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State of California Department of Insurance Live Scan Service Request (Company Officers, Directors, and Others) LIC 051-CIU (Rev. 5/12) Attention Live Scan Service Providers, Company Officers, Directors,

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What is live scan service request?

A live scan service request is a form used to request a background check for individuals or employees.

Who is required to file live scan service request?

Certain employees or individuals may be required by law or employer to file a live scan service request.

How to fill out live scan service request?

To fill out a live scan service request, you will need to provide personal information and go to a designated location for fingerprinting.

What is the purpose of live scan service request?

The purpose of a live scan service request is to conduct a background check on individuals to ensure they have no criminal history.

What information must be reported on live scan service request?

The information reported on a live scan service request usually includes personal details such as name, address, and date of birth.

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