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Covered California Request for Live Scan Certified Enrollment Counselor Applicant Form CONTRACT CODE: DARK Counselor Must Complete The Section Below (Print in CAPITAL LETTERS) Applicant: Last Name:
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How to fill out covered california live scan

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Point by point instructions on how to fill out covered California live scan:

01
Complete the applicant information section: Fill in your full name, mailing address, contact number, and email address in the designated fields.
02
Provide personal identification details: Enter your date of birth, Social Security number, and driver's license or ID card number.
03
Select your reason for getting a live scan: Choose the appropriate category that describes the purpose of your live scan, such as employment, licensing, volunteering, or certification.
04
Specify the requesting agency and agency codes: Indicate the name and contact details of the organization or agency that requires the live scan. If applicable, enter any agency-specific codes or identifiers.
05
Pay the required fees: Calculate the live scan fee according to the requesting agency's instructions. Be prepared to make payment, either in cash or by credit/debit card.
06
Schedule an appointment: Contact a live scan service provider affiliated with covered California or the requesting agency. Set up a convenient date and time for your live scan.
07
Visit the live scan location: On the scheduled date, go to the designated live scan site with your completed covered California live scan form. Bring along the necessary identification documents as specified by the service provider.
08
Have your fingerprints scanned: Cooperate with the live scan technician as they capture your fingerprints electronically. Follow any instructions or requests they may have during the scanning process.
09
Verify and sign the completed live scan form: Review the captured information on the live scan form for accuracy. Sign and date the form to confirm the completion of the live scan process.
10
Keep a copy of the live scan form: Retain a copy of the live scan form for your records. The form may be required by the requesting agency as proof of compliance with their live scan requirement.

Who needs covered California live scan?

01
Individuals seeking employment in certain fields may need a covered California live scan. These fields can include education, healthcare, law enforcement, and more.
02
Individuals applying for certifications or licenses from specific agencies or organizations may require a covered California live scan. Examples may include real estate agents, foster parents, or security guards.
03
Volunteers working with vulnerable populations, such as children, elderly, or disabled individuals, may need to undergo a covered California live scan to ensure the safety of those they will be assisting.
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Covered California Live Scan is a fingerprinting service used to conduct background checks for individuals involved in the health insurance marketplace in California.
Individuals who apply to become agents or brokers in the Covered California health insurance marketplace, as well as certain employees of health insurance companies, are required to file Covered California Live Scan.
To fill out Covered California Live Scan, individuals must complete a Live Scan request form, providing personal information such as their name, address, and fingerprinting details. They then take this form to an authorized Live Scan service provider for fingerprinting.
The purpose of Covered California Live Scan is to ensure the security and integrity of the health insurance marketplace by conducting background checks on individuals to verify their fitness for roles that involve working with sensitive consumer information.
The information reported on Covered California Live Scan includes the individual's fingerprints, identification details, and results of any background checks conducted by law enforcement agencies.
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