San Fernando, CA · Los Angeles County
Live Scan Form
This form requests Live Scan fingerprint processing and is completed by an applicant and the authorized agency requesting a criminal record check.
What this form is
The Request for Live Scan Service collects applicant, agency, and employer details for fingerprint-based criminal record checks. It includes fields for the level of service and a signature confirming the applicant received and read the privacy notices. The form explains that an authorized entity uses the information to help determine suitability for purposes such as a license, employment, or permit.
Who needs it
Applicants seeking a fingerprint-based criminal record check for an authorized agency’s employment, license, certification, permit, or other suitability determination may need this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the applicant signs and dates the form after acknowledging the privacy notices.
How to submit this form
- 1
Download The Form
Download the Request for Live Scan Service form.
- 2
Complete Applicant Details
Fill in the requested applicant information and review the privacy notices.
- 3
Complete Agency Details
Have the contributing agency information completed, including its authorized applicant type and contact details.
- 4
Sign And Submit
Sign and date the form, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Live Scan form for?
- It requests Live Scan service for fingerprint-based criminal record checks and collects applicant and authorized agency information.
- Who completes the Live Scan form?
- The form has fields for both applicant information and contributing agency information, along with an applicant signature acknowledging the privacy notices.
- Do I need a notary for the Live Scan form?
- No. The document has an applicant signature and date field but no notary block; the applicant signs and dates it after acknowledging the privacy notices.
- How do I submit the Live Scan form?
- The form does not provide a submission address or portal. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Live Scan Form doesn’t need a notary — but if you have another San Fernando form that does, a commissioned online notary can help.