California Department of Insurance
LIC 442-39A (Rev 02/2021)
Resident Licensing Applicant Instructions
Step 1: Please do not submit your fingerprint impressions until a licensing application is received
at the California Department of Insurance.
Step 2: After submitting your license application, complete the “Applicant Information” portion of the
Request for Live Scan Service. The following information must be entered in the Applicant Information
portion of the form by the applicant: print your legal name and former names (if any), date of birth, gender,
height, weight, eye color, hair color, place of birth, social security number (SSN), driver’s license number,
and residence address.
The “Applicant Submission” and the “Contributing Agency Information” portions of this form are completed
by the California Department of Insurance (CDI) for your convenience.
Important Note: One set of classifiable electronic fingerprints is required for every CDI individual
license applicant unless the applicant is currently licensed or held a CDI license which expired during the
last 12 months.
Step 3: Find a location. The California Department of Justice (California DOJ) maintains a listing of Live
Scan vendor locations available to the public at https://www.oag.ca.gov/fingerprints/locations. The
California DOJ list is broken down by county.
For your convenience, CDI's contracted vendor, Accurate Biometrics, will have staff available at the CDI’s
Los Angeles examination site to complete the live scan fingerprinting or you may use the fingerprinting
services available at PSI’s test centers.
Fees:
California Department of Justice Applicants using a California DOJ authorized live scan fingerprinting
vendor will need to pay a fingerprint fee that covers the Federal Bureau of Investigation (FBI) processing
fee of $17, California DOJ processing fee of $32, and an additional "rolling fee" charged by the live scan
vendor. The additional "rolling fee" will vary depending on the vendor and is noted on California DOJ's list
of vendors. License applicants are encouraged to contact the live scan vendor in advance to verify their
current operating hours, location, fees, and their acceptable method of payment (i.e. credit card, cash,
ATM).
California Department of Insurance At CDI’s Los Angeles examination site, the total processing fee for
the fingerprint impressions taken by CDI’s contracted vendor is $59, which includes the FBI processing
fee of $17, California DOJ processing fee of $32, and the CDI’s contractor’s rolling fee of $10. The $59 fee
is to be paid at CDI’s examination site. The applicant may pay with all major credit cards: VISA,
MasterCard, American Express, and Discover Card. In addition, a money order, cashier’s check, company
check, or personal check in the amount of $59 made payable to "Accurate Biometrics” will also be
accepted.
PSI Services LLC At PSI’s test centers, the total processing fee for the fingerprint impressions taken by
MorphoTrust USA is $68.95, which includes the FBI processing fee of $17, California DOJ processing fee
of $32, and PSI’s rolling fee of $19.95. The $68.95 fee is to be paid at the PSI test center. They accept
money order, cashier’s check, company check (made payable to MorphoTrust USA), VISA, and
MasterCard. Personal checks and cash will not be accepted.
Step 4: The live scan vendor will complete the “Live Scan Transaction” portion on the Request for Live
Scan Service form.
Step 5: The applicant is to keep a copy of the fingerprint form for their records. The applicant is not
required to submit a copy of this completed form to CDI.
California Department of Insurance
LIC 442-39A (Rev 02/2021)
Non-Resident Licensing Applicant Instructions
Steps 1 and 2: Follow the Resident Licensing Applicant instructions for steps 1 and 2 above.
Step 3: Find a fingerprint vendor location in your area. Fingerprinting can be completed at a local police
agency or any vendor who is authorized to complete fingerprint impressions on an FBI fingerprint card
(FD-249). Call ahead to obtain fee information.
Step 4: The applicant is to mail the original copy of the completed Live Scan form, the applicant’s
fingerprint card, and Accurate Biometrics credit card payment form or check in the amount of $59* made
payable to:
Accurate Biometrics
6080 Center Drive, Suite 600
Los Angeles, CA 90045
*The cost of the Accurate Biometrics’ live scan service is $59. This fee covers the following: FBI
fingerprint check fee of $17, California DOJ fingerprint check fee of $32, and Accurate Biometrics’ rolling
fee of $10.
Step 5: The applicant is to keep a copy of the fingerprint form for their records. The applicant is not
required to submit a copy of this completed form to CDI.
1033 Consent Waiver (18 U.S.C. §1033) Applicants
The applicant is to follow steps 1 through 3 in the Resident Licensing Application Instructions if the
applicant is a California resident, or follow steps 1 through 4 in the Nonresident Licensing Application
Instructions if the applicant is a nonresident California applicant.
Important Note: The original and two copies are to be made of the completed Request for Live Scan
Service form. The applicant is to keep a copy of the fingerprint form for their record.
Mail the second copy of the form to:
California Department of Insurance
Producer Licensing Background Section
320 Capitol Mall
Sacramento, CA 95814-4309
aiometric.s
Live
Scan
Fingerprinting
&
Ident
i
ty
Se
Credit Card Payment Form
* Denotes Required Fields
(as it appears on credit card)
Applicant Name
* Name
Company Name (if applicable)
* Billing Address
Billing Address 2
* City
* State/Province
* Postal (ZIP) Code
* Country
* Credit Card #:
* Expiration Date (MM/YYYY)
* CVC Code:
* Total Amount To Be Billed To Credit Ca
rd: $59
* Card Holder Signature
Accurate Biometrics – 6080 Center Drive, Suite 600, Los Angeles, CA 90045
click to sign
signature
click to edit