Dmv 8016 Form PDF Details

The DMV 8016 form, designated for a Request for Live Scan Service, is a critical document for individuals seeking licenses, certifications, permits, or aiming to become a Business Partner Automation Program Participant within the state of California. As a public service agency document, it aids in the applicant submission process by ensuring a thorough and authenticated verification of the applicant's identity through live scan fingerprinting. Potential applicants are required to produce an official governmental photo document, such as a driver's license or passport, at the live scan site to verify their identity. The form meticulously outlines various application types, ranging from Ambulance Driver Certificate to different kinds of occupational licenses and registrations that necessitate live scan services. Apart from detailed instructions on completing the form, it also emphasizes the non-refundable nature of processing fees, underlining the importance of accurate form completion. By furnishing information such as personal details, type of application, and specifying whether the service level required includes the Department of Justice (DOJ), the Federal Bureau of Investigation (FBI), or both, DMV 8016 is foundational for applicants navigating the process of obtaining necessary licenses or certifications in California.

QuestionAnswer
Form NameDmv 8016 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdmv 8016 pdf, dmv 8016 form, live scan dmv, dmv live scan form

Form Preview Example

A Public Service Agency

REQUEST FOR LIVE SCAN SERVICE

Applicant Submission

(License, Certification, Permit Only, or Business Partner Automation Program Participant)

To verify your identity, please bring an official governmental photo document (e.g., driver license, identification card, passport, etc.) with you to the live scan site. Processing fees are non-refundable.

Please read instructions on reverse before completing form.

1. CODE ASSIGNED BY DOJ

ORI: A0059

APPLICANT COMPLETES (EXCEPT ITEM 15) — PLEASE PRINT.

 

 

 

 

 

Ambulance Driver Certificate Only

2. CHECK APPROPRIATE BOX (SEE REVERSE FOR INSTRUCTIONS)

 

 

A.

Department of Motor Vehicles

B.

Department of Motor Vehicles

 

Licensing Operations Division

 

Licensing Operations Division

 

Occupational Licensing Branch

 

Issuance, Commercial Driver License

 

P. O. Box 932342 MS—L224

 

P.O. Box 942890

 

Sacramento, CA 94232-3420

 

Sacramento, CA 94232-3420

 

Five Digit Mail Code: 04620

 

Five Digit Mail Code: 04621

 

Contact: Operations Manager

 

Contact: CDL/PDPS Manager

 

916-229-3153

 

916-657-5771

3.TYPE OF APPLICATION (ONLY IF CHECKING BOX “A” ABOVE) — Check One

License

Certification

Permit

Business Partner Automation Program Participant (BPA)

Employer Testing Program Examiner (ETP)

 

4.APPLICANT NAME (LAST, FIRST, MIDDLE INITIAL)

5.AKA (LAST, FIRST)

ADDITIONAL AKA (LAST, FIRST)

6. DATE OF BIRTH

7. SEX

8. HEIGHT

9. WEIGHT

10. EYE COLOR

11. HAIR COLOR

Male

Female

Nonbinary

12. PLACE OF BIRTH

 

13. SOCIAL SECURITY NUMBER

14.CALIFORNIA DRIVER LICENSE/IDENTIFICATION NUMBER

15.NO BILLING NUMBER—APPLICANT PAYS

16.MISCELLANEOUS NUMBER

17. HOME ADDRESS AND TELEPHONE NUMBER

STREET

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

18. YOUR NUMBER (OCA NUMBER—AGENCY IDENTIFYING NUMBER)

OLAD

19.IF RESUBMISSION, LIST ORIGINAL ATI NUMBER

20.LEVEL OF SERVICE

X DOJ

FBI-BPA/ETP CHECK

LIVE SCAN OPERATOR COMPLETES

21.OPERATOR COMPLETING LIVE SCAN TRANSACTION

22.DATE

23.TRANSMITTING AGENCY (LSID NUMBER)

24.ATI NUMBER

25.AMOUNT COLLECTED

26.AMOUNT BILLED

DISTRIBUTION: ORIGINAL - Live Scan Operator

SECOND COPY - Requesting Agency

THIRD COPY - Applicant

Print

Clear Form

DMV 8016 (REV. 1/2019) WWW

INSTRUCTIONS FOR COMPLETING FRONT

1.Code Assigned by DOJ: ORI number pre-printed.

2.Agency Address Set Contributing Agency:  Check box “B” if applying for an Ambulance Driver Certificate. Check box “A” for all other licenses, Vehicle Verifier Permit, or Business Partner Automation Program Participant. 

3.Type of Application: Check one. Applications for the following type licenses require Live Scan services.

•

Ambulance Driver Certificate

•

Driving School Operator License

•

Business Partner Automation Program/Registration

•

Driving School Owner License

 

Service Owner

•

Employer Testing Program Examiner

•

Business Partner Automation Program/Dealer Owner

•

Lessor/Retailer License

•

Business Partner Automation Program/Employee

•

Manufacturer License (includes Remanufacturer)

 

(i.e., Registration Service, Dealer, Automobile Club,

•

Manufacturer Representative License

 

Rental Car, Leasing Company employee).

 

•

Registration Service License

•

Dealer License

•

Salesperson License

•

Dismantler/Wrecker License

•

Transporter License

•

Distributor License

•

Traffic Viol. School Owner License (includes Operator

•

Distributor Representative License

 

or Instructor)

•

Driving School Instructor License

•

Vehicle Verifier Permit

4.Name of Applicant: Enter applicant’s full name.

5.AKA: Enter any other names applicant has used.

6.Date of Birth: Enter applicant’s date of birth.

7.Sex: Check the appropriate box for gender: Male, Female, or Nonbinary.

8.Height: Enter applicant’s height.

9.Weight: Enter applicant’s weight.

10.Eye color: Enter applicant’s eye color.

11.Hair color: Enter applicant’s hair color.

12.Place of birth: Enter city, state, and country

13.Social Security Number: Enter applicant’s social security number.

14.California Driver License/Identification Card number:  Enter applicant’s California Driver License/Identification Card number.

15.Applicant Pays: Live Scan operator will complete.

16.Miscellaneous Number: Enter other identifying numbers (e.g., other state driver license number).

17.Home Address: Enter applicant’s residence address and telephone number.

18.Your number: DMV identifying number pre-printed.

19.If resubmission:  Enter  the  original ATI  number  provided  on  the  reject  notification  to  avoid  paying  an  additional processing fee.

20.Level of Service: DOJ required for occupational licenses, in addition, FBI required for Business Partner Automation Program Participants, and employer testing program examiners.

21.Operator Completing Live Scan Transaction: Enter operator’s name.

22.Date: Enter date transaction was completed.

23.Transmitting Agency:  Enter live scan identification number.

24.ATI Number: Enter ATI number.

25.

Amount Collected: Enter amount collected.

 

 

 

Print

 

Clear Form

26.

Amount Billed: Enter amount billed.

 

 

 

 

DMV 8016 (REV. 1/2019) WWW

How to Edit Dmv 8016 Form Online for Free

The process of filling out the dmv 8016 pdf is actually comparatively effortless. We made certain our software is not difficult to understand and can help prepare any sort of PDF in no time. Here are just the four steps you will need to follow:

Step 1: First, click on the orange "Get form now" button.

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entering details in dmv 8016 part 1

Fill out the YOUR NUMBER OCA NUMBERAGENCY, LIVE SCAN OPERATOR COMPLETES, OPERATOR COMPLETING LIVE SCAN, IF RESUBMISSION LIST ORIGINAL ATI, X DOJ, FBIBPAETP CHECK, DATE, TRANSMITTING AGENCY LSID NUMBER, ATI NUMBER, AMOUNT COLLECTED AMOUNT BILLED, DISTRIBUTION ORIGINAL Live Scan, SECOND COPY Requesting Agency, and DMV REV WWW field with all the details requested by the platform.

Filling out dmv 8016 stage 2

You may be instructed to provide the information to let the platform complete the area ATI Number Enter ATI number, Amount Collected Enter amount, Amount Billed Enter amount billed, and DMV REV WWW.

Completing dmv 8016 part 3

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