Electronic Fingerprinting

Effective January 1, 2013, applicants for initial licensure must use a Livescan service provider to submit a set of fingerprints to the Florida Department of Law Enforcement (FDLE) for the purpose of conducting a search for any Florida and national criminal history records that may pertain to the applicant. The results of the search will be returned to the Care Provider Background Screening Clearinghouse and made available to the Department of Health for consideration during the licensure process. The fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant.

Please ensure that the Originating Agency Identification (ORI) number is provided to the Livescan service provider when you submit your fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the Livescan service provider, the Board office will not receive your fingerprint results. The applicant is fully responsible for selecting the Livescan service provider and ensuring submission of the prints to the Department of Health.

You can find an approved Livescan service provider at https://www.flhealthsource.gov/background-screening.

Please take this form with you to the Livescan service provider. Please check the Livescan service provider’s requirements to see if you need to bring any additional items. Also verify that the ORI number submitted by the Livescan service provider matches the information provided.

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Electronic Fingerprinting

Effective January 1, 2013, applicants for initial licensure must use a Livescan service provider to submit a set of fingerprints to the Florida Department of Law Enforcement (FDLE) for the purpose of conducting a search for any Florida and national criminal history records that may pertain to the applicant. The results of the search will be returned to the Care Provider Background Screening Clearinghouse and made available to the Department of Health for consideration during the licensure process. The fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant.

Please ensure that the Originating Agency Identification (ORI) number is provided to the Livescan service provider when you submit your fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the Livescan service provider, the Board office will not receive your fingerprint results. The applicant is fully responsible for selecting the Livescan service provider and ensuring submission of the prints to the Department of Health.

You can find an approved Livescan service provider at https://www.flhealthsource.gov/background-screening.

Please take this form with you to the Livescan service provider. Please check the Livescan service provider’s requirements to see if you need to bring any additional items. Also verify that the ORI number submitted by the Livescan service provider matches the information provided.