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Many Los Angeles professionals—especially doctors, nurses, and license applicants—still need to submit an FD-258 fingerprint card for an FBI background check. This guide shows exactly how to complete each section of the card, what to write, and where common errors happen.

FD-258 fingerprint card example showing applicant and technician sections for FBI background check in Los Angeles

Example of an official FD-258 fingerprint card used for FBI background checks. Provided by Anshin Mobile Notary & Live Scan in Los Angeles.

What Is an FD-258 Card?

The FD-258 is the official fingerprint form used by the FBI and approved Live Scan agencies. It records personal identifying information and rolled fingerprints. Even if you completed Live Scan electronically, some agencies still require this physical card for out-of-state or federal submissions.

Step-by-Step Chart for Completing Your FD-258

Section What to Enter Example / Notes Who Fills This Out
Last Name, First Name, Middle Your full legal name SMITH JOHN A Applicant
Signature of Person Fingerprinted Sign your name in black ink Use legible cursive or block print Applicant
Date of Signature (Applicant) Date you signed MM/DD/YYYY Applicant
Signature of Official Taking Prints Name of person rolling prints Anshin Mobile Notary & Live Scan Technician Technician
Date of Signature (Technician) Date prints were taken MM/DD/YYYY Technician
Reason Fingerprinted Purpose of background check FBI Background Check – Employment in Healthcare Applicant or Agency
Sex M or F Applicant
Race FBI code (W, B, A, U, etc.) W = White, B = Black, A = Asian, U = Unknown Applicant
Height & Weight Feet/inches and pounds 5’10” / 170 lbs Applicant
Eyes & Hair Color codes (e.g., BRO, BLK) EYES: BRO HAIR: BLK Applicant
Date of Birth MM/DD/YYYY 08/14/1992 Applicant
Place of Birth City & State or Country Los Angeles, CA Applicant
Country of Citizenship Spell out completely United States Applicant
ORI (Originating Agency Identifier) Agency code (if provided) CA0349400 – California DOJ Agency / Applicant if instructed
Employer or Agency Name & Address Name and address of requesting agency Cedars-Sinai Medical Center Agency
Residence of Person Fingerprinted Your home address 1234 Wilshire Blvd, Los Angeles, CA 90017 Applicant

Mid-Section Reference Example

The center area of the FD-258 card shows ten rolled prints and plain impressions. Make sure each fingerprint is clear, evenly inked, and not smudged. Every box should display complete ridge detail.

Example of completed FD-258 fingerprint card top section

Tips for a Rejected-Proof FD-258

  • Always use black ink (no Live Scan ink pads).
  • Do not fold or cut the card.
  • Fill ORI and Reason fields exactly as instructed — if uncertain, confirm before printing.
  • Print clearly in block letters.
  • Ensure the technician signs and dates the lower portion of the card.

Where to Get an FD-258 in Los Angeles

Anshin Mobile Notary & Live Scan provides ink-based fingerprinting using authentic FD-258 cards accepted by the FBI. You can visit our Los Angeles office or book a mobile fingerprinting appointment anywhere in the city. Many physicians, attorneys, and licensing agencies choose on-site service for convenience and accuracy.

Need Help Completing the Card?

Our technicians are certified by the California DOJ and FBI. If your agency has a unique ORI code or mail-in submission address, bring those details and we’ll ensure your card is filled out correctly before you leave.

Why Choose a Local Los Angeles Service

Because every agency has slightly different requirements, a local Live Scan expert can save time and rejections. At Anshin Mobile Notary & Live Scan, we regularly assist hospitals, schools, and law offices throughout Los Angeles who need FBI fingerprint cards for licensing or immigration purposes.

Contact Us

Anshin Mobile Notary & Live Scan
5211 W Adams Blvd, Los Angeles, CA 90016
Phone: (310) 413-5572
Open by appointment — mobile or in-office

FD-258 Frequently Asked Questions

How do I fill out the ORI field on an FD-258 card?

Enter the exact ORI code provided by your agency (for example, CA0349400). If you weren’t given one, leave it blank or confirm with the requesting entity before submission.

Can I use Live Scan prints instead of an FD-258 card?

Only if the receiving agency accepts electronic submissions. Many federal and out-of-state entities still require the physical FD-258 fingerprint card.

Where can I get FD-258 cards in Los Angeles?

You can visit our Los Angeles office or schedule mobile service with Anshin Mobile Notary & Live Scan. We stock official FBI FD-258 cards and provide professional ink fingerprinting.