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  • Ca Lic 9163 (sp) 2015

Get Ca Lic 9163 (sp) 2015-2026

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESPETICIN PARA QUE SE TOMEN LAS HUELLAS DIGITALES ELECTRNICAMENTE (LIVE SCAN) DIVISIN DE LICENCIAMIENTO.

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How to fill out the CA LIC 9163 (SP) online

This guide provides essential instructions for completing the CA LIC 9163 (SP) form online, designed for users seeking to submit their fingerprinting requests electronically. By following these steps, you can ensure a smooth and efficient submission process.

Follow the steps to complete the CA LIC 9163 (SP) online form.

  1. Click ‘Get Form’ button to access the CA LIC 9163 (SP) form and open it in your preferred editor.
  2. In section 1, enter the ORI code, which is A0448, as already printed on the form.
  3. For section 2, select the appropriate title or position by marking the checkbox next to: ‘Adult resident who is not a client’, ‘Employee’, ‘License/certification applicant’, ‘Volunteer’, or ‘Home care aide’.
  4. In section 3, indicate the type of authorized applicant by referring to the provided list of abbreviations for establishments/organizations and entering the corresponding DOJ abbreviation.
  5. For section 4, confirm the address of the office that will receive your background check submission. This information is already printed, including the office name and mailing address.
  6. In section 5, fill in your personal information, including your full name, any aliases (AKA’s), date of birth, gender, California driving license number, miscellaneous numbers as applicable, height, weight, eye color, hair color, place of birth, and address.
  7. Enter your social security number in section 5, if you choose to provide it, understanding that it is optional. This may impact the processing of your application.
  8. In section 6, provide the establishment or organization number and select the service level (DOJ and FBI) as indicated on the form.
  9. Section 7 is for employer information if applicable. Complete this by entering the employer's name and address.
  10. In section 8, the Live Scan transaction details will be filled out by the live scan operator. Ensure to bring this form when you have your fingerprints taken.
  11. After verifying the information provided in all sections, save your changes, download the completed form, print it, or share it as needed.

Complete your CA LIC 9163 (SP) form online to facilitate your application process.

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Fees for our Services We charge a $40 fingerprint rolling fee for each Live Scan.

Applicants using fingerprint cards must apply with a paper application ( Form 41-4Open PDF in current window.) and attach both fingerprint cards and fingerprint processing fee to the application. Again, the DOJ will not accept the submission of fingerprint cards from California residents.

You may also obtain an FD-258 card at your local law enforcement agency, such as a police station or sheriff's office. You may also request one from the Board by using our Fingerprint Request Form (please allow 3-5 business to process).

Please find our current processing fees as follows: $25 Fingerprint Rolling Fee. $32 Department of Justice (DOJ) Fee (for state of California clearances) $17 Federal Bureau of Investigation (FBI) Fee (if required)

The live scan operator checks the applicant's identification, inputs the applicant's personal descriptor information, captures the applicant's fingerprints electronically, and transmits the data to the DOJ.

Applicants using fingerprint cards must apply with a paper application ( Form 41-4Open PDF in current window.) and attach both fingerprint cards and fingerprint processing fee to the application. Again, the DOJ will not accept the submission of fingerprint cards from California residents.

The Live Scan Process takes approximately 3-7 days once DOJ/FBI receives your 41-LS form. Out-of-state applicants must complete the FD-258 "hard-Card" manual fingerprint process, which takes approximately 10-12 weeks to complete.

0:31 2:23 How to fill out CSLB Live Scan Form - YouTube YouTube Start of suggested clip End of suggested clip Number you can go ahead and leave that blank it does not apply. But be sure to include the eye.MoreNumber you can go ahead and leave that blank it does not apply. But be sure to include the eye. Color the hair color the place of birth. And the social security number or item.

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