Transcription of REQUEST FOR LIVE SCAN SERVICE - rn.ca.gov
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REQUEST FOR LIVE SCAN SERVICE - rn.ca.gov
STATE OF CALIFORNIADEPARTMENT OF JUSTICEBCIA 8016 (orig. 04/2001; rev. 01/2011) REQUEST FOR live scan SERVICE Applicant SubmissionORI (Code assigned by DOJ)Authorized Applicant TypeType of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned)Contributing Agency Information:Agency Authorized to Receive Criminal Record InformationMail Code (five-digit code assigned by DOJ)Street Address or BoxCityStateZIP CodeContact Name (mandatory for all school submissions)Contact Telephone NumberApplicant Information.
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BCIA 8016 (orig. 04/2001; rev. 01/2011) REQUEST FOR LIVE SCAN SERVICE Applicant Submission ORI (Code assigned by DOJ) Authorized Applicant Type
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