Get the free LIC 9163 - dss cahwnet

This document serves as a notification of a form change for the LIC 9163, which is used to request live scan services for background checks required for various licensing applications.

How to fill out lic 9163 - dss

How to fill out LIC 9163

1. Obtain the LIC 9163 form from the official website or your local LIC office.
2. Fill in your personal details in the designated sections, including your name, address, and contact information.
3. Provide your LIC policy numbers for which you are making the request.
4. Clearly state the purpose of the request in the specified area of the form.
5. Attach any required documents that support your request.
6. Review the completed form for accuracy and completeness.
7. Sign and date the form before submission.
8. Submit the form either in person at your local LIC office or as per the instructions provided.

Who needs LIC 9163?

1. Individuals who have an LIC policy and need to make a request or inquiry regarding their policy.
2. Policyholders seeking updates, changes, or clarifications about their LIC insurance plans.

People Also Ask about

How to fill out a request for Live Scan service?

Completed: means that the State of California DOJ completed review of your fingerprints and sent results to the agency listed on your Live Scan form.

How long does a Live Scan take to complete?

The Live Scan fingerprinting process itself is relatively quick and typically takes about 10 to 15 minutes.

What is lic 9163?

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.

What does it mean when your Live Scan says completed?

Effective, January 1, 2022, all administrators, employees and all volunteers in California MUST have a one-time background check as approved by the California Department of Justice to exclude individuals with a history of child abuse. This form of background check requires live scan fingerprinting.

How do I know if I passed my Live Scan?

To check the status of your live scan, you can call the DOJ hotline at (916) 227-2300 or visit the DOJ website by clicking here. You will need the following information: Your date of birth (DOB)

What happens after Live Scan?

Once completed, the results of the DOJ fingerprint check are sent electronically to the Care Provider Management Branch (CPMB) of the Community Care Licensing Division (CCLD). The DOJ only accepts electronically transmitted fingerprint images and related information to process requests for criminal record checks.

For pdfFiller’s FAQs

What is LIC 9163?

LIC 9163 is a specific form used by certain financial institutions or insurers for reporting information to regulatory bodies, often related to compliance and regulatory requirements.

Who is required to file LIC 9163?

Entities such as insurance companies, financial institutions, or any organizations required by regulations to report specific financial data or compliance information must file LIC 9163.

How to fill out LIC 9163?

To fill out LIC 9163, gather the necessary data required by the form, follow the instructions provided for each section, ensuring all information is accurate and complete before submitting it.

What is the purpose of LIC 9163?

The purpose of LIC 9163 is to ensure compliance with regulatory requirements by reporting necessary information about financial operations, risk management, and other relevant data to governing authorities.

What information must be reported on LIC 9163?

LIC 9163 requires reporting information such as financial statements, compliance metrics, risk assessments, and any other data relevant to regulatory oversight.