Live Scan Forms
Commonly Used Forms for Applicant Agencies:
Please note that as a courtesy to our customers, we have blank Request for Live scan Service forms available for your convenience. However, it is your responsibility to obtain the correct form and the necessary ORI Code, Agency Set Address and Mail Code that pertains to your referring agency.
- Applicant Fingerprint Processing Fees [PDF 29 kb / 1 pg]
- Authorization Request Packet(s):
- School Contractor Employers [PDF 1.14 mb / 24 pg]
- In Home Supportive Care Providers [PDF 1.13 mb / 23 pg]
- Youth Organizations or Human Resource Agencies [PDF 1.15 mb / 24 pg]
- Contract/Proprietary Security Organizations [PDF 1.13 mb / 23 pg]
- City, County or Special Districts [PDF 1.13 mb / 25 pg]
- Schools and all applicant agencies unless designated above under 2, 3, 4, 5 & 6 [PDF 1.18 mb / 23 pg]
- Agency Information Change Request [PDF 75 kb / 1 pg]
- Subsequent Arrest Service Contract [PDF 239 kb / 1 pg]
- Livescan Correction Form (BCII 8017) [PDF 236 kb / 1 pg]
- Livescan Request Form (BCIA 8016) – For General Use [PDF 393 kb / 1 pg]
- Request for Livescan Services for Public Schools or Joint Powers Agencies (BCIA 8016A) [PDF 420 kb / 1 pg]
- Instructions for Livescan Request Forms (Both BCII 8016 and BCII 8016A) [PDF 8.5 kb / 1 pg]
- Livescan Request Form for Custodian of Records (BCIA 8016CUS) [PDF 452 kb / 1 pg]
- Instructions for Livescan Request Form – Custodian of Records (BCIA 8016CUS) [PDF 466 kb / 2 pg]
- Livescan Request Form for Electronic Recording Delivery Service (BCIA 8016ERDS) [PDF 403 kb / 1 pg]
- Livescan Request Form for Record Review or Foreign Adoption (BCIA 8016RR) [PDF 405 kb / 1 pg]
- Request for Applicant Name Check by FBI (BCIA 8020) [PDF 335 kb / 1 pg]
- Custodian of Records – Application for Confirmation (BCIA 8374) [PDF 331 kb / 1 pg]
- Custodian of Records – Annual Notification (BCIA 8375) [PDF 311 kb / 1 pg]
Applicant Agencies? Billing Forms:
- Transmittal Form (Pre-paid) [PDF 44 kb / 1 pg]
- Transmittal Form (Billed) [PDF 43 kb / 1 pg]
- Credit Card Transaction Form [PDF 245 kb / 1 pg]
- Livescan Credit Request Form [PDF 281 kb / 13 pg]
To view PDF files, use free Adobe PDF Reader.
- Attorney License (Determination of Moral Character)
- Bureau of Security & Investigated Service (SECURITY GUARD)
- CA Board of Pharmacy (PHARMACIST)
- CA Commission on Teaching Credentialing
- CA Department of Real Estate
- CA Department of Social Services (Child Care Centers, Preschool, Elderly Care Facilities)
- CA DOJ Check Cashers Permit
- CA DOJ Personal Record Review
- CA DOJ Victim of Identity Theft
- CA DOJ Visa/Immigration Clearance Letter
- Cemetery and Funeral Bureau
- California Department of Justice BCII 8016 Request for Livescan Form
- Immigration Consultant
- Trust Line Applicants
- Acupuncture Board
- Board of Chiropractic Examiners
- California State Bar
- Request For Live Scan Service Form – BCIA 8016
- Guidelines For Completing Request For Live Scan Service Form
- Record Review Live Scan
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
Criminal Record Review / Foreign Adoption
- Criminal Record Review (Personal Use)
- Foreign Adoption
Department of Motor Vehicles (DMV)
- Ambulance Driver Certificate
- Business Partner Automation Program/Registration Service Owner
- Business Partner Automation Program/Dealer Owner
- Business Partner Automation Program/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
- Manufacturer Representative License
- Registration Service License
- Salesperson License
- Transporter License
- Traffic Violation School Owner/Operator/Instructor License
- Vehicle Verifier Permit
Department of Real Estate (DRE)
Department of Social Services
- Trust Line Live Scan Form – A1157
- CA Dept of Social Services– LIC 9163
Healthcare / Medical / Psychological
- Acupuncture Board
- Board of Behavioral Sciences:
- Board of Optometry
- Chiropractic
- Dental Board of California
- Doctor of Podiatric Medicine
- Naturopathic Doctor
- Registered Nurse – Endorsement (DOJ + FBI)
- Registered Nurse – Examination (DOJ + FBI)
- Vocational Nurse or Psychiatric Technician
- Pharmacists
- Pharmacy Intern
- Pharmacy Technician
- Pharmacy Wholesaler
- Physical Therapist or Physical Therapist Assistant
- Psychology
- Respiratory Care Practitioner
- Speech-Language Pathology and Audiology Board
Pest Control
- DCA / Structural Pest Control Board
- Miscellaneous
- Board of Occupational Therapy, DCA
- Cemetery and Funeral Bureau
- Electronic Recording Delivery System (ERDS Program)
- Emergency Medical Agency EMT-I Certification – Santa Barbara
- Fingerprint Processing Follow-up Request
- Professional Fiduciaries Bureau
- Victim of Identity Theft–Identity Theft Live Scan Request form
More Forms Below
- Dental Board of California
- The State Bar of California (Page 5)
- California DMV Services (ORI Number only, Sample Form)
- CA.BVNPT Board of Vocational Nursing/Psychiatric Technicians
- CA Dept of Social Services
- Trust Line Live Scan Form
- Applicant Agency Fingerprint Transaction Follow-up Request
- Attorney License – Determination of Moral Character
- CA Commission on Teaching Credentialing
- Check Cashers Permit – Live Scan form
- DMV-8016 – Live Scan request form (ORI Number)
- Entertainment Firearms Permit Application & Live Scan Form
- Identity Theft Live Scan Request form
- Pharmacists Live Scan Form (Pages 15 thru 17)
- Pharmacy Wholesaler Live Scan form
Contractors State License Board
Contractors State License Board Information – You must bring the “Request for Livescan Form” that you received from State License Board
Applicant Agencies
BEFORE any of your potential applicants can be fingerprinted for a background check, you must apply with the DOJ to become an authorized applicant agency, unless already designated by law. Please note: The DOJ will only approve an organization if authorized in statute. The authorizing statute will specify the level of service you are authorized to receive (i.e., California criminal history information ONLY or California and Federal criminal history information).