Lic 442 39a 2025

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  1. Click ‘Get Form’ to open the lic 442 39a in the editor.
  2. In Part 1, enter your personal information clearly. This includes your full name, former names if applicable, date of birth, gender, height, weight, eye color, hair color, place of birth, social security number, driver’s license number, and daytime telephone number.
  3. Ensure that you provide your residence address accurately. This is crucial for identification purposes.
  4. Part 2 will be completed by the contributing agency. Make sure to leave this section blank for them to fill out.
  5. Once you have filled out the necessary sections, save your form and print two copies: one for the Live Scan provider and one for your records.
  6. If applicable, complete Part 4 for fingerprint resubmission and ensure all required fees are prepared for payment at the Live Scan service provider.

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Microsoft Word doesn’t have signing tools to create valid eSignatures and enforceable forms. Fortunately, DocHub is an online eSignature-compliant editor that works with different document formats, such as .doc files. Log in to your account and add the Word version of your live scan fingerprints from your device and cloud, or URL - our editor will automatically turn it into an editable PDF. Make all required modifications in your document and click Sign to create your own legally-binding electronic signature. You will find four signing methods from which to choose.

If you are looking for a state-specific scan service request form sample, you can find it in our DocHub Forms & Templates catalog. Use the search field, key in your form’s name, and search through the results for your state. You can also filter out irrelevant results while browsing our catalog by categories.

The 10-digit Automated Transaction Identifier (ATI) number that is located at the bottom of the Live Scan Applicant Request form.
Level 2 Background Check Requirements Florida regulation mandates out-of-state applicants must submit electronic fingerprints with the appropriate State of Florida ORI numbers provided by the State agency requesting the background check. Applicants can utilize standard FBI fingerprint cards (FD-258) or FBI FD-258 form.
The cost of the fingerprint processing is $59.00 which includes the FBI processing fee of $17, DOJ processing fee of $32, and the CDI's contractor's rolling fee of $10.00. Please make checks payable to Accurate Biometrics.
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You must bring the following to the Live Scan site: A completed Request For Live Scan Service (PDF) form. A current photo identification. A fingerprint processing fee and an additional rolling fee. Please call the Live Scan site to verify the amount of the rolling fee.
Live Scan Fees Type of License / ApplicationRolling FeeTotal FeeAdult Residential Care Facility$20$79Alcohol & Beverage Control Lic$20$20Ambulance Driver (DMV)$20$52California Lottery Retailer$20$2028 more rows
Unfortunately, the state governments do not allow businesses in outside states to transmit fingerprints across state borders. Live Scan is only accepted if the fingerprints are taken in the same state that is receiving the Live Scan transaction.
The OCA (Controlling Agency Identifier). This number is provided by DCF and identifies the provider requesting the background check. The OCA number is a nine character number beginning with your 2 digit Circuit Number, your OCA, and ending with the letter \u201cz\u201d.
As a result, in 1988, the CDI discontinued the fingerprint requirement for non-residents. In October 2000, CDI expanded its resident fingerprint process to include a check with the FBI database.

live scan request form lic 442 39a