Live Scan Form Example - Web the following instructions are provided to assist you in completing this form accurately. Name, date of birth, and sex are mandatory fields and must be provided. Failure to do so may result in processing delays of your application. The second copy is to be attached to your application and submitted to the board; Note to applicant and live scan operator: And the third copy is for your records. Indicate the facility type where you will be working. Web use a live scan site (ccld or doj site) for fingerprinting instructions for the lic 9163. The applicant’s name, date of birth, and us social security number must be entered. This is a mandatory field and must be completed.
Web the following instructions are provided to assist you in completing this form accurately. Failure to do so may result in processing delays of your application. Indicate the facility type where you will be working. The applicant’s name, date of birth, and us social security number must be entered. Web select the reason for your live scan request. Web use a live scan site (ccld or doj site) for fingerprinting instructions for the lic 9163. Web the lower portion of the request for live scan service form must be completed by the live scan operator. Name, date of birth, and sex are mandatory fields and must be provided. Enter your full name, any known alias, date of birth, sex, height, weight, eye & hair color, place of birth, social security number, and california driver license number. Please follow all instructions carefully and print clearly; The original of the form is retained by the scanning service; And the third copy is for your records. This is a mandatory field and must be completed. The second copy is to be attached to your application and submitted to the board; Note to applicant and live scan operator: