Get Live Scan Service Request (company Officers, Directors, And Others) - Insurance Ca

This guide provides a step-by-step approach to completing the Live Scan Service Request form for company officers, directors, and others in California. By following these instructions, users can successfully submit their Live Scan requests online with confidence.

Follow the steps to complete your Live Scan Service Request online.

1. Press the ‘Get Form’ button to access the Live Scan Service Request form and open it for editing.
2. Begin by entering your personal information in Part 1 of the form. This includes your full name, any former names or aliases, date of birth, gender, eye color, hair color, social security number, driver’s license number, height, weight, place of birth, and residence address. Ensure that all details are accurate and typed in correctly.
3. Leave Part 2 for the contributing agency to complete. This section includes important agency-specific information and should not be filled out by the applicant.
4. If applicable, fill out Part 3, which will be completed by the Live Scan vendor. This part details the transaction and amounts collected at the time of service.
5. For fingerprint resubmission, fill out Part 4 with the required resubmission details and the original ATI number, if necessary.
6. Once the form is fully completed, make three copies. Retain one copy for your records, deliver the original to the Live Scan provider, and send the second copy to the California Department of Insurance at the provided address.
7. Lastly, ensure payment of the necessary fees is arranged with the Live Scan vendor. This payment may include a service fee and the fingerprint processing fee.

Complete your Live Scan Service Request form online today!