Form BCIA 8016, Request for Live Scan Service, is the State of California Department of Justice form that starts a fingerprint-based criminal record check through Live Scan. This version is prefilled by the San Bernardino County Assessor-Recorder-County Clerk for Process Server applicants. It appears among the County Clerk forms on the county's forms and fees page, next to the Assessor's San Bernardino County property tax forms. On FillingPDF you can fill out the form online and download or print the completed PDF; the Live Scan transaction and any county requirements follow the agency's own process.
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What is BCIA 8016?
Form BCIA 8016, Request for Live Scan Service, is the State of California Department of Justice (DOJ) form an applicant uses to request a Live Scan fingerprint submission, so that an authorized agency can receive criminal record information for a license, certification or permit.
The first page is the working form. The top block identifies the submission: ORI code A1489, Authorized Applicant Type "Process Server (CB&PC 22351.5)" and the mail code 24817 of the contributing agency, the Assessor-Recorder-Clerk at 222 W. Hospitality Lane, 1st Floor, San Bernardino CA 92415-0022. You then enter your personal details, sign the acknowledgement and choose the level of service (DOJ or FBI). A final block, "Live Scan Transaction Completed By," is for the operator.
Pages 2 to 4 are notices you read rather than complete: the Privacy Notice required by Civil Code § 1798.17, the FBI Privacy Act Statement and the Noncriminal Justice Applicant's Privacy Rights.
The form is a request for the fingerprint check. It does not itself register or license anyone. The County lists it among its County Clerk forms, separate from the Assessor's property tax forms. The revision printed on every page is Rev. 04/2020.
Who needs to file BCIA 8016?
This version of the form is for applicants whose Live Scan request goes through the San Bernardino County Assessor-Recorder-County Clerk as a Process Server: the Authorized Applicant Type is printed as Process Server (CB&PC 22351.5) and the county lists the form with its County Clerk forms. The agency codes printed on it belong to that submission, so it is not set up for other applicant types.
You complete the applicant sections yourself. The acknowledgement that you have received and read the Privacy Notice, the Privacy Act Statement and the Applicant's Privacy Rights carries your own signature and date. The form contains no rule for a representative signing on your behalf.
The Live Scan operator, not the applicant, completes the last block of the form. The Employer section is an additional response only for agencies specified by statute.
When to file BCIA 8016
The form prints no deadline of its own. It is used when the Live Scan fingerprint transaction is requested: you complete the applicant sections beforehand, and the Live Scan operator completes the final block (name of operator, date, transmitting agency LSID, ATI number and amount collected/billed) at the transaction.
If an earlier submission was rejected, the form is used again as a re-submission. In that case you list the original ATI number, and the form says proof of rejection must be provided.
For timing that relates to a Process Server registration, ask the County Clerk at (855) 732-2575, the contact telephone number printed on the form.
Documents you need
- Proof of rejection of the earlier Live Scan submission, only when this is a re-submission and you list the original ATI number on the form.
How to fill out BCIA 8016
Check the preprinted agency block
Confirm the preprinted ORI A1489, Authorized Applicant Type Process Server (CB&PC 22351.5) and the Contributing Agency details for the Assessor-Recorder-Clerk, mail code 24817. Do not rely on the form if these do not match your submission.
Enter the license or working title
In Type of License/Certification/Permit OR Working Title, write the title in no more than 30 characters. If DOJ has assigned a title, use that exact title.
Enter your name and other names
Fill in your last name, first name, middle initial and suffix. Under Other Name (AKA or Alias), list any other last name, first name and suffix you have used.
Enter sex, birth date and license number
Mark Male or Female, then enter your date of birth and your driver's license number.
Enter physical description and identifiers
Enter height, weight, eye color and hair color, your place of birth (state or country) and your Social Security Number. Use the Billing Number and Misc. Number lines only if you have an agency billing number or other identification number to give.
Enter your home address
Write your street address or P.O. Box, city, state and ZIP code in the Home Address line.
Sign and date the acknowledgement
Sign and date the statement that you have received and read the Privacy Notice, Privacy Act Statement and Applicant's Privacy Rights, found on pages 2 to 4.
Complete number and level of service
Enter Your Number (OCA Number) if you have one, and mark the Level of Service, DOJ or FBI. The FBI level means your fingerprints are used to check FBI criminal history information.
Complete re-submission and employer lines
If this is a re-submission, enter the original ATI number and keep proof of rejection. Fill in the Employer section (name, address, optional telephone, mail code) only when it applies to your agency.
Leave the operator block blank
The Live Scan Transaction Completed By block (operator name, date, transmitting agency LSID, ATI number, amount collected/billed) is completed at the Live Scan transaction.
Review and download the completed PDF
Check that every requested personal entry is filled in, then download or print the completed PDF from FillingPDF and present it as described under How to submit.
How to submit BCIA 8016
The form prints no mailing address, portal or appointment rule for returning it. It is completed for a Live Scan transaction with an operator, and the county office named on it is your contact.
- County contact: Assessor-Recorder-Clerk, 222 W. Hospitality Lane, 1st Floor, San Bernardino CA 92415-0022, contact name Lorelay Faussier, telephone (855) 732-2575. This block is the agency authorized to receive the criminal record information, mail code 24817.
- Live Scan operator: completes the final block of the form at the transaction. It records the amount collected or billed; ask the county for details about any amount.
- DOJ privacy questions: for questions about the Privacy Notice or access to your records, contact the DOJ Keeper of Records at (916) 210-3310, [email protected], or Department of Justice, Bureau of Criminal Information & Analysis, Keeper of Records, P.O. Box 903417, Sacramento, CA 94203-4170. That contact is for records and notice questions, not for the application.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Leaving requested personal information blank; the DOJ Privacy Notice says all information requested must be provided and that omissions cause delays or rejection of the request.
- Marking the form as a re-submission without the original ATI number, or without proof of rejection, which the form requires.
- Leaving the applicant signature and date blank, although they confirm that you received and read the Privacy Notice, the Privacy Act Statement and the Applicant's Privacy Rights.
- Entering a working title longer than 30 characters, or one that differs from the exact title assigned by DOJ when DOJ has assigned one.
- Filling in the "Live Scan Transaction Completed By" block, which is for the operator (name, date, transmitting agency LSID, ATI number, amount collected/billed).
- Overlooking that an FBI level of service means your fingerprints are used to check the criminal history record information of the FBI.
- Treating the Employer section as a general question, when it is an additional response only for agencies specified by statute.
Frequently asked questions
What is Form BCIA 8016, Request for Live Scan Service?
It is the California Department of Justice form used to request a Live Scan fingerprint submission so an authorized agency can receive criminal record information. This version is prefilled for Process Server applicants of the San Bernardino County Assessor-Recorder-County Clerk.
Is the Request for Live Scan Service a San Bernardino County property tax form?
No. The county's forms page lists it under County Clerk, apart from the Assessor's San Bernardino County property tax forms. It requests a fingerprint-based record check; it does not report, exempt or assess property tax.
Can I fill out the Request for Live Scan Service online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent, is not the county or DOJ, and does not submit the form; the Live Scan transaction and delivery follow the agency's process.
Do I have to answer every item on the form?
Provide all the personal information the form requests. The DOJ Privacy Notice states that failure to provide all the necessary information will result in delays and/or the rejection of your request.
What do I do if my Live Scan submission was rejected?
Use the re-submission line and write the original ATI number. The form says you must provide proof of rejection. Ask the county at (855) 732-2575 how to present the new request.
What does the FBI level of service mean on this form?
If the Level of Service indicates FBI, your fingerprints will be used to check the criminal history record information of the FBI. The other option on the form is DOJ.
Can I challenge my criminal history record after a check?
Yes. The Applicant's Privacy Rights page says officials must give you the opportunity to complete or challenge the record, and cites 28 CFR 16.34. Send a challenge to the contributing agency or directly to the FBI.
Who fills in the bottom of the form?
The Live Scan operator. The block titled "Live Scan Transaction Completed By" holds the operator's name and date, the transmitting agency LSID, the ATI number and the amount collected or billed. The applicant does not complete it.
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