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Click ‘Get Form’ to open the BCIA 8374 in the editor.
Begin by filling out the Applicant Information section. Enter your Last Name, First Name, Middle Name, Address, City, State, Zip Code, Phone Number, Date of Birth, and Driver's License or CA ID Number.
Next, move to the Agency/Organization Information section. Provide details such as Agency Head, Phone Number, Agency Name, ORI, Address, Mail Code, City, State, and Zip Code.
Carefully answer all questions regarding your background. For each question that requires a response (Yes/No), ensure you provide additional details where prompted.
In the Certification section at the end of the form, sign and date to confirm that all information is accurate.
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Organizations typically do not have an employee with the specific title of custodian of records. Instead, the organizations custodian is the individual whom the organization produces in litigation to testify about its documents (often in response to a subpoena or deposition notice).
What is the role of a document custodian?
The document custodian certifies the complete and accurate representation of the documents within its control. Under the terms of the Master Custodial Agreement, documents may be released to the Issuer from time to time in connection with servicing. Only the Issuer may request the release of documents.
What does a records custodian do?
The agency Custodian of Records will be responsible for the security, storage, dissemination and destruction of the criminal records furnished to the agency and will serve as the primary contact for the DOJ.
How to become custodian of records?
The confirmation process will consist of a completed Custodian of Records Application for Confirmation form (BCIA 8374), which will be available on the Attorney Generals website, the electronic submission of fingerprint images, the Custodian of Records Duties form, which is enclosed within the Authorization Request
Who is the custodian of a medical record?
Custodians such as individual practitioners, hospitals and pharmacies are persons or organizations who possess legal custody or control of personal health information in conjunction with their powers or duties. They make decisions regarding access to records by third parties, including patients.
BCIA 8374 Custodian of Records Application for Confirmation
If yes, disclose the date and place of arrest, whether the conviction was for a felony or misdemeanor, and the sentence imposed. PAGE 1 of 2. BCIA 8374. (Orig
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