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Click ‘Get Form’ to open the cal south live scan form in the editor.
Begin by filling out the 'Applicant Submission' section. Select your 'Authorized Applicant Type' and enter the 'ORI' code assigned by DOJ.
In the 'Contributing Agency Information' section, input details such as the agency name (Cal South), mail code, and contact information including name, email, and phone number.
Next, complete the 'Applicant Information' fields. Provide your last name, first name, middle name, suffix, and any other names you may have used.
Fill in personal details like height, weight, sex, date of birth, eye color, hair color, social security number, and home address.
Specify your role(s) by selecting from options such as Administrator or Referee. If applicable, include your club/league name.
Finally, review all entered information for accuracy before saving or printing two copies as instructed at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (34 Votes)

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What is a live scan document?

Live Scan is inkless electronic fingerprinting. The fingerprints are electronically transmitted to the Department of Justice (DOJ) for completion of a criminal record check.

What shows up in a LiveScan?

A live scan will reveal all your criminal history. Live scan fingerprinting can even include your federal record. Typically, the summary of your criminal history record will include various things like arrests, charges, dispositions, convictions, dismissals, diversions, and others.

How do I get a Live Scan form in California?

Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office.

What is a Live Scan form?

Is there a cost for fingerprinting? Yes, you are required to pay the Live Scan operator the $49 fingerprint processing fee ($32 for DOJ and $17 for FBI), as well as the Live Scan site rolling fee.

What is a live scan form for Identogo?

Livescan fingerprinting is the process of capturing fingerprints electronically with our advanced LiveScan machine. With LiveScan fingerprinting, there is no ink or card. Your fingerprints are rolled across a glass plate and scanned. It is faster, cleaner and more accurate than the old ink-and-roll method.

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