REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE LICENSING - cdss ca 2026

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  1. Click ‘Get Form’ to open the REQUEST FOR LIVE SCAN SERVICE in the editor.
  2. Begin by filling in the ORI field with 'A0448'. Then, check the appropriate box for your working title, such as 'Employee' or 'Volunteer'.
  3. In the Authorized Applicant Type section, refer to Page 2 of the form and enter the corresponding DOJ abbreviated facility type.
  4. Complete the Agency Address section with CA Dept of Social Services details. Ensure you include the correct mail code and contact information if applicable.
  5. Fill out your personal information in the Applicant Information section, including your name, date of birth, sex, height, weight, and eye/hair color.
  6. If applicable, provide your employer's details in the Employer section. This includes their name and address.
  7. Finally, ensure all sections are completed accurately before saving or printing your form for submission.

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Live Scan Support Section: livescansupport@doj.ca.gov Questions regarding owning and operating YOUR own Live Scan device.
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