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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES REQUEST FOR LIVE SCAN SERVICE FOR SUBSIDIZED TRUSTLINE REGISTRY APPLICANTS ORIGINAL-Requesting Agency COPY-Applicant Applicant Submission ORI A1157 Applicant Type CalWORKs/CDE Working Title Agency Address Set Contributing Agency Child Care Provider Health Safety Code 1596. Applicant Information Name of Applicant Please print LAST FIRST AKA s MI CDL No....
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How to fill out livescan form tlr9163a:

01
Start by gathering all the necessary information and documents required to complete the livescan form. This may include your personal identification, such as your driver's license or passport, as well as any relevant case or agency numbers.
02
Once you have all the required information, carefully read the instructions on the livescan form tlr9163a. Familiarize yourself with the sections and fields that need to be completed.
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Begin filling out the form by providing your personal details in the designated fields. This may include your full name, date of birth, gender, and current address. Make sure to write legibly or type the information to ensure accuracy.
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Proceed to the section that requests specific case or agency information, if applicable. Provide any relevant case numbers, agency names, or special instructions that may be required.
05
The livescan form tlr9163a will likely have a section that requires you to indicate the purpose of the livescan fingerprinting. Carefully select the appropriate checkbox or write down the reason for the fingerprinting, such as employment, licensing, or background check.
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Next, you will find a section where your fingerprints will be captured electronically. You will typically be instructed to visit a livescan service provider who will assist you with this process. Follow their directions to complete the fingerprinting procedure accurately.
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Once the fingerprinting is complete, carefully review the livescan form tlr9163a for any errors or missing information. Make any necessary corrections or additions before submitting the form.
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Finally, sign and date the form in the designated area to certify the accuracy of the information provided.

Who needs livescan form tlr9163a:

01
Individuals who are required to undergo background checks for employment purposes may need to fill out livescan form tlr9163a. This can include job applicants in industries such as healthcare, education, or government.
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Individuals applying for professional licenses or certifications may also be required to complete livescan form tlr9163a. This ensures that they meet the necessary qualifications and do not have a criminal history that may hinder their eligibility.
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Some agencies or organizations that require fingerprinting for security or identification purposes may request individuals to fill out livescan form tlr9163a. This can include volunteer work, access to certain facilities, or participation in specific programs.
Please note that the specific requirements for needing livescan form tlr9163a may vary depending on your jurisdiction or the specific purpose for which the form is being used. It is always best to consult the appropriate authorities or your employer for accurate and up-to-date information.
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Livescan form tlr9163a is a document used to capture and submit fingerprints for background checks and identification purposes.
Individuals who are required to undergo a background check or provide fingerprint identification are typically required to file livescan form tlr9163a.
To fill out livescan form tlr9163a, you will need to provide personal information such as your name, address, and date of birth. Additionally, you may need to provide specific details related to the purpose of the background check or fingerprinting.
The purpose of livescan form tlr9163a is to collect accurate and complete fingerprint information for the purpose of conducting background checks and identification verification.
Livescan form tlr9163a typically requires the reporting of personal information such as name, address, date of birth, and other identifying details. Additionally, the form may ask for details regarding the reason for the background check or fingerprinting.
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