LiveScan Information

Fingerprint Background Check Directions

EMT Certification and Recertification Applicants

All EMT certification and recertification applicants must complete a Department of Justice (DOJ) and FBI fingerprint background check through the Live Scan process. Background check results cannot be shared between agencies, so the process must be completed for each agency that requires one.

Step 1: Get the Live Scan form

Download the Request for Live Scan Service form (DOJ form BCIA 8016):

Request for Live Scan Service (BCIA 8016)

Print three copies: one for the Live Scan agency, one to submit to MCEMSA with your application, and one for your records.

Step 2: Fill out the form

Copy the agency information below onto the form exactly as shown:

ORI	A2014
Type of Application	Emergency Med Tech/Cert
Job Title or Type of License, Certification or Permit	Mountain Counties EMS Agency
Agency authorized to receive criminal history information	Mountain Counties EMS Agency
Mail Code (five-digit code assigned by DOJ)	07792
Street No., Street or P.O. Box	3505 Spangler Lane, Suite 405
City	Copperopolis
State	CA
Zip Code	95228
Contact Name	Cindy Murdaugh
Contact Telephone No.	209-529-5085

Then complete your own information:

Name of Applicant	Your last name, first name, and middle initial
Alias	Any other names you have used
Driver's License No.	Your California driver's license number
Date of Birth	Your date of birth
Sex	Check the appropriate box
Height	Your height (feet and inches)
Weight	Your weight
Eye Color	Your eye color
Hair Color	Your hair color
Place of Birth	Your place of birth
SOC	Your Social Security number
Home Address	Your home street address, city, state, and zip code
Level of Service	Check BOTH the DOJ box and the FBI box

Do not complete any other fields on the form. If the form is filled out incorrectly, DOJ may reject it, and the background check will have to be repeated, including paying the fees again.

Step 3: Get fingerprinted

Complete the Live Scan within 30 days before the date you plan to apply for certification or recertification.
Find a Live Scan site anywhere in California on the DOJ locations page: www.oag.ca.gov/fingerprints/locations.
Call the site before you go, even if it does not require appointments, to confirm hours, payment methods, and current requirements.
Bring a photo ID.

What it costs

You pay the Live Scan site directly when you submit your fingerprints. The total is made up of three parts: a $32.00 DOJ fee, a $19.00 FBI fee (both non-refundable), and the site's own "rolling fee," which varies by location. Payment methods also vary by site (personal check, money order, cash, or credit card), so confirm before you go.

Step 4: After your Live Scan

Wait 24 hours after your Live Scan, then call the office at (209) 529-5085 to confirm MCEMSA has received your results before submitting your certification application. Results can take up to 30 days.

Certification is issued after review and approval of your application and documentation, the results of the background check, and receipt of the EMT certification or recertification fee.