How to Create Your Livescan Request Form?

Go to https://chai.flclearinghouse.com/

Enter your first name, last name, and email address.

Enter the verification code sent to your email, then select Initiate New Screening.

When asked to search for an existing person profile, select:

“Don't Have an SSN or ITIN?”

Complete the required information, including:

• Name
• Date and place of birth
• Address
• Phone and email
• Hair and eye color
• Height and weight
• Identification type and number
• Upload of your identification

Some organizations assisting international applicants with state examinations may provide a nine-digit alternate identification number. Use one only when it has been authorized or provided for your application.

Select the correct licensing board or provider and your applicable position, such as:

• Florida Board of Nursing
• RN
• LPN
• CNA

Make sure your selection matches your actual application.

Review the privacy policy and check the acknowledgment box.

Mobile users: Turn your phone sideways if the checkbox is not visible.

When asked to select a fingerprint vendor, scroll down and select:

“Continue without Making an Appointment.”

Download and print the Livescan Request Form.

The form should contain your Screening ID and ORI number.

Go to a local law enforcement agency or fingerprinting provider and have your fingerprints taken on one or two fingerprint cards.

Mail your completed card(s) to:

ACT Biometrics  

ATTN: Card Conversion Department
8358 W. Oakland Park Blvd, Suite 101
Sunrise, FL 33351

We recommend using Priority or Express Mail and requesting a tracking number. Please keep your tracking number.

Once we receive your fingerprint card(s), ACT Biometrics will convert them to Livescan and submit them to the Florida Department of Law Enforcement (FDLE). FDLE will send the results to the requesting agency.

Important: Make sure you provide the correct ORI Number when getting fingerprinted. The ORI tells FDLE which state agency should receive your background screening results.

After submission, you will receive a TCN (Transaction Control Number).

DO NOT LOSE YOUR TCN.

If you completed your screening without an SSN under a qualifying Florida Department of Health pathway, send your TCN to:

mqa.backgroundscreen@flhealth.gov