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Live scan service request form 2026
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- Click ‘Get Form’ to open the Live Scan Service Request form in the editor.
- In Part 1, enter the Agency ORI Number (A0075) and the contributing agency details, including the address and email code. Specify the Application Type as 'License, Certification, or Permit' and provide a contact name and telephone number.
- Proceed to Part 2 where you will fill in your personal information. This includes your full name, date of birth, gender, height, weight, eye color, hair color, place of birth, social security number, California driver’s license number, and residence address.
- Sign and date the section confirming that you have read the Privacy Notice and related statements.
- After completing your fingerprints at a live scan service provider, ensure that Part 3 is filled out by them. This includes transaction details like operator name and amounts collected.
- Finally, submit this completed form along with your original license application to the Department of Real Estate as instructed.
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