Mesa, AZ · Maricopa County
Special Licensing Office Fingerprints and Background Check
This form collects applicant information for fingerprinting and a background check for people applying for specified City of Mesa special licenses.
What this form is
Applicants for the listed City of Mesa licenses use this form for fingerprinting and a background check processed by Secureone, with results forwarded to the Mesa Police Department. It identifies the license being applied for and asks for the person’s name, birth date, previous names, phone number and Social Security number. Previous names must also be listed on the fingerprint card.
Who needs it
People applying for a massage establishment, antique, auctioneer, pawnbroker, scrap metal dealer, secondhand dealer, automated kiosk, escort services or peddler license use this form.
How to submit it
Fingerprinting is processed by Secureone at 132 W. Pepper Pl., Mesa, AZ 85201. No appointment is necessary; payment is collected at service, and photo ID is required.
About notarization
This document does not require a notary; it lists no notarized attachment or sworn step, and provides no signature or date field.
How to submit this form
- 1
Download The Form
Download the City of Mesa fingerprint and background check form.
- 2
Complete Applicant Details
Identify the license being applied for and provide the person’s name, birth date, previous names, phone number and Social Security number.
- 3
Prepare For Fingerprinting
List all previous names on the fingerprint card and bring photo ID. No appointment is necessary.
- 4
Visit Secureone
Fingerprinting is processed by Secureone at 132 W. Pepper Pl., Mesa. Payment is collected at the time of service.
Frequently asked questions
- Do I need a notary for the Special Licensing Fingerprints and Background Check form?
- No. The document has no notary block and lists no notarized attachment or sworn step; it also provides no signature or date field.
- How do I submit the fingerprint form?
- Fingerprinting is processed by Secureone at 132 W. Pepper Pl., Mesa. No appointment is necessary, payment is collected at service, and photo ID is required.
- Which license applications use this form?
- The form lists massage establishment, antique, auctioneer, pawnbroker, scrap metal dealer, secondhand dealer, automated kiosk, escort services and peddler licenses.
- What information does the form request?
- It requests the applicant’s license type, name, date of birth, previous names, phone number and Social Security number. Previous names must also appear on the fingerprint card.
Need something notarized?
This Special Licensing Office Fingerprints and Background Check doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.