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06521 Girl Scouts of Northern California Agency Authorized to receive criminal history information Mail Code (five digit code assigned by the DOJ) Janice Stone 1310 S. Bascom Avenue Street No. Street or O.O. Box San Jose Contact Name (Mandatory for all school sub.) CA 95128 (408) 287-4170 State City Zip Code Contact Telephone No. Name of Applicant: Last (please print) First Alias: MI Driver s License No. Last First Date of Birth: Sex: Male Female Misc. No. BIL Agency.

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How to fill out the How To Fill Out Live Scan Form online

Filling out the How To Fill Out Live Scan Form is a critical step in the process of obtaining fingerprints for background checks. This guide will provide essential information on each component of the form, ensuring that users can complete it accurately and efficiently.

Follow the steps to successfully fill out the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by completing the applicant submission section. Enter the type of application, selecting 'Volunteer' from the options.
  3. In the ORI field, input 'A6216'. For the job title or type of license, certification, or permit, leave this blank or enter relevant information if applicable.
  4. Provide the contributing agency's information. Enter 'Girl Scouts of Northern California' in the agency name field, and '06521' in the mail code.
  5. Fill out the contact information section with the name of the authorized contact person, which is 'Janice Stone,' along with the address details. Complete the city, state, and zip code fields.
  6. In the name of applicant section, carefully print the last name, first name, and middle initial of the applicant. Include the alias if applicable.
  7. Enter the driver's license number in the specified format, and provide the date of birth of the applicant.
  8. Select the applicant's sex by checking 'Male' or 'Female' and fill in additional information such as height, weight, eye color, and hair color.
  9. Complete the home address, including street or P.O. Box, city, state, and zip code.
  10. Include the place of birth, similar to the home address format, and enter the phone number of the applicant.
  11. Select the level of service, typically marking the appropriate boxes for DOJ and FBI if required. If this is a resubmission, provide the original ATI number.
  12. Fill out the employer section only if specified by statute, including employer name and address details.
  13. Complete the live scan transaction completed by section, providing the transmitting agency, the date, and the ATI number.
  14. Indicate the amount collected or billed in this section.
  15. Finally, remember to print three copies of the completed form: one for the live scan operator, one for the requesting agency, and one for the applicant.

Take the next step and complete your documents online.

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Live Scan is a form of background check required by the state and federal governments; typically for state-issued licenses, employment, or volunteer work. ... The government will check submitted fingerprints against its database to retrieve an individual's criminal record.

Primary Identification Document - State driver's license or State Identification card As a primary form of picture identification, a state-issued driver's license may be presented by an applicant when being fingerprinted.

YOUR CRIMINAL HISTORY If a fingerprint scan is part of the employment process, be upfront about your criminal record. ... Fingerprinting as part of the background check is becoming more common among businesses. The process is done to both protect you as an employee and your employer.

PREPARE FOR YOUR FINGERPRINT APPOINTMENT Avoid wearing dangly bracelets or too many rings on your fingers. To help the operator get the best prints, experts recommend you drink plenty of water the day before so you're fully hydrated. It's also wise for you to apply lotion to dry hands a day before your appointment.

ID Required for Fingerprinting Applicants should bring two pieces of valid government issued identification and one must be a photo ID. The following are types of acceptable identification: Passport. Driver's Licence.

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.

A completed Request For Live Scan Service (PDF) form. A current photo identification. A fingerprint processing fee and an additional rolling fee. Please call the Live Scan site to verify the amount of the rolling fee.

The OCA number is a field for the requesting agency to use for internal needs. OCA stands for "Originating Case Agency". Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". This field in the live scan system is only required by specific agencies.

Visit an IdentoGO enrollment center. Present a government issued I.D. with proof of U.S. citizenship (i.e. a passport or birth certificate, see a complete list of acceptable identity documents.) Credit card payment of $85 for a five-year membership (that's only $17 a year!).

Live scan is digital fingerprint submission transmitted electronically to the California Department of Justice (DOJ). Live scan is an automated service for criminal history background checks that may be required as a condition of employment, licensing, certification, foreign adoptions or VISA/Immigration clearances.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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