Form BCIA 8016 Live Scan Request – Sacramento Massage PDF

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Form BCIA 8016 Live Scan Request – Sacramento Massage PDF

Form BCIA 8016, Request for Live Scan Service, is the California Department of Justice fingerprint request preprinted for City of Sacramento Business Permits (AD510 SOMATIC - MASSAGE). Fill it out online on FillingPDF and download or print the completed PDF.
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Form BCIA 8016, Request for Live Scan Service, is the California Department of Justice (DOJ) form that asks for a fingerprint-based criminal record check. This copy is preprinted for City of Sacramento Business Permits under AD510 SOMATIC - MASSAGE, and the City of Sacramento Finance Department posts it with its permit applications, so it sits among the paperwork for a Sacramento business license of the special-permit kind. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original is published by the City at the URL listed here.

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What is BCIA 8016?

Form BCIA 8016, Request for Live Scan Service (Applicant Submission), is the California Department of Justice form an applicant uses to request a Live Scan fingerprint transaction, with results going to the agency authorized to receive criminal record information.

This copy is preprinted with AD510 SOMATIC - MASSAGE, the Authorized Applicant Type PERMIT, and the contributing agency: City of Sacramento Business Permits, 915 I Street Room 1201, Business Permits & Taxes, Sacramento CA 95814, telephone (916) 808-8500, mail code 14569. It is a fingerprint request, not a permit or license: the City's special business permits, such as the massage practitioner and establishment permits, are issued separately by the Finance Department, Revenue Division.

Page 1 collects the applicant's name, any other name, sex, date of birth, physical description, place of birth, identification numbers, home address and signature. It also has a Level of Service choice (DOJ or FBI), a box for the original ATI number on a resubmission, an Employer block for agencies specified by statute, and a block the Live Scan operator completes. Pages 2 to 4 hold the Privacy Notice, the Privacy Act Statement and the Noncriminal Justice Applicant's Privacy Rights.

Who needs to file BCIA 8016?

Applicants who are asked by City of Sacramento Business Permits to submit fingerprints for a massage-related permit use this form, because it is preprinted for AD510 SOMATIC - MASSAGE and names the City office as the agency that receives the criminal record information. The form itself does not list which permit holders must be fingerprinted, so confirm with Business Permits & Taxes at (916) 808-8500 or [email protected].

  • Each person being fingerprinted completes the applicant section and signs for themselves; the form has one applicant signature line and names no one else who may sign.
  • Complete the Employer block only if your situation falls under the agencies the form describes as specified by statute; it is labeled as an additional response.
  • Anyone resubmitting after a rejected Live Scan transaction uses the same form and lists the original ATI number, with proof of rejection.

The Privacy Rights page explains the rights of applicants undergoing a national fingerprint-based check for a noncriminal justice purpose, such as a license application.

When to file BCIA 8016

Complete Form BCIA 8016 when the Live Scan fingerprinting for your City of Sacramento permit is requested; the form prints no due date of its own. A resubmission after a rejected transaction uses the same form, with the original ATI number and proof of rejection. The Live Scan operator enters the transaction date in the block at the bottom of page 1. For timing tied to your permit application, contact City of Sacramento Business Permits & Taxes at (916) 808-8500 (phone hours Monday to Thursday 8:30 a.m. to 4:00 p.m., Friday 8:30 a.m. to 12:00 p.m.) or [email protected].

How to fill out BCIA 8016

  1. Review the preprinted permit details

    Check that the form shows AD510 SOMATIC - MASSAGE, Authorized Applicant Type PERMIT and the City of Sacramento Business Permits contributing agency block. If the Type of License/Certification/Permit OR Working Title box needs an entry, use at most 30 characters, or the exact title DOJ assigned.

  2. Enter your legal name

    Under Applicant Information, enter your Last Name, First Name, Middle Initial and Suffix. Enter any AKA or alias under Other Name: Last Name, First Name and Suffix.

  3. Select your sex

    Check Male, Female or Nonbinary/Unspecified.

  4. Enter birth date and description

    Enter your Date of Birth, Height, Weight, Eye Color and Hair Color, and your Place of Birth (State or Country).

  5. Enter your identification numbers

    Enter your Driver's License Number and Social Security Number. Use the Misc. Number (Other Identification Number) box only if you have such a number; the Billing Number (Agency Billing Number) belongs to the agency.

  6. Enter your home address

    Under Home Address, enter the Street Address or P.O. Box, City, State and ZIP Code.

  7. Acknowledge the privacy notices and sign

    Mark the statement that you received and read the Privacy Notice, Privacy Act Statement and Applicant's Privacy Rights (pages 2 to 4), then add the Applicant Signature and Date.

  8. Check the Level of Service

    Review the Level of Service (DOJ, FBI). If it indicates FBI, your fingerprints are used to check FBI criminal history records. Ask Business Permits & Taxes at (916) 808-8500 if you are unsure which applies.

  9. List the original ATI on a resubmission

    Only if you are resubmitting, enter the original ATI number and keep the proof of rejection available.

  10. Complete the Employer block if it applies

    For agencies specified by statute, enter Employer Name, Street Address or P.O. Box, optional Telephone Number, City, State, ZIP Code and the DOJ-assigned five-digit Mail Code.

  11. Leave the operator block blank

    Do not fill in Live Scan Transaction Completed By; the operator records the name, date, Transmitting Agency, LSID, ATI Number and amount.

  12. Review and download the completed PDF

    Check every entry against your identification, then download or print the completed PDF from FillingPDF and take it to your Live Scan appointment as described under How to submit.

How to submit BCIA 8016

The form is used in a Live Scan transaction and names City of Sacramento Business Permits as the agency that receives the criminal record information. It prints no mailing address, portal or appointment rule for delivering the form itself.

  • Live Scan transaction: the form has a block headed Live Scan Transaction Completed By, which the operator fills in: name of operator, date, Transmitting Agency, LSID, ATI Number and Amount Collected/Billed. Leave it blank.
  • City of Sacramento Business Permits: City of Sacramento, Revenue Division, 915 I Street, Room 1201, Sacramento, CA 95814. Phone (916) 808-8500; email [email protected]; public counter Monday through Thursday, 8:30 AM to 4:00 PM. Ask this office how the Live Scan fits with your permit application.
  • DOJ Keeper of Records: for questions about the privacy notice or access to your records, call (916) 210-3310, email [email protected], or write to Department of Justice, Bureau of Criminal Information & Analysis, Keeper of Records, P.O. Box 903417, Sacramento, CA 94203-4170.

Provide every piece of requested information: the Privacy Notice says missing information causes delays or rejection of the request. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Leaving requested personal information blank; the Privacy Notice says incomplete information results in delays or rejection of the request.
  • Resubmitting after a rejection without listing the original ATI number and providing proof of rejection.
  • Entering a working title longer than 30 characters, or a different title when DOJ has assigned one; the form requires the exact assigned title.
  • Signing without having received and read the Privacy Notice, Privacy Act Statement and Applicant's Privacy Rights that the signature line acknowledges.
  • Filling in the Live Scan Transaction Completed By block (operator, date, LSID, ATI Number, amount) yourself; it is completed by the operator.
  • Omitting the signature date next to the privacy acknowledgment on page 1.
  • Entering Employer information when it does not apply; that block is an additional response only for agencies specified by statute.

Frequently asked questions

What is Form BCIA 8016?

Form BCIA 8016, Request for Live Scan Service, is the California DOJ form used to request a Live Scan fingerprint transaction. This copy is preprinted for City of Sacramento Business Permits under AD510 SOMATIC - MASSAGE, with the City as the agency authorized to receive criminal record information.

Is Form BCIA 8016 a Sacramento business license?

No. It is a fingerprint request, not a license or permit. The City of Sacramento Finance Department, Revenue Division issues business permits and the Business Operations Tax (BOT) Certificate separately; call (916) 808-8500 for how this form fits your application.

Can I fill out Form BCIA 8016 online?

You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of the City and the DOJ and does not submit fingerprints or file anything; the form is used in a Live Scan transaction and through the City's channels.

Who fills in the bottom section of the form?

The Live Scan operator. The block headed Live Scan Transaction Completed By records the operator's name, the date, the Transmitting Agency, the LSID, the ATI Number and the amount collected or billed, so you leave it blank.

Will my fingerprints be checked by the FBI?

If the Level of Service on the form indicates FBI, yes: the form says the fingerprints will be used to check FBI criminal history records. The Privacy Act Statement adds that the FBI may retain your fingerprints in its NGI system after the application is complete.

What if my Live Scan request was rejected?

Resubmit on the same form and list the original ATI number in the re-submission box. The form says you must provide proof of rejection. Missing information is one cause of rejection, according to the Privacy Notice.

What rights do I have if I have a criminal history record?

Officials deciding on your license must give you the chance to complete or challenge the record and a reasonable time to correct it before denying you. Page 4 of the form cites 28 CFR 16.34 for correction procedures.

Who do I contact about my personal information on this form?

Contact the DOJ Keeper of Records at (916) 210-3310 or [email protected], or write to Bureau of Criminal Information & Analysis, Keeper of Records, P.O. Box 903417, Sacramento, CA 94203-4170.

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