Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the ORI (Originating Agency Identifier) section. This is a unique code that identifies the agency processing the Live Scan request.
3. Select the type of application from the options provided, such as LICENSE, CERTIFICATION, or PERMIT.
4. Provide the job title or type of license, certification, or permit you are applying for—in this case, enter 'STRUCTURAL PEST CONTROL.'
5. Enter the contributing agency's address, which is the DCA/STRUCTURAL PEST CONTROL BOARD, along with the street number and mail code (06058). Make sure to include the agency's city, state, and zip code.
6. In the contact information section, fill in the name of the contact person (e.g., STEVE THOMASON/SUSAN SAYLOR) and provide the contact telephone number.
7. Now, provide your personal details as the applicant. This includes your last name, first name, middle initial (if applicable), and any alias you may have.
8. Fill in your driver’s license number and date of birth, and select your sex from the provided options.
9. If applicable, enter the agency billing number in the designated section.
10. Complete the physical description section by providing your height, weight, eye color, and hair color.
11. Indicate your home address accurately, including the street or P.O. box, city, state, and zip code.
12. Provide your place of birth (city and state) and your social security number in the SOC section.
13. Select the level of service needed, which may include DOJ or FBI.
14. If this is a resubmission, provide the original ATI number, if available.
15. If you are being sponsored by an employer, fill in the employer details including name, address, and mail code.
16. Complete the section for the Live Scan transaction details including the name of the operator, date of transaction, and transmitting agency.
17. Finally, review all the information for accuracy before saving any changes, and choose to download, print, or share the form as needed.

Complete your REQUEST FOR LIVE SCAN SERVICE form online to ensure a smooth and efficient application process.