Transcription of REQUEST FOR LIVE SCAN SERVICE Applicant …
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Example: biology
REQUEST FOR LIVE SCAN SERVICE Applicant …
7. NOTE: NOT APPLICABLE FOR trustline APPLICANTSE mployer: (Additional response for Department of Social services , DMV/CHP licensing, and Department of Corporations submissions only)Employer NameStreet No. Street or PO BoxMail Code (five digit code assigned by DOJ)City State Zip CodeAgency Telephone No. (Optional)4. Agency Address Set Contributing Agency:Agency authorized to receive criminal history informationMail Code(five-digit code assigned by DOJ)Street or PO BoxContact Name(Mandatory for all school submissions)CityState Zip CodeContact Telephone Type of Application: (Check one) Employment License, Certification, Permit VolunteerSTATE OF CALIFORNIA - HEALTH AND HUMAN services AGENCYCALIFORNIA DEPARTME
7. NOTE: NOT APPLICABLE FOR TRUSTLINE APPLICANTS Employer: (Additional response for Department of Social Services, DMV/CHP licensing, and Department of Corporations submissions only)
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