For the best experience and to prevent data errors, we recommend completing this form on a desktop or laptop computer, or tablet. One typo in your SSN or ORI number can cause a total rejection by the state.
The Agency Name is usually in your licensing info or our ORI search.
Medical applicants (DOH) must provide the Live Scan Request Form generated during their application. This form contains the specific Numeric Screening ID required to link your photo to the AHCA Clearinghouse.
The fingerprint tech will you meet exactly as preferred.
Convenience service for Medical Board applications.
Many medical licensing applications (especially for First-Time Applicants or Retiring Doctors) require a sworn affidavit to be notarized along with your fingerprints. Save a Trip: We can notarize these forms for you right now during your appointment.
Mandatory Steps for State & Federal Processing
Your name must match your application with DBPR, AHCA, DOH, or DCF exactly (including middle names and suffixes).
Per Federal/State requirements, a live digital photo is taken at your session and submitted with your prints for identity verification.
CRITICAL: DISCREPANCIES CAUSE REJECTION
One typo in your Name, SSN, or ORI number will cause the state system to fail. This results in SEVERE DELAYS and will require a new paid submission. It is strongly advised to use a tablet or computer to complete this form.
State & Federal Regulatory Compliance Notice
• Born in the USA: You must enter the specific State of birth (e.g., Florida). Do not enter "USA."• Born Outside USA: You must enter the specific Country of birth.
You must provide your current legal citizenship at the time of application. All physical descriptions (Height, Weight, Eye Color) are mandatory fields for biometric record matching.
These data points are strictly mandated by the FBI, FDLE, FINRA, ATF, and all Florida State Agencies (DBPR, AHCA, DOH, DCF). We do not collect information beyond what is required by these regulatory bodies to process your background clearance.
Please ensure details match your Government ID.
Required by the Florida Department of Law Enforcement and the FBI.
Great news: We can fingerprint two people at the same appointment.
In accordance with Fla. Stat. § 435.04 and Chapter 117, all Level 2 Background Screening data must be verified with an official Social Security Number (SSN) or Tax Record. This is a mandatory requirement for identity proofing and state record matching.
The Florida Department of Law Enforcement (FDLE) and Department of Health (DOH) strictly enforce a No-Refund Policy. If data is submitted incorrectly or fails to match state records, the application will be rejected, and all state filing fees will be forfeited.
Don't have your physical card? No problem. We accept these 3 alternatives for verification:
We accept all major credit cards securely.
Original Physical Card OR TAX RETURN / PHOTO SSN IS ALSO ACCEPTABLE.
Unexpired Driver's License or Passport required.
Bring any paperwork provided by your agency or employer.
⚠️ ABSOLUTELY NO SERVICE WITHOUT PROOF OF SOCIAL SECURITY NUMBER AS U.S. CITIZEN OR LAWFUL PERMANENT RESIDENT.