Αποτελέσματα Αναζήτησης
In order to process applications pertaining to Live Scan service to help determine the suitability of a person applying for a license, employment, or a volunteer position working with children, the elderly, or the disabled, we may need to share the information you give us with authorized applicant agencies.
- LiveScan
Individuals can obtain a Request for Live Scan form LIC 9163...
- LiveScan
California Department of Public Health Nursing Home Administrator Program . LIVE SCAN FORM INSTRUCTIONS. Fingerprints can be scanned at any authorized Live Scan (LS) agency. For LS agency information and locations, you can access the Internet at:
HOME ADDRESS: The applicant’s home address is mandatory for applicants requiring a Child Abuse Index check and where statute requires a notification to the applicant as well as the agency. YOUR NUMBER: Some agencies assign a unique number to each applicant.
ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency CALIFORNIA REGISTERED NURSE (RN) LICENSE LIVE SCAN REQUEST FORM Applicant must contact their Contributing Agency to verify the accuracy of the form required for their Live Scan submission.
Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office. This form will automatically request a Child Abuse Central Index (CACI) check if needed.
REQUEST FOR LIVE SCAN SERVICE . Applicant Submission . A1098 License Certification or Permit ... Nursing Home Administrator Program 03857 . Agency Authorized to Receive Criminal Record Information Mail Code (five-digit code assigned by DOJ) ... California Department of Justice/CJIS/APP Subject: Request for Live Scan Service Keywords: bcia 8016 ...
Transmitting Agency. LSID. ATI Number Amount Collected/Billed. BCIA 8016 (Rev 07/11) SAMPLE. RIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requ. ting AgencyNOTE TO APPLICANT: *Please input your Social Security Number (SSN) where required. The subm. sion of your SSN will allow results to be transmitted from DOJ to.
