Cna live scan form 2025

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The document is a Request for Live Scan Service form from the California Department of Justice, specifically for applicants seeking certification as Certified Nurse Assistants (CNA). It includes sections for personal information, agency details, and criminal history checks required for CNA certification.
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Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office.
California laws regarding live scan requirements The types of jobs that typically need live scan fingerprinting and background checks are employees who are in a position of trust for some of Californias most vulnerable citizens, such as the elderly, dependent adults and minors.
A: 283B is the form number that you will find on the bottom left hand corner of the Certified Nurse Assistant (CNA) and/or Home Health Aide (HHA) Initial Application. Your school should give this form to you when you complete a CNA program. It must be filled out and signed by the RN in charge of your CNA program.
Live scan is digital fingerprint submission transmitted electronically to the California Department of Justice (DOJ). Live scan is an automated service for criminal history background checks that may be required as a condition of employment, licensing, certification, foreign adoptions or VISA/Immigration clearances.
Live Scan is inkless electronic fingerprinting. The fingerprints are electronically transmitted to the Department of Justice (DOJ) for completion of a criminal record check.

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Cna live scan form pdf CNA Live Scan form California Cna live scan form online A1226 Live Scan form CNA renewal California form www.cdph.ca.gov cna Live Scan form pdf CNA license verification

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The 10-digit Applicant Transaction Identifier (ATI) number that appears at the bottom of the Request for Live Scan Service form. The ATI number always appears in the following sequence: 1 Letter; 3 Numbers; 3 Letters; 3 Numbers.

cna live scan

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Request for Live Scan Service

REQUEST FOR LIVE SCAN SERVICE. A1226. Certification. Certified Nurse Assistant(CNA). California Department of Public Health (CDPH). 03314. MS 3301 PO Box 997416.

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