Bcii 8016 Form PDF Details

In the landscape of background checks and public safety measures, the BCII 8016 form stands out as a critical tool in the vetting process for employment, licensing, and certification across various sectors. This form serves as a request for Live Scan Service, a system that digitally captures fingerprints and submits them to the Department of Justice (DOJ) for criminal history record checks. It carefully outlines essential details such as the type of application, job title, or the nature of the license, certification, or permit sought by the applicant. Additionally, the form mandates the inclusion of the applicant's personal information ranging from name and birth date to physical characteristics, further emphasizing the thoroughness of this screening process. Tailored to facilitate a structured submission to the DOJ, it also specifies the level of service required—whether DOJ or FBI background checks—or both, and includes sections for the requesting agency's information, thereby streamlining the communication between various agencies and the Live Scan operators. Unique identifiers such as the ORI code, which is assigned by the DOJ, ensure that the results are accurately directed, while provisions for resubmissions cater to the need for corrections or updates. The BCII 8016 form embodies a meticulous approach to ensuring public safety and individual trustworthiness, making it an indispensable element in regulatory compliance and security protocols.

QuestionAnswer
Form NameBcii 8016 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslive application, liv application, application for live, live form format

Form Preview Example

Code assigned by DOJ

REQUEST FOR LIVE SCAN SERVICE

Applicant Submission

ORI: ___________________ Type of Application: ____________________________________________________________________________________

Job Title or Type of License, Certification or Permit:

Agency Address Set Contributing Agency:

Agency authorized to receive criminal history information

Street No.

Street or PO Box

Mail Code (five-digit code assigned by DOJ)

Contact Name (Mandatory for all school submissions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

Contact Telephone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Applicant:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please print)

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

MI

 

 

Alias:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License No. _________________________________

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth: ____________

SEX:

 

Male

 

 

Female

Misc. No. BIL -

________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Billing Number (if applicable)

 

 

Height: __________________

Weght: _________________

Misc. No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Eye Color:

 

 

 

 

 

Hair Color:

 

 

 

 

 

 

 

 

Home Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street or P.O. Box

 

 

 

 

 

 

Place of Birth: _________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State and Zip Code

 

 

 

 

 

 

SOC:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level of Service

 

 

 

DOJ

 

FBI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OCA No. (Agency Identifying No.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If resubmission, list Original ATI No. _______________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer: (Additional response for agencies specified by statute)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No.

 

Street or PO Box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail Code (five digit code assigned by DOJ)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

 

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

Agency Telephone No. (Optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Live Scan Transaction Completed By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date: ___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Operator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transmitting Agency

 

 

 

 

 

 

 

 

 

 

 

 

 

ATI No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Collected/Billed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BCII 8016 (Rev04/01) ORIGINAL-Live Scan Operator; SECOND COPY-Requesting Agency; THIRD COPY-Applicant

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This PDF doc will need you to enter specific details; in order to guarantee accuracy, make sure you consider the following suggestions:

1. Fill out the live of application with a number of essential fields. Consider all of the important information and make sure nothing is neglected!

Step number 1 for filling out live application form

2. When this part is done, you need to insert the essential specifics in Date of Birth SEX, Male, Female, Misc No BIL , Agency Billing Number if applicable, Height Weght , Misc No, Eye Color, Hair Color, Home Address, Place of Birth , SOC, Street or PO Box, City State and Zip Code, and Your Number so you can progress to the third stage.

Filling out segment 2 of live application form

It is possible to make an error when completing your Eye Color, therefore be sure you go through it again before you decide to submit it.

3. Completing Live Scan Transaction Completed By, Date , Name of Operator, Transmitting Agency, ATI No, Amount CollectedBilled, and BCII Rev ORIGINALLive Scan is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

How to complete live application form portion 3

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