Request Live Scan Form. Be sure to bring the contractors “request for live scan service” form provided by the state license. The following information must be printed or typed on the form.
Luna Live Live Scan + Notary FAQ
Web individuals can obtain a request for live scan form lic 9163 or from any local community care licensing division office. Web request for live scan forms general request for live scan form. If they do provide you with the form, you should verify it is the correct form with your requesting agency. View the fingerprinting frequently asked questions for further information. Web the live scan location will not have the request for live scan service form on site. Web instructions for completing request for live scan service applicant submission form be sure to take identification to the live scan site. Select the appropriate method below: An incorrect form will result in your live scan being rejected or sent to the wrong agency. Fill out all your personal information. Check “record review” as the “type of application”.
Web public service agency request for live scan service applicant submission (license, certification, permit only, or business partner automation program participant) to verify your identity, please bring an oficial governmental photo document (e.g., driver license, identification card, passport, etc.) with you to the live scan site. Be sure to bring the contractors “request for live scan service” form provided by the state license. This form will automatically request a child abuse central index (caci) check if needed. Complete all requested fields on the live scan form then make three copies of the completed form. If they do provide you with the form, you should verify it is the correct form with your requesting agency. Web request for live scan service (if the level of service indicates fbi, the fingerprints will be used to check the criminal history record information of the fbi.) state state state. Ori (code assigned by doj) authorized applicant type. Web individuals can obtain a request for live scan form lic 9163 or from any local community care licensing division office. Web use a live scan site (ccld or doj site) for fingerprinting instructions for the lic 9163. Job title or type of license, certification or permit: There is also a $32 doj criminal record check fee that is.
