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State of California Department of Real EstateLive Scan Service Request (Applicant/Petitioner) RE 237 (Rev. 7/20)Instructions on reverse.Attention Live Scan Service Providers Please note the following.

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How to fill out the Live Scan Service Request (Applicant/Petitioner) online

Filling out the Live Scan Service Request is an essential step for individuals seeking a real estate license in California. This guide provides clear instructions to help you navigate the form easily and accurately, ensuring you understand each section and its purpose.

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

  1. Click ‘Get Form’ button to access the Live Scan Service Request (Applicant/Petitioner) and open it for editing.
  2. In Part 1, fill in the agency ORI number, contributing agency, and agency address set. This information is critical for proper identification in the processing of your application.
  3. Complete Part 2 with your personal details: enter your full name, previous names if applicable, date of birth, gender, height, weight, eye color, hair color, place of birth, Social Security number, and California driver’s license number. Provide your residence address and indicate your OCA number, which should be the same as your Social Security number.
  4. Select the level of service required for the Live Scan transaction as specified in the form. Ensure that you provide accurate information.
  5. Sign and date the form as confirmation that you have received, read, and understood the Privacy Notice and related documents.
  6. Once you have filled in all necessary sections, review the form for accuracy and completeness. Ensure that all required fields are completed.
  7. Save your changes, download a copy for your records, and prepare to print or share the form as necessary.

Complete your Live Scan Service Request online to streamline your application process today!

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Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office.

Live Scan is a form of background check required by the state and federal governments; typically for state-issued licenses, employment, or volunteer work.

Disclosure Form: Explain that we ask clients to consent to have our organization listed as a “Designee” on the Live Scan Request. This means that our organization will receive a copy of their RAP sheet in order to use it to provide relevant follow-up services. Review Disclosure Form and request consent.

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.

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.

Do I have to provide my social security number on the California DOJ Live Scan form? Providing a social security number is not legally required; however, DOJ procedures recommend providing the social security number on the Live Scan form.

Authorized Applicant Type indicates the facility type where you will be working. Select your licensed facility type from the left column, and in the right column find its corresponding DOJ abbreviated facility type. Enter the corresponding DOJ abbreviated facility type on this line.

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Live Scan Service Request (Applicant/Petitioner)
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