
Get the free Request for Live Scan Service Applicant Submission Form - emsa ca
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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYGAVIN NEWSOM, GovernorEMERGENCY MEDICAL SERVICES
AUTHORITY
11120 INTERNATIONAL DRIVE, 2ND FLOOR
RANCHO CORDOVA, CA 95670
(916) 3224336 FAX (916)
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How to fill out request for live scan

How to fill out request for live scan
01
To fill out a request for live scan, follow these steps:
1. Obtain a Live Scan Request Form from the agency requesting the live scan.
02
Fill out your personal information, including your full name, date of birth, gender, and any aliases or maiden names.
03
Provide your contact information, including your current address, phone number, and email address.
04
Enter the agency ORI (Originating Agency Identifier) code, which is a unique code provided by the requesting agency.
05
Indicate the type of application you are submitting the live scan for (e.g., employment, licensing, volunteering).
06
Specify the level of service requested, such as DOJ only, DOJ and FBI, or DOJ and child abuse index.
07
If necessary, provide the reason for the live scan request or any additional agency-specific information.
08
Review the completed form for accuracy and ensure all required fields are filled.
09
Sign and date the form.
10
Submit the filled-out and signed Live Scan Request Form to the requesting agency or the designated Live Scan location.
Who needs request for live scan?
01
A request for live scan is typically required by individuals applying for certain positions or licenses that involve working with vulnerable populations or have specific legal or regulatory requirements.
02
Some common examples of who may need a live scan include:
03
- Prospective employees of government agencies or private organizations in fields like education, healthcare, or law enforcement.
04
- License applicants in various professions like nursing, real estate, or security.
05
- Volunteers for organizations serving children, the elderly, or individuals with disabilities.
06
- Foster parents or individuals seeking to adopt.
07
It is important to note that the specific requirements for a live scan request may vary depending on the jurisdiction and the purpose of the background check.
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What is request for live scan?
A request for live scan is a process where an individual's fingerprints are electronically captured and submitted to a law enforcement agency for background checks, often for employment or licensing purposes.
Who is required to file request for live scan?
Individuals applying for certain licenses, jobs, or certifications that require background checks, including teachers, healthcare workers, and those in positions of trust, are typically required to file a request for live scan.
How to fill out request for live scan?
To fill out a request for live scan, one must complete the application form with personal information such as name, date of birth, and social security number, and specify the reason for the background check. It may also require a specific agency or program code.
What is the purpose of request for live scan?
The purpose of a request for live scan is to conduct a thorough background check to ensure the safety and integrity of individuals in positions that require a high degree of trust and responsibility.
What information must be reported on request for live scan?
The request for live scan typically requires reporting information such as the applicant's name, address, date of birth, social security number, reason for the request, and the agency requesting the background check.
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