Fingerprint/Background Check Information

Fingerprinting may be performed by a law enforcement agency in any state or by a private fingerprinting service. You may use any agency's fingerprint card as long as it is completed on the standard FD-258 card (shown below). All fingerprint cards are valid for one year from the date you are printed. You may also request a fingerprint card be mailed to you in your application or by contacting the Nevada Physical Therapy Board office.
1. Complete the Fingerprint Background Waiver and send the signed Waiver to the Board office.
2. Complete the Fingerprint Request Form. Enter Applicant Information and Fingerprint
Authorization Information.
3. Select a fingerprinting company you wish to use.
4. Obtain two original fingerprint cards. Ensure you have the appropriate cards by verifying the code “FD-258” on the back of each card. Using black ink, complete the information blocks on the fingerprint card. Incomplete and/or illegible cards cannot be processed and will be returned to the applicant.
5. When you present for fingerprinting, inform the technician that you are applying for licensure with the Nevada Physical Therapy Board, and will submit fingerprints using Fingerprint Cards.
6. Provide your Fingerprint Request Form to the technician to ensure that all fields contain the required/authorized information needed for processing. Ensure the technician signs the Form in the
space labeled “Signature of Official taking Fingerprints”, and enters the Transaction Control Number (TCN).
7. Mail the two completed Fingerprint Cards and Fingerprint Request Form to the Board Office andinclude a cashier’s check or money order in the amount of $40.00 (payable to Nevada Highway Patrol. 

Applicants in the State of Nevada are strongly encouraged to complete their fingerprint
requirements via electronic transmission (Live Scan) instead of submitting Fingerprint Cards.

Electronic transmission is ONLY available if you have your fingerprints captured in Nevada.

This option provides a quicker turn-around than Fingerprint Card submissions.
1. Complete a Fingerprint Background Waiver and send the signed Waiver to the Board office.
2. Complete a Fingerprint Request Form. Enter Applicant Information and Fingerprint Authorization Information.
3. Select a fingerprinting company you wish to use and contact them to confirm they submit electronically to the Department of Public Safety (DPS).
4. Take these instructions and the Fingerprint Request Form with you to afingerprinting site.
5. When you present for fingerprinting, inform the technician that you are applying for licensure and need your prints submitted electronically to DPS.
6. Provide your Fingerprint Request Form to the technician to ensure that all fields contain the required/authorized information needed for processing. Ensure the technician signs the Form in the
space labeled “Signature of Official taking Fingerprints”, and enters the Transaction Control Number (TCN).
7. Send the completed Fingerprint Request Form to the Board Office.