Get Cna Live Scan Form 2020-2025

Filling out the Cna Live Scan Form online is an essential step for individuals seeking certification as a Certified Nurse Assistant (CNA) in California. This guide provides a clear and supportive pathway to complete the form accurately and efficiently.

Follow the steps to complete the Cna Live Scan Form online:

1. Press the ‘Get Form’ button to access the Cna Live Scan Form and open it in your preferred online editor.
2. Begin by entering the ORI code (A1226) assigned by the Department of Justice, which is necessary for your application.
3. Specify the type of application. In this case, select 'CNA Certification' to indicate the purpose of your submission.
4. Fill in the job title or type of license, certification, or permit, stating 'Certified Nurse Assistant (CNA)'.
5. Provide the agency address, which includes the department and mail code. Input 'Department of Health Services, DHS, L&C' and the five-digit code '03314'.
6. Complete the mandatory contact name field for all school submissions as directed.
7. Enter the address details, including street number, city, state (CA), and zip code (95899-7416).
8. Provide the contact telephone number in the designated field.
9. Fill in the applicant's name by entering the last name, first name, and any applicable middle initial.
10. List any aliases the applicant may have in the corresponding field.
11. Enter the driver's license number, date of birth, and select the appropriate sex option.
12. Input the applicant's height, weight, eye color, and hair color in the given sections.
13. Fill out the place of birth, including city, state, and zip code information.
14. Provide the applicant's social security number in the specified box.
15. Include the OCA No. for agency identification if applicable.
16. Indicate the level of service required by checking either 'DOJ' or 'FBI'.
17. If this is a resubmission, list the original ATI number in the designated field.
18. Enter the employer’s details, if required, including name, address, and contact information.
19. Complete the 'Live Scan Transaction Completed By' section with the operator's name and details.
20. Once all fields are accurately filled, you may save changes, download the form, print it, or share it as necessary.

Complete your Cna Live Scan Form online today for a smooth certification process.