Form 41-LS Request for Live Scan Service. Form 41-LS Request for Live Scan Service Rev. 06/09 - ctc ca 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, where you will enter the Type of Application. Fill in the License/Certification/Permit Code assigned by DOJ and specify the Job Title or Type of License, Certification, or Permit.
3. In Section 2, provide the Agency Address and Contact Name. Ensure that all mandatory fields are filled accurately to avoid delays.
4. Proceed to Section 3. Here, input the Applicant's Name, Alias (if any), Driver’s License Number, Date of Birth, Sex, Height, Weight, Home Address, Eye Color, Hair Color, Place of Birth, Social Security Number (or ITIN), and OCA Number. All fields marked with an asterisk (*) are required.
5. In Section 4, select the Level of Service and if applicable, list the Original ATI Number for resubmissions.
6. Complete Section 5 by entering details about the Supplemental Agency/Employer including Employer Name and Mail Code.
7. Finally, fill out Section 6 with information about the Live Scan Operator and ensure all necessary copies are noted as per instructions.

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