Get Ucla Ati Live Scan Number Form

The Ucla Ati Live Scan Number Form is an essential document for individuals seeking employment or service within UCLA Health. This guide provides clear, step-by-step instructions for filling out the form online, ensuring a smooth submission process.

Follow the steps to complete the Ucla Ati Live Scan Number Form effectively.

1. Click ‘Get Form’ button to access the Ucla Ati Live Scan Number Form and open it in your preferred editor.
2. In the section titled ‘Applicant Submission’, fill in the job title or position you are applying for along with the job number.
3. Provide the department or division for your application, and indicate the department manager or person conducting the interview.
4. Complete the location details, including any specific UCLA departments associated with your application.
5. Enter the date of submission accurately in the specified field.
6. Fill in your personal details in the 'Name of Applicant' section, ensuring to include last name, first name, and middle initial.
7. Supply your street address, apartment or unit number, city, state, and zip code accurately.
8. List any AKAs (also known as) and provide your license or passport number along with its expiration date.
9. Input your date of birth in MM/DD/YYYY format and provide the place of birth, including city and state.
10. Fill in the physical details including height, weight, sex, eye color, and hair color as requested.
11. Enter your Social Security number and email address in the corresponding fields.
12. For the agency address, denote that UCLA Medical Center is the contributing agency and list the contact name as HR Staffing.
13. Fill out the address details for the contributing agency and include the contact telephone number.
14. Provide the ORI, misc. number, and mail code in the designated sections.
15. Indicate your ATI number along with the type of applicant you are; be sure to check employment and relevant service levels.
16. If this is a resubmission, list the original ATI number.
17. Document the name of the operator who completed the Live Scan transaction and enter the date accurately.
18. Once all fields are filled out accurately, save your changes, and consider downloading, printing, or sharing the form if required.

Complete your Ucla Ati Live Scan Number Form online today for a seamless application experience!