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Application for Authorization Pursuant to State Statute ...

CALIFORNIA DEPARTMENT OF JUSTICE Application for Authorization Pursuant to State Statute (Public/Private Schools, Government Agencies, Federal Agencies, Financial Institutions, Public Utilities, & All Other Applicant Agencies) BUREAU OF CRIMINAL INFORMATION AND ANALYSIS Mail Completed Application to: Department of Justice Applicant Information and Certification Program Box 903387 Sacramento, CA 94203-3870 TABLE OF CONTENTSA uthorization for Criminal History PAGE 1 Authorization for Custodian of Records Information (NEW - IMPORTANT) .. PAGE 2 Applicant Live Scan Overview .. PAGE 3 Request for Contributing Agency ORI and/or Response Mail Code (BCII 9001) (REQUIRED) .. PAGE 4 Guidelines for Completing Request for Contributing Agency ORI and/or Response Mail Code (BCII 9001).

Authorization for Custodian of Records Information. 2. ... Identify Licensing Agency as it would appear on fingerprint card (i.e., Department of Social Service) Type of License, Certification, Permit 4 Please describe the services your agency provides and …

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