Forms

- Forms -

We are happy to provide links to common Live Scan forms but please be aware that if you are being fingerprinted on behalf of an employer or agency that has provided you a form, please bring their prefilled form with you. Also, many agencies provide forms and you must bring that form with you. Forms and regulations can and do frequently change, please check with your referring agency or employer for current forms. Please report all broken links here.

A

Alarm Company Operator

Alarm Company Qualified Manager

Alarm Agent Registration

Ambulance

Attorney

B

Bank Officer/ Director License

Board of Behavioral Sciences - (Live Scan Links Below)

  Marriage and Family Therapist

  Clinical Social Worker

  Educational Psychologist

  Professional Clinical Counselor

Board of Pharmacy (Live Scan Links Below)

Pharmacist Live Scan Form

Pharmacist intern Live Scan Form

Bureau of Real Estate (Live Scan Links Below)

Real Estate License

Bureau of Security and Investigative Services (BSIS) (Live Scan Links Below)

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

Private Patrol Operator

Private Patrol Operator License w/Firearm Permit

Private Investigator License

Private Investigator License w/Firearm Permit

Proprietary Private Security Officer Registration

Security Guard Registration

Security Guard Registration w/Firearm Permit

Board of Registered Nursing (Live Scan Links Below)

Registered Nurse

Board of Vocational Nursing and Psychiatric Technicians (Live Scan Links Below)

Vocational Nurse

Psychiatric Technician

C

California Commission on Teacher Credentialing

Teacher Credentialing

Cal South Soccer- Cal South Must provide a form

Certificate of Eligibility Firearms -Must create CFARS acount

Certified Public Accountant Board will provide form only after the application is submitted

Clinical Social Worker

Certified Nurse Assistant This is the application process and sample Live Scan Form. CDPH should provide you with the Live Scan form to fill out.

Contractors State License Board Contractor’s License/ Home Improvement License- All Live Scan Forms will be mailed to you directly from the Contractor’s State License Board before you can get fingerprinted.

Custodian of Records Form is in agency packets provided

California Department of Social Services - In Home Supportive Services You will need to go to orientation where you will receive the Request for Live Scan forms provided by IHSS.

Community Care Licensing (Form must have facility/license number listed)

All prospective employees who need to have a Live Scan conducted as part of the hiring process to work at a Community Care Facility must obtain Live Scan form from the Community Care Licensing Facility. Here is a complete list of types of Community Care Licensing Facilities with-in the DPSS:

Adopt FAC Per
Home Care Organization
Home Care Aide
Home Care Employee
Residential Care Facility of the Elderly
Adult/Day/Res/Rehab
Foster Family Home
Foster Care Mentor/Vol
Foster Family Agency
Foster Family Adopt EMP
Group Home less than 5
Group Home more than 5
Family Daycare License/Emp
Family Daycare Volunteer
Daycare Center less than 6
Daycare Center more than 6
Daycare Center more than 6+/Vol
Parent Mentor/ Resp Adult
Resid/Child less than 6
Resid/Child more than 6
Resource Family Per
Reunification Per