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STATE OF CALIFORNIA CTC Form 41LS (Rev. 03/2022)Print Forrest FormREQUEST FOR LIVE SCAN SERVICE Applicant Submission LICENSE/CERTIFICATION/PERMIT Authorized Applicant TypeA0281 ORI (Code assigned
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How to fill out request for live scan

01
Obtain the request for live scan form from the agency requesting it.
02
Fill out the required personal information such as name, date of birth, address, and Social Security number.
03
Provide any necessary information specific to the purpose of the live scan, such as employer information or licensing agency details.
04
Visit a live scan location to have your fingerprints taken and the form completed by the operator.
05
Pay any applicable fees for the live scan service.
06
Submit the completed form to the requesting agency or employer as directed.

Who needs request for live scan?

01
Individuals applying for certain jobs or licenses that require a background check.
02
Employers or agencies requesting background checks on potential employees or applicants.
03
Volunteers for organizations that require background screening.
04
Individuals seeking to obtain certain clearances or permits.
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A request for live scan is a process that allows individuals to provide their fingerprints electronically for background checks, typically used for employment, licensing, or other official purposes.
Individuals who are seeking employment in certain fields, applying for licenses, or undergoing background checks may be required to file a request for live scan.
To fill out a request for live scan, individuals must complete the appropriate form by providing personal information such as name, date of birth, and other relevant details. The completed form is then submitted to a designated live scan provider.
The purpose of a request for live scan is to conduct thorough background checks by checking an individual's fingerprints against state and federal databases for any criminal history.
The information that must be reported includes the individual's full name, date of birth, Social Security number, address, and other identifying information, as well as the specific purpose of the background check.
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