DOJ

Background Check​

The IHSS program requires all providers be fingerprinted via Live Scan to complete a criminal background check through the State of California Department of Justice. State law requires the provider pay for the cost of the criminal background check and fingerprinting. Fees vary depending on the LiveScan fingerprinting location.

DOJ background reports for agency's other than IHSS (other employment, school,etc.) cannot be used for the IHSS program requirement.  If you have previously completed the LiveScan process for Sacramento IHSS Public Authority, please email us prior to paying for another Livescan:

Instructions: How to Fill Out Live Scan Form

Step 1

Download and print the BCIA 8016 – Request for Live Scan Service (General Use) form linked below.

Step 2

After downloading the form above, please fill out the following information in the top section of the form as shown in the example on the right.

  • ORI (Code assigned by DOJ): A7414
  • Authorized Applicant Type: ELDER CARE
  • Type of License/Certification/Permit OR Working Title: IHSS PROVIDER
  • Agency Authorized to Receive Criminal Record Information: SACRAMENTO COUNTY IHSS PUBLIC AUTHORITY
  • Street Address or P.O. Box: 3700 BRANCH CENTER RD, STE A
  • City: SACRAMENTO
  • State: CA
  • ZIP Code: 95827
  • Mail Code (five-digit code assigned by DOJ): 00738
  • Contact Name: IHSS PA
  • Contact Telephone Number: (916) 874-2888

Step 3

Enter your personal details in the "Applicant Submission" section of the form.

Step 4

Take this form to an approved Live Scan agency.

DOJ Forms

Convictions

Convictions of (and incarcerations for) certain criminal offenses within the last 10 years may limit your ability to be paid by the IHSS program for providing care.

Contact Us

​Please feel free to send us an email or leave us a voice message and we will respond at our earliest convenience.​

IHSS Public Authority
9300 Tech Center Road, Suite 100
Sacramento, CA 95826

(916) 874-2888

HHS-PA@Saccounty.gov

Public Counter Hours 
8:30 AM - 4:00 PM

Office Hours: 
8:00 AM - 5:00 PM​