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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE LICENSING Applicant Submission 1. ORI: A0448 2. Working.

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POB - Indicate the state or country of birth. SOC - Enter your social security number. CDL - Enter your California Driver's license number. Box 4: Level of Service – If you are submitting fingerprints with your initial application to the Board, indicate both DOJ and FBI by placing an "X" in each box.

Name of Applicant: Last Name, First Name and Middle Initial Other Name (AKA or Alias): Last and First Date of Birth: Indicate month-day-year of birth Sex: Check either Male or Female Driver's License Number: Indicate your California Driver's License Number Height: Indicate your height in feet and inches Weight: ...

SOC: Social Security Number. Driver's License No.: California driver's license number. If you do not have a California driver's license, enter other identifying numbers such as another state driver's license number or California ID card number.

How can an applicant check their Live Scan status? DMV cannot release a license or permit until the applicant passes a background check from DOJ. Applicants may check the status of their Live Scan application at https://applicantstatus.doj.ca.gov. Applicants will need to enter their ATI # and date of birth.

Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office. This form will automatically request a Child Abuse Central Index (CACI) check if needed.

What does "CDL No." on my Live Scan form mean? CDL No. stands for California driver's license number. You need to write in your California driver's license number in the space provided.

SOC: Social Security Number.

Place of Birth (POB) – Enter the US state of the country of birth if place of birth is out of the US.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232