Get Request For Live Scan Service - Community Care - Dss Cahwnet

This guide will assist you in completing the REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE - Dss Cahwnet form online. Follow the steps below to ensure that your application is filled out accurately and efficiently.

Follow the steps to complete the form online:

1. Press the ‘Get Form’ button to obtain the REQUEST FOR LIVE SCAN SERVICE form in your preferred editor.
2. Locate the ORI section at the top of the form, which should be preprinted as A0448. Ensure this information is correct.
3. In the Working Title section, select one option by checking the box that represents your role (e.g., Adult Resident other than Client, Employee, etc.). Only check one.
4. For the Authorized Applicant Type, refer to the list provided on Page 2 of the instructions. Enter the corresponding DOJ abbreviated facility type for your facility.
5. Fill in the Agency Address Set by providing the CA Dept of Social Services details. This includes the PO Box, street number, mail code, city, state, and zip code.
6. Complete the Applicant Information section by printing your full legal name, including last name, first name, and any other names you have used. Enter your date of birth, sex, height, weight, and eye and hair color.
7. If applicable, provide your California Driver's License number, social security number (optional), and miscellaneous identification numbers.
8. For the Facility/Organization Number, enter the assigned number you received. For the Level of Service, ensure the standard DOJ option is selected.
9. If this is a resubmission for fingerprint quality, include the Original ATI number as indicated.
10. In the Employer section, provide the name and address of your employer, including city, state, and zip code. This section is necessary for certain submissions.
11. The Live Scan transaction section will be filled out by the operator when your fingerprints are taken. Make sure to bring two copies of the form.
12. Review all entries for accuracy. Once finished, save any changes you made, and depending on your preference, download, print, or share the filled form.

Start the process of completing your REQUEST FOR LIVE SCAN SERVICE form online today!