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As a courtesy to our customers and vistors, we have made the following forms available to you for downloading and printing at your convenience. Please note that it is your responsibility to obtain the necessary ORI Code, Agency Set Address, Mail Code and Agency Billing Number (if applicable) that pertains to your referring agency and confirm with your referring agency that your form is filled out correctly.  We are not allowed to assist you in completing your forms. 


The following referring agencies have made their request forms available to the public online. We can not be held responsible for errors or omissions in your submission forms or selecting the incorrect form for your individual live scan submisison requirements.

 

BLANK FORM:
BUREAU OF SECURITY AND INVESTIGATIVE SERVICES:
CONTRACTORS STATE LICENSE BOARD:
CRIMINAL RECORD REVIEW/IMMIGRATION/US CITIZENSHIP/VISA:
DEPARTMENT OF MOTOR VEHICLES:
DEPARTMENT OF REAL ESTATE:
DEPARTMENT OF SOCIAL SERVICES:
EDUCATION:
FINANCIAL:
GAMBLING:
HEALTHCARE/MEDICAL/PSYCHOLOGICAL:
LEGAL INDUSTRY:
MISCELLANEOUS:
NOTARY PUBLIC:
PEST CONTROL:
FOR USE BY APPLICANT AGENCIES AND EMPLOYERS:

BLANK FORM:

Request For  Live Scan Service Form BCII 8016

 

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BUREAU OF SECURITY AND INVESTIGATIVE SERVICES:

Alarm, Firearm, Locksmith, Private Patrol, Private Investigator, Repossession, Security Guard, Training Facility and Training Instructor

 

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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.
 

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CRIMINAL RECORD REVIEW/IMMIGRATION/US CITIZENSHIP/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:

Ambulance Driver, Business Partner, Dealer, Dismantler, Distributer, Driving School, Lessor, Manufacturer, Registration, Salesperson, Transporter, Traffic School, Vehicle Verifier

(We have this form available for you in our office)

 

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DEPARTMENT OF REAL ESTATE:

Real Estate - Live Scan for the Real Estate Salesperson License.

 

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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.

 

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EDUCATION:

California Application For Teacher Credential

California Commission on Teaching Credentialing

 

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FINANCIAL:

Certified Public Accountant 

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:

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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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

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:

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

 

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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

Electronic Recording Delivery System

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

 

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NOTARY PUBLIC:
Notary Public

 

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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:

Agency Information Change Request Form
Applicant Fingerprint Clearance Fees
Authorization Request Form for School Contract Employers
Authorization Request Form for In-home Supportive Care Providers
Authorization Request Form For Youth Organizations/ Human Resources
FBI Name Check Request
Fingerprint Processing Follow-up Request
Form 8016 - Request for Live Scan Services
Form 8016A - Request for Live Scan Services
Form 8016 & 8016A Instructions
Live Scan Request Packet
Subsequent Arrest Service Contract

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