FDLE Live Scan Pre-Registration

Phone

Last Name

First Name

Date of Birth

Are you a U.S. citizen?

Yes

State of Birth - U.S. Births Only

Born outside the United States? Skip this question.

Country of Birth

Gender

Race

These are the only options provided by the government at this time.

Eye Color

Hair Color

Height

Weight (In Pounds)

Profession / ORI / Controlling Agency ID

ORI numbers listed are provided for reference only. Please verify your correct ORI / Controlling Agency ID with the agency requesting your fingerprints before submitting your Live Scan Pre-Registration form.

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

I understand that I am responsible for providing and verifying the correct ORI/Controlling Agency ID with the agency requesting my fingerprints. I understand that the ORI options provided by Broward Fingerprinting are for reference only, and that an incorrect ORI may prevent my results from reaching the intended agency and may require a new fingerprint submission and additional fees.

I certify that all information provided is complete, accurate, and correct to the best of my knowledge.

I acknowledge that I have read and agree to the Privacy Policy and Terms & Conditions available in the website footer, including how my information may be collected, used, and stored.

How did you hear about us?