DCA:
Occupational Therapist, Occupational Therapist Assistant.
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) - Original
Registered
Nurse - Examination (DOJ + FBI)
REGISTERED NURSE
- RENEWAL (DoJ+FBI)
Vocational
Nurse or Psychiatric Technician - Original
Vocational Nurse
- Psychiatric Technician - Permit Renewal
Certified
Nurse Assistant (CNA) or Home Health Aide (HHA)-Sample Form.
Use
this Blank Form BCII 8016 for CNA or HHA and use above form for the
guidlines.
Certified
Nurse Assistant/Home Health Aide/Hemodialysis Technician Forms
BCII
8016 SAMPLE
Sample for Certification of Nurse Assistants or
Home Health Aides Request for Live Scan Service
Applicant Submission
BCII
8016 SAMPLE
Sample for Licensee, Administrator, and Direct
Care Staff of ICFDD, ICFDDN, ICFDDH Facitities
Request for Live Scan Service Applicant Submission
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Paramedic
- Emergency Medical Services Authority
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.
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Legal Industry
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Legal Industry:
California
Bar Determination of Moral Character-Live
Scan for the Attorney License in the State of CA.
Victim
of Identity Theft-Identity
Theft Live Scan Request form
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Miscellaneous
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Miscellaneous:
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.
Cal
South - Non Profit Youth Organization Volunteer
Electronic
Recording Delivery System (ERDS Program) - ERDS SEC ACCESS GC 27395
Professional
Fiduciaries Bureau: Professional Fiduciary.
California
Massage Therapy Council
MASSAGE THERAPIST
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Notary Public
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Notary Public:
Notary
Public (2008
Information)
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Pest Control
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Pest Control:
DCA/Structural
Pest Control Board: Structural Pest Control, License, Certification,
Permit
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For Use by Applicant
Agencies and Employers
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For Use by Applicant
Agencies and Employers
Commonly
Used Forms for Applicant Agencies:
Links to many of
the forms used by applicant agencies can be found in the step-by-step
instructions or in the Frequently Asked Questions sections. The
following is the listing and links to the applicant agency forms:
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Applicant
Fingerprint Processing Fees
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Application
Forms to be Completed Prior to an Authorized Agency Conducting Live
Scan Background Checks
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Authorization
Request for School Contractor Employers
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Authorization
Request for In Home Supportive Care Providers
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Authorization
Request for Youth Organizations or Human Resource Agencies
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Agency
Information Change Request
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Subsequent
Arrest Service Contract
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No
Longer Interested Form
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Live
Scan Correction Form (BCII 8017)
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Live
Scan Request Form (BCII 8016) - For General Use
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Live
Scan Request Form for Public Schools or Joint Powers Authorities
ONLY (BCII 8016A)
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Instructions
for Live Scan Request Forms (Both BCII 8016 and BCII 8016A)
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Fingerprint
Processing Follow Up Request
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FBI
Name Check Request
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