Cal State L.A. - Live Scan Application

Live Scan

Please read the following instructions carefully:

  1. Fill out section 1.  Only fill out the items that apply to you.

  2. Write your social security number in section 2 next to "Your Number".

  3. Fill out section 3 only if you are currently working in a school district and your job entails interaction with district students. Otherwise, leave blank.

  4. Leave section 4 blank!  The Live Scan Operator will complete section four at the time of fingerprint transmission.

  5. Print three copies of the Live Scan application and make sure that the Live Scan Operator fills out section 4 in all copies.

Click here to download Live Scan form.




Image of Live Scan form