Oca number live scan

oca number live scan REQUEST FOR LIVE SCAN SERVICE . Address or P. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". Job Title or Type of License, Certification or Permit: Agency Address Set Contributing Agency: Bureau of Security & Investigative Services . com OCA stands for "Originating Case Agency". I scheduled an appointment and showed up, but then was told it is only mobile finger printing so they gave me a phone number of someone to contact to meet to do the live scan. Current live scan digital fingerprinting sites are located in Columbia, North Charleston, Greenville, Florence, and Rock Hill. transmitting agency (lsid number) 24. The listing of Live Scan Locations includes information indicating the rolling fee for each location. This number should be retained for tracking purposes should applicant reach out to the corresponding agency for background results. All screenings for specified agencies in the Care Provider Background Screening Clearinghouse, or Clearinghouse, must be submitted electronically either through Livescan or scanning a hard card (converting the card to an electronic submission to FDLE). ” 03502 ( ) Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency AC006 Emergency Medical Technician (EMT) Lic/Cert EMT Certificate Fresno County EMS 13110 1221 Fulton Mall A copy of the completed Request for Live Scan Service form should be retained as proof of completion for at least three years. 04/2020) REQUEST FOR LIVE SCAN SERVICE (If the Level of Service indicates FBI, the fingerprints will be used to check the Be sure to call the live scan site to determine the acceptable type of payment and the amount of the required fee. After your fingerprints are scanned: 1st copy of form is kept Make a Live Scan appointment by calling UCSD Human Resources at (858) 534-9691 or by sending an email to [email protected] It is only applicable to AHCA, DCF, and Medicaid applicants. level of service doj fbi live scan operator completes 21. Our office utilizes technology to offer a variety of ways for you to contact us for information. – start at $90. Amount Collected/Billed . A: The cost doesn't vary by provider type. The OCA number is a field for the requesting agency to use for internal needs. Mail Code (five digit code assigned byDOJ) Live Scan Transaction Completed By: Date . 21F3 (12/02) OCA Number (Agency Identifying Number) (If the Level of Service indicates FBI, the fingerprints will be used to check the criminal history record information of the FBI. Agency/OCA No. LSID ATI Number. of Law Enforcement) who in turn sends them to the FBI for a fingerprint background check. A copy of the BCII 8016 is included within this packet. operator completing live scan transaction 22. ) If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number . This means that you must submit a new application each time a criminal history is requested of you; therefore you must go through the Live Scan process again. You probably don't need to write it yourself - thr agent will fill it in. United States issued Social Security Number or Individual Taxpayer Identification Number ; Required Information: A: The OCA number is the numeric designation for the entities requesting prints (ie employers). This is the location where you will enter Facility ID numbers and Professional License numbers for renewals. A current photo identification. 9 Retain a copy of the signed Live Scan Form. State Street Address City State Zip Code Phone Number Miscellaneous Number Type. The OCA is the Controlling Agency Identifier provided by DCF to identify the provider requesting the background check. We DO NOT see your results. If you have any questions regarding this process, please contact Ventura County EMS at 805-981-5301 (888)448-4234 Live Scan Fingerprinting Forms, BCIA 8016, 8016A, ORI, DOJ, FBI FD-258 Ink Card, Los Angeles, Culver City, Bellflower, Inglewood, Marina Del Rey www. Be sure to call the live scan site to determine the acceptable type of payment and the amount of the required fee. Answer Save Number (Agency Billing Number) Misc. ca. The ORI numbers listed below is a courtesy to our customers. Only use the pre-filled out form provided by County of El Dorado EMS Agency. Any incorrect information will delay the application process. pdf Author: postrander Created Date: 7/28/2020 9:43:57 AM completed at a California Live Scan facility. Number (Other Identification Number) Your Number: OCA Number (Agency Identifying Number) Level of Service: DOJ FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Employer (Additional response for agencies specified by statute): Employer Name Street Address Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. REQUEST FOR LIVE SCAN SERVICE. Request for Live Scan Services IMPORTANT: Please keep a copy of your Request for Live Scan Services The “RequestFor Live Scan Service” form (below) is required to have your fingerprints processed by Live Scan. Note: You must complete all three (3) live scan forms included in this packet and take to your preferred live scan location. You must bring the following to the Live Scan site: A completed Request For Live Scan Service (PDF) form. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. REGISTRATION APP. CLO-1004 &DQQDELV Live Scan Request. Agency/OCA No. california does not have live scan links to any other states The “Request For Live Scan Service” form (below) is required to have your fingerprints processed by Live Scan. It can also be filled with any information the Requesting Agency might want to add - ie, school name, job number, project name, etc. The OCA number is a field for the requesting agency to use for internal needs. STATE OF CALIFORNIA\rDEPARTMENT OF JUSTICE BCII 8016 REQUEST FOR LIVE SCAN SERVICE. 831-454-7606 REQUEST FOR LIVE SCAN SERVICE FORM 41-LS Rev. 1501 Capitol Avenue MS 4704 An OCA (Originating Agency Case number) is a DCF-issued tracking number that identifies who is requesting the background screening. The forms must be completed prior to arriving for your Live Scan appointment. of the Live Scan Form. e. LIVE SCAN FORM 41-LS INSTRUCTIONS 41-LS Instructions 05/15 Page 1 of 1 FIELD COMMENT ORI (Originating Agency Identifier): CTC number included - do not change. 01/2011) DEPARTMENT OF Agency Billing Number AMOUNT If resubmission, list original ATI Number: St. 2) The second copy of the Request for Live Scan Service Form (BCII8016) received from the Live Scan site, signed by the Live Scan Operator, including the ATI number. : Enter the facility phone number. Applicant Submission. Your fingerprints are “rolled” across a glass plate and scanned. Payment – We accept All major credit / debit cards over the phone or on our web site. Whether you use Live Scan or paper fingerprint cards, you will be charged an administrative fee by the local agency that scans the prints or provides the inked impressions. In the driver's license section you just write your driver's license number and then in parentheses what state it is from. 06/09 Keywords: 41-LS, Live Scan, Fingerprints, DOJ, FBI, Created Date: 10/20/2017 1:58:24 PM STATE OF CALIFORNIA BCII 8016 (orig. OCA Number (Agency Identifying Number) If re-submission, list original ATI number: (Must provide proof of rejection) Employer (Additional response for agencies specified by statute): nglna um er Igl co e assigne Employer Name ress or ox State ZIP Code SECOND COPY - Telephone Number (optional) Date ATI Number Live Scan Transaction Completed By: Form 41-LS Request for Live Scan Service Author: KSanethavong Subject: Form 41-LS Request for Live Scan Service Rev. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. G, Modesto, CA (855) 233-7778 Take the attached Account Notice and a valid photo ID with you to your appointment. If you need an additional Request for Live Scan Service Applicant Submission form, call or write the California Board of Accountancy office at the telephone number or address above. State . The OCA number is a nine character number beginning with your 2 digit Circuit Number, your OCA, and ending with the letter “z”. If you are applying online, you only need one copy of the Live Scan form because you can scan a copy to PTBC. Applicant Submission . Example: 123456789 (NY). Telephone Number (optional) Mail Code (five digit code assigned by DOJ) Live Scan Transaction Completed By: Date . Clare [email protected] All fingerprints must be taken in black ink. You must bring this with you. Santa Cruz. Live Scan Transaction Completed By: This section will be completed by the Live Scan operator. In the case of Medicare applicants, it is their medicaid number. PAGE 1 of 4 . Fingerprint Card (If applicable) What is my ORI number? The following professions require require submissions of Live Scan Fingerprints as a part of the licensing application. Duration: 2 Days . ATI Number Amount Collected/Billed. In the OCA section of my Live Scan form, the agent who took my fingerprints wrote "ENDORSEMENT" in that section. CA0010600 LICENSE/PERMIT Your Number: CA0010600 . Prerequisites: Students should have taken the Introduction to Rational ClearCase course or have equivalent knowledge. Correct Social Security Number and Date of Birth OCA # (if populated) Completes the bottom of your Live Scan form and provides a legible ATI number, see image below. date 23. All results are sent back to the corresponding agency and not to Omega Live Scan. Live Scan expedites the fingerprint clearance process as results are received in as few as 72 hours. Submit Proof of Live Scan Check List Retain a copy of the signed Live Scan Form. REQUEST FOR LIVE SCAN SERVICE. *LRCCD Board Regulations R-2631, requires that some Student Employees must be fingerprinted in order to Number (Agency Billing Number) Misc. Name of Operator Transmitting Agency . ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. = Agency Identification number. (i. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 2 (Rev. com (916)456-5260 Contact Info 5706 Broadway Capital Live Scan 1420 East Roseville Pkwy #140 Roseville, CA 95661 No Appointment Necessary Office Hours Name of Operator LSID# Date Live Scan Transaction Completed By: Q: What is an OCA number? A: The OCA number is NOT required,if not known. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". (Form BCII 8016). ) Selected method of payment; Failure to provide the information above may lead to a rejection in your fingerprints. Once we receive your request and your submitted application (or RN license due for renewal) is confirmed, you will receive an email containing a link to download the Live Scan form. ATI Number Amount Collected/Billed. amount billed distribution: original - live scan Fill Online, Printable, Fillable, Blank LIC9163 LIC 9163 - Request for Live Scan Services Form. Box (If resubmission, list Original ATI Number; BCII 8016 (REV 4/01) ORIGINAL – Live Scan Operator; SECOND COPY – Requesting Agency . Print 3 copies of completed Live Scan form and take all 3 copies to the Live Scan site with your fee. CL-271 5/15 Page 4 of 4 3. This number is provided by DCF and identifies the provider requesting the background check. : Enter your social security number. 01/2011) DEPARTMENT OF JUSTICE (Check one) NOTE TO APPLICANT: *Please input your Social Security Number (SSN) where required. is to be mailed to the California Department of Insurance, Curriculum and Officer Review Bureau, Officer Background Section, 320 Capitol Mall, Sacramento, CA 95814-4309. gov/fingerprints/locations. We can travel to almost every location in Martin County , Palm Beach county , Broward County and Miami Dade County and fingerprint larger groups with our mobile fingerprinting unit. The prints are retained by FDLE and they are a part of the Clearinghouse. Support. Applicant Submission. Phone Number and email address is needed in order to email you back with TCN# tracking number. Type of Application: Private Patrol Opr/Per w/Fire . Type of Application An ORI number is generally a 9 digit numeric code consisting of 2 state/agency identifying characters and 6-7 addtional characters. Live scan systems also represent the major input component for the electronic submission of images to the state and national identification systems of the future. 05/2018) REQUEST FOR LIVE Hours of operation and fees vary, so please contact the Live Scan site directly for information. Professional Fiduciary . Date Transmitting Agency. It is faster, cleaner, and more accurate than the old ink and roll method. Contact Camille Halliwill at 661/827-3168 for further information. You will need two (2) copies of this Live Scan formed printed out; one (1) for the Live Scan Agency, and one (1) for yourself. It is used by applicants applying for an Occupational License or Permit, for Business Partner Automation Program Participants, and for applicants for Ambulance Driver Certificates. 8. Carefully follow the enclosed instructions for obtaining live scan fingerprints. The results of paper fingerprint cards are generally received within six (6) weeks. It is important that you bring this form with you the day you are fingerprinted to have the Live Scan Operator complete section 8. 03/2019) REQUEST FOR LIVE You will need the following information: (1) applicant’s date of birth; and (2) the 10-digit Automated Transaction Identifier (ATI) number that appears at the bottom of the Department of Justice form requesting Live Scan fingerprint background checks. " next to "your number" on the application submission form? The person who took my finger prints seemed like her mind was somewhere else. 01/2018) Spirit of Giving provides Level II LiveScan Background Screening. This field in the live scan system is only required by specific agencies. Depending on your profession, you may also have to provide an OCA number to your livescan provider in addition to your ORI number. maintenance. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency Number Place of Birth (State or Country) Social Security Number Home Address. Medi-Cal Provider Department of Health Care Services. ORI: AA490 . m. Complete all areas marked with a Red X. 448. FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number. ATI Number Amount Collected/Billed. ORI (Code assigned by DOJ OCA Number (Agency Identifying Number) Level of Service: DOJ FBI attached instructions sheet for completing the Request for Live Scan Services Applicant Submission Form. Live Scan Servic e Providers, Resident and Nonr esident Licens e Ap plican ts, an d 1033 Cons ent Waiver (18 U. 01/2018) REQUEST FOR LIVE SOC = Standard Occupational Classification. Minimum number of students per class: 1. Periodically, a mobile Live Scan unit will be on campus offering free Live Scan service. This field in the live scan system is only required by specific agencies. Your results will be sent to the agency that requested them. The live scan fingerprinting service fee varies from about $5 to $20. ALL applicable fees. On the fingerprint card enter the number "A0042" in the space designated for the "ORI" number and in the space designated for the "OCA" you must enter the number "1000. ATI Number Amount Collected/Billed. I spoke with him on the phone, he came to my house. 4/2001; rev. Prof Fid License 6533 BPC . LSID . This is a nine digit number beginning with FL92 and ending with the letter “Z”. Bring your Request For Live Scan Service Form, your Background Check Release Form, and valid photo ID to UCSD Human Telephone Number (800) 967-9331. OCA field. Resubmissions are paid directly to AHCA, and agency review are no cost. OCA Code: This is the Department Live Scan or Electronic Originating Agency Case Number, which tells the governing agency who (the company name) is requesting the screening. Follow the included live scan sample when completing the forms. Telephone Number (optional) LOS ANGELES. 00/Person, Includes State & Federal Fees, Taxes If you reside within California or will be traveling to California during the application process, you can submit fingerprints via Live Scan. certifixlivescan. 05/2018) Applicant Submission REQUEST FOR LIVE SCAN SERVICE DEPARTMENT OF JUSTICE PAGE 1 of 2 ORI (Code assigned by DOJ) Authorized Applicant Type Type 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 Number (Other Identification Number) Your Number: (OCA Number (Agency Identifying Number) Level of Service: DOJ FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed Do not use. Amount Collected/Billed State of California REQUEST FOR LIVE SCAN SERVIGE BCil 8016 (307) Department of Justice ORIGINAL - Live Scan Operator; SECOND COPY - Applicant; THIRD COPY (if needed) - Requesting Agency Perform live upgrade. ATI Number Amount Collected/Billed. ORI AND OCA NUMBERS ORI is an Originating Agency Identifier Number The ORI number is the digital address where the fingerprint results need to be sent by Omega Live Scan. California Naturopathic Medicine Committee Live Scan Form Author: Naturopathic Medicine Committee Subject: California Naturopathic Medicine Committee Live Scan Form Keywords: California Naturopathic Medicine Committee Live Scan Form Created Date: 20041129190816Z Form 41-LS Request for Live Scan Service Author: KSanethavong Subject: Form 41-LS Request for Live Scan Service Rev. We take your fingerprints digitally and submit them to the Florida Department of Law Enforcement and FBI for processing. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". CA0440000 License. This form must be completed in triplicate; therefore, THREE copies will be printed automatically when printing the form. “Request for Live Scan Service” form signed off by the Live Scan Agency to the EMS Agency along with your EMS Agency application packet. 90064. DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 2 (Rev. Ask the technician about their fingerprint rejection policy. Agency Address Set Contributing Agency: Professional Fiduciaries Bureau 11845 Telephone Number (optional) Live Scan Transaction Completed By: Date ATI Number Name of Operator Transmitting Agency LSID Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency . Name of Operator Transmitting Agency . Sometimes the Request For Live Scan Service Form may have this field listed as “Your Number” or “Facility Number”. OCA Number (Agency Identifying Number) STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT this form as authorized by the California Financial Code section 17200, et seq. leader in identity solutions. STATE OF CALIFORNIA. Students who will be working with Kern High School District should complete a LiveScan through that district office. REQUEST FOR LIVE SCAN SERVICE Applicant Submission A0041 LICENSE ORI (Code assigned by DOJ) OCA Number (Agency Identifying Number) Level of Service: X DOJ X. ATI Number . Mobile live scan services can be provided for 25 or more applicants upon request. Check with the Live Scan site for acceptable forms of payment. REQUEST FOR LIVE SCAN SERVICE. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". m. REQUEST FOR LIVE SCAN SERVICE. On average, Live Scan results take 1-2 weeks, while a manual fingerprint card can take 1-2 months. Completion of Form RE 237 Live Scan Service Request The following information must be entered in Part 2 of the form: • Your printed name and former names (if any). yemsa. The Board of Nursing ORI number is -EDOH4420Z Typically background screening results submitted through a Livescan Service Provider are received bythe Boardwithin 24-72 hours of being processed. What is a Live Scan background check? LiveScan is a device that electronically takes your fingerprints and other information, then uploads that information to the FDLE (Florida Dept. FOR RSP . Fingerprint Cards - (2 cards per applicant only) COMPLETE THE FIELDS BELOW TO PROVIDE YOUR CONTACT INFORMATION: (*) Denotes Required Field . A response (criminal history or no criminal history) is then sent to the agency requesting the Live Scan. Type of Application: License Cert or Permit . Applicant Submission . LSID . The IVRS telephone number is 916-227-2300. 8 Live Scan Transaction Completed By: This section will be completed by the Live Scan operator. Live Scan Vendors: Background Screening for the Department of Children and Families must include the following: time your fingerprints are taken, including your Social Security number (SSN). Transmitting Agency LSID. Applicant Submission. How to Reach Us. Be prepared to pay . Without the ORI number and the OCA number, FDLE cannot process the request and the DCF will not know Livescan Vendor Page. OCA stands for "Originating Case Agency". Using Live Scan can help speed your licensure because the Board receives fingerprint results much quicker than through the manual card process. See above example. REQUEST FOR LIVE SCAN SERVICE BCII 8016 (3/07) Applicant Submission ORI: Type of Application: Agency Address Set Contributing Agency: Agency authorized to receive criminal history information Mail Code (five-digit code assigned by DOJ) Live Scan is a form of background check required by the state and federal governments; typically for state-issued licenses, employment, or volunteer work. Your Number: Level of. First, second, fourth, and fifth box is filled-out by the requesting agency, third box is to be filled-out by the applicant, and the last box is filled-out by the live-scanning agency. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. Your Number: OCA Number (Agency Identifying Number) Ensure your fingerprint impressions are properly recorded. It is also often required for (but not limited to) people who work or volunteer in positions of trust for populations such as vulnerable citizenry, the elderly, dependent adults and children. The rolling fees vary as each Live Scan location sets its own fee. A1533 Professional Process Server . ) If your company is paying for your fingerprints, please provide the supporting payment information. Maximum number of students per class: 12 . The OCA number is a nine character number beginning with your 2 digit Circuit Number, your OCA, and ending with the letter “z”. S. OCA Number (Agency Identifying Number) REQUEST FOR LIVE SCAN SERVICE BCII 8016 (3/07) Social Security Number: Your Number: OCA No. Agency/OCA No. Last Name *: First Name *: RN License, File, or Entity Number *: Email Address *: What Is An OCA Number. Other ORI numbers will simply start with “FL” followed by 7 numbers, the last of which may be the letter “z. The State Applicant Fingerprint Electronic (SAFE) live scan form should be completed by each applicant prior to scheduling appointments. 06/09 Keywords: 41-LS, Live Scan, Fingerprints, DOJ, FBI, Created Date: 1/2/2007 1:04:24 PM Live Scan submission must be submitted by January 13, 2021 with receipt. REQUEST FOR LIVE SCAN SERVICE Applicant Submrssrbn 41268 Emergency Medical Technician (EMT) Lic/Cert Your Number: OCA Number (Agsncy ldent¡fy¡ng Number) ORI Code: This is the Department Originating Agency Identifier Number, which tells the Florida Department of Law Enforcement the purpose of the background check. THIRD COPY (if needed) - Requesting Agency. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. Please see the instructions on the next page for completion of the Live Scan Service Form. OR PERMIT . 922. What is Live Scan Fingerprinting? How long will it take to have my fingerprints scanned? Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. FBI ORI number; OCA number (If applicable) Government issued photo ID (Passport, drivers license, etc. Livescan Vendor Page. ATI Number Amount Collected/Billed. If you provide an incorrect ORI number to the live scan provider, you will not receive the results of your fingerprint. Copies of transcripts will be accepted until official transcripts are received from the institution. If using a barcode sticker, the sticker should be placed in the "Your No: OCA" field on the card. Number (Other Identification Number) Your Number: OCA Number (Agency Identifying Number) Level of Service: DOJ. 95062. Placing unauthorized data here can result in a delay or rejection from the DOJ or your requesting agency. If you are Live Scan Form District Number League Number Club Number OCA / Your Number: I request to be fingerprinted so I may qualify to volunteer for or be employed by California Youth Soccer Associating (Cal North) or operate under contract with one of our affiliate organizations. I'm filling out the Live Scan request form but I don't know what an OCA number is. The OCA number is a line that your requesting agency may use for internal purposes. The Producer Licensing Bureau determines qualifications and eligibility of licensees, maintains and updates all license records, and approves prelicensing and continuing education providers and courses. I've been trying to get this Live Scan form filled out to get an Ambulance Driver Cert (do they seriously call it that?) for the DMV. 4234 Number (Agency Billing Number) Misc. (Applicable for ) Money Orders or Certified Checks only , make payment to below address: 1A Tampa Live scan Fingerprinting, LLC. O. Never needed a license working for the Park Service but apparently the rest of California cares. ATI Number Amount Collected/Billed. STATE OF CALIFORNIA BCIA 8016 (orig. amount collected 26. IMPORTANT: one Retain copy of the Request for Live Scan Service form for your records 41-LS Form. You must bring this with you. CDPH clearance will be required to complete the program. Department of Social Services - A0448). REQUEST FOR LIVE SCAN SERVICE Print Form Reset Form Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency Emerg Med Tech Lic/Cert Emergency Medical Services Authority 10901 Gold Center Drive, Suite 400 Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. Pursuant to Penal Code Section 11077. Original Contributing Agency Number (OCA) Five-digit E-Mail Response Code Applicant Type and Job Title. The lower portion of the Request for Live Scan Service form must be completed by the live scan operator. Number (Other Identification Number) Your Number: OCA Number (Agency Identifying Number) Level of Service: DOJ FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Employer (Additional response for agencies specified by statute): Employer Name Street Address Telephone Number (optional) Name of Operator Live Scan Transaction Completed By: Transmitting Agency LSID Date ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency REQUEST FOR LIVE SCAN SERVICE STATE OF CALIFORNIA BCIA 8016 (orig. Insructor-Led training . Important notifications and background screening updates are sent to the email address on file in the Portal. This field in the live scan system is only required by specific agencies. IMPORTANT: Retain a copy of the Request for Live Scan Service form for your records in case you need to have your prints Consumer must present a valid OCA# number issued by regional DCF office. OCA Code: This is the Department Live Scan or Electronic Originating Agency Case Number, which tells the governing agency who (company) is requesting the screening. OCA stands for "Originating Case Agency". A6758 Emergency Medical Technician (EMT) Lic/Cert. REQUEST FOR LIVE SCAN . BOARD PROFESSION PROFESSION # Acupuncture: Acupuncturist: 2483: Alcohol & Drug Abuse Counselors: Alcohol & Drug Abuse It is important to use the correct ORI Number when submitting fingerprints. This field in the live scan system is only required by specific agencies. ZIP Code (310)477-0044. It is important to use the correct ORI number when sending the prints. CA. Print three (3) copies. The Live Scan Operator will complete Index ready - This form is a Request for Live Scan Service. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". Accurate Biometrics is a trusted, FDLE-approved vendor of live scan fingerprinting and Level 2 background checks for AHCA/Medicaid health care providers. II. DBPR Background Screening (Florida Department of Business and Professional Regulations). NOTE: The rolling fees vary because each Live Scan site sets its own fee—CSLB does not set the price. It is the numeric designation for the entities requesting prints (ie employers). Code assigned by DOJ . FINGERPRINT CARDS - Use this method if residing outside of California. Santa Cruz County Sheriff-Coroner. 1 , fingerprints must be submitted electronically via Live Scan. Criminal Background Checks OCA Codes OCA Codes. Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned) Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. This is a number assigned by DOJ to identify authorized users. Request a Live Scan form by using the Fingerprint Request form. The “Your Number” or OCA field is provided for this information. 1211 N. ATI Number . Sometimes the Request For Live Scan Service Form may have this field listed as “Your Number” or “Facility Number”. Street Address or P. Does anyone who has recently gone through this process know the OCA number for the Live Scan form? 6 reviews of Live Scan Sacramento "Came here with my boyfriend to apply for TSA pre-check. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency (Club Name) A6999 Volunteer Volunteer Rotary Fifty One Seventy 00136 Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. OCA Number (Agency Identifying Number) Level of Service: DOJ FBI REQUEST FOR LIVE SCAN SERVICE Print Form Reset Form . Applicant Submission . We DO NOT provide fingerprint cards with ink. to 4:00 p. ) Level of Service: DOJ FBI Live Scan is a system for the electronic submission of fingerprints for background checks. The Live Scan location will charge you the $49 processing fee ($32 DOJ and $ 17 FBI), as well as the Live Scan “rolling” fee. Employer (Additional response for agencies specified by statute): Not Applicable . is to be maintained for your records. A list of Live Division of Professions Bureau of Education & Testing Andy Janecek, Bureau Chief 2601 Blair Stone Road Tallahassee, Florida 32399- 0791 Phone: 850. The lower portion of the Request for Live Scan Service formmustbe completed bythe live scan operator. City . 6/09) REQUEST FOR LIVE SCAN SERVICE DEPARTMENT OF JUSTICE Applicant Submission ORI (Code assigned by DOJ) Authorized Applicant Type STATE OF CALIFORNIA BCIA 8016 (Rev. OCA Number (Agency Identifying Number) (If the Level of Service indicates FBI, the fingerprints will be used to check the Live Scan Transaction Completed By: Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency A0532 Emerg Med Tech Lic/Cert Emergency Medical Technician Sacramento County EMS Agency 11618 We do not fingerprint for concealed weapons permit or Hawaii Board of Nursing. <br> <br>Using a CA# instead of a full company name and address CA # works in Canada in similar manner as the This identification number, commonly applying to the Competition Bureau. Transmitting Agency LSID. Live Scan terminals where you can go to be fingerprinted are located in sheriffs’ offices and police departments throughout the state as well as public applicant Live Scan sites. ) Enter the facility/organization phone number. 1395 • Fax: 850. Appointments are available weekdays, 8:00 a. Thank you for serving as a Livescan vendor for health care employees and providers. : Enter your driver’s license number or birth date. For personnel in, Childcare, Summer Camp programs, Mental Health Developmentally Disabled Care. STATE OF CALIFORNIA. Transmitting Agency LSID. Title: Microsoft Word - BCIA_80160318_P The fingerprint processing fees must be paid at the Live Scan site at the time that you obtain your Live Scan fingerprints. The Applicant Live Scan process is currently only available within the State of California. STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 4 (Rev. Transmitting Agency LSID. e. Transmitting Agency LSID. sure the Live Scan operator has entered ALL the information on your Live Scan form and entered it CORRECTLY. second copy. • Date of birth, gender, height, weight, eye color, hair color, place of birth, social security number (SSN), drivers license number, residence address, and OCA number (same as SSN). (Agency Identifying No. Employers may also require pre-employment fingerprinting with results sent directly to them. The OCA number is a field for the requesting agency to use for internal needs. Thecost to electronicallysubmit your fingerprints is determined bythe local Live Scan agencyand the agency canchargea fee sufficientto recover its costs. OCA stands for "Originating Case Agency". net California Live Scan Centers 888. ca. edu. If there is no OCA on the Request For Live Scan Service form and they did not give your instructions for filling it out, leave it blank. The Live Scan operator will keep the original Live Scan form, and you will need two copies—one for your records and one to submit to PTBC. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. Code assigned by DOJ . Amount Collected/Billed . fee at the live scan site (cash, check or money order). if resubmission, list original ati number 20. Amount Collected/Billed. Enter the facility number or assigned OCA number Number (Agency Billing Number) Misc. Applicant Submission . Transmitting Agency LSID. third copy. Please provide an OCA# number issued by regional DCF office. What Is An OCA Number Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency A1492 Process Server Process Server Ventura County Clerk 09360 Enter you Social Security Number . O. Once fingerprints are submitted via the Live Scan process, the CBA will work with the DOJ to obtain clearance. ORI: CA0010900 TYPE OF APPLICATION: PERMIT Code assigned by DOJ . S. Your Employer or Regulatory agency will have this information. DOEA Background Screening (Department of Elderly Affairs) Level 2 Background Check-Live Scan for Aging Network Providers & Volunteers, CDC+, Long-Term Care Ombudsman Volunteers. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator. AHCA Background Screening (Agency for Healthcare Administration) Level 2 Background Check-Live Scan includes all healthcare providers. BCIA 8016 - Request for Live Scan Service Author: California Department of Justice/CJIS/APP Subject: Request for Live Scan Service Keywords: bcia 8016, request, live, scan, service, california, department, justice, cjis, app Created Date: 6/27/2011 3:48:39 PM completed Live Scan form to the live scan provider for processing. For Live Scan locations and business hours see the DOJ's website at oag. A current list of Applicant Live Scan locations is available on the DOJ website. 24-ho Aomaed Telephone Seice Aailable: 916-227-4557. • Date of birth, gender, height, weight, eye color, hair color, place of birth, social security number (SSN), drivers license number, residence address, and OCA number (same as SSN). Request for Live Scan Service Author: CCTC Subject: Form 41-LS Request for Live Scan Service Rev. (i. LIVE SCAN FORM INFORMATION: in the Your No. If you do not provide an ORI number, or if you provide an incorrect ORI number to the live scan provider, you will not receive your fingerprint results. In the case of AHCA and DCF, it is their agency assigned number (not the license number). Form 41-LS Request for Live Scan Service Author: KSanethavong Subject: Form 41-LS Request for Live Scan Service Rev. Sometimes the Request For Live Scan Service Form may have this field listed as "Your Number" or "Facility Number". Fingerprint clearances from the Department of Justice (DOJ) and Federal Bureau of Investigation (FBI) please complete the Live Scan Form and submit it to the Board. With Live Scan fingerprinting, there is no ink or card. Please note that the OCA number is still required for all DCF fingerprint submissions. What is an "OCA" number? - Certifix Live Scan. West Shore Blvd, Suite 103 The OCA number is a field for the requesting agency to use for internal needs. Live Scan Transaction Completed By: Name of Operator Date Transmittinq Aqency ATI No. DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 2 (Rev. You must complete one form per applicant and 3 copies must be printed out for each individual to be taken to the live scan site for fingerprinting. Carla Rittue. 1228 PRESTIGE LIVESCAN. Would it be my registry number that's on my EMT cert card? Last edited by a moderator: Jan 11, 2011 Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. There are more than 200 Live Scan sites throughout the state. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. If you need an additional Request for Live Scan Service Applicant Submission form, call or write the California Board of Accountancy office at the telephone number or address above. DEPARTMENT OF JUSTICE PAGE 1 of 2. This is in addition to the fingerprint REQUEST FOR LIVE SCAN SERVICE Applicant Submission . City State ZIP Code Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency (510) 272-6362 . OCA Number (Agency Identifying Number) Live Scan Transaction Completed By: Name of Operator Transmitting Agency LSID (916)808-5852 Contact Telephone Number In a "DOJ level" live scan, do you need "OCA No. DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 1 (Rev. ati number 25. It's a little hard to find because it's just a small door in this big building. Step 2: Schedule an appointment to Live Scan Contact a Live Scan location in your area. Florida ORI Numbers Prestige Livescan was established in 2019 to serve the Niceville, Valparaiso, Destin, Fort Walton Beach areas with affordable, professional and quick livescan fingerprinting, background checks and more. 06/09 Keywords: 41-LS, Live Scan, Fingerprints, DOJ, FBI, Created Date: 1/2/2007 1:04:24 PM All fingerprint cards should contain a barcode. STATE OF CALIFORNIA. Please remember you will need a copy of your completed Make sure the Live Scan operator requests fngerprint processing for BOTH DOJ and FBI. OCA Number (Agency Identifying Number) Service An applicant’s Live Scan form acts as a release for a criminal history response to be sent to the specified requesting agency. Be sure to call the live scan site to determine the acceptable type of payment and the amount of the required fee. ORIGINAL - Live Scan Operator SECOND COPY - Applicant. Please confirm your ORI number with your employer as it is extremely important to use the correct code when submitting fingerprints. Without both the ORI and OCA numbers, FDLE cannot process the request and DCF will not know where to send the results. You MUST provide a Live Scan Request Form or ORI and/or OCA number. Certifix uses this field to identify Certifix Billing Accounts. OCA Code: This is the Department Live Scan or Electronic Originating Agency Case Number, which tells the governing agency who (company) is requesting the screening. DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 2 (Rev. It is extremely important to use the correct ORI when having your fingerprints scanned. DCF (Department of Children and Families Clearinghouse Prints): $73. The OCA number is a field for the requesting agency to use for internal needs. Employer (Additional response for agencies specified by statute): Employer Name Street Address your number (oca number—agency identifying number) olad 19. REQUEST FOR LIVE SCAN SERVICE DEPARTMENT OF JUSTICE Applicant Submission CA0300000_____ ORI (Code assigned by DOJ) STANDARD CCW Authorized Applicant Type CCW / STANDARD 2 YEAR / INITIAL – Type of License/Certificate/Permit OR Working Title (Maximum 30 characters – If assigned by DOJ, use exact title assigned) OCA Number (Agency Identifying Number) criminal history record information of the FBI. OCA NO. Ask the technician about their fingerprint rejection policy. It is a requirement to have the ORI number before submitting fingerprints for background screening. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency AF227 SOMB PROFESS CERT 9003 PC SOMB PROFESS CERT 9003 PC CASBSEX OFFENDER MGT BD 16329 have completed the Live Scan process, a copy of the Request for Live Scan Service form must be mailed to the California Board of Accountancy at the address on the form. Please ensure that all personal data (name, AKA’s, date of birth, sex, height, weight, eye color, hair color on the system, Human Resources must receive minimum qualification documents, social security number, birthdate, and Live Scan verification. IdentoGO Centers are owned or managed by MorphoTrust USA, the U. DCF Live Scan OCA # 02370102Z This is a nine digit number beginning with your 2 digit Circuit Number, your OCA, and ending with the letter “Z”. ORI: A0522 . Previous Live Scan information CANNOT be utilized. C. Please note that a CACI check is not required for individuals solely associated to Home Care Organizations or the Home Care Aide Registry. Department of Social Services Who qualifies for Live scan? VECHS — any company that provides care to the Elderly, Children, or Disabled need a VECHS number registered with FDLE. Open the Request for Live Scan Service form. Learn more about ORI, OCA, and VECHS numbers here. Yes, you are required to pay the Live Scan operator the $49 fingerprint processing fee ($32 for DOJ and $17 for FBI), as well as the Live Scan site "rolling" fee. All the appointment times were booked up so we decided to do a drop-in. Transmitting Agency LSID. Pre-filled: DOJ & FBI Leave blank (For use by Live Scan Operator) Pre-filled: EMS Authority . org. Print Form Reset Form Please use the enclosed Request For Live Scan Service Applicant Submission form. Please provide an OCA# number issued by regional office. Perform expert-level system administration, operation and . OCA stands for “Originating Case Agency”. O. Valid government picture ID ; Must have a social security number (card is not required) Live Scan Request Form or ORI/OCA Number (If applicable). OCA Code: This is the Department Live Scan or Electronic Originating Agency Case Number, which tells the governing agency who (company) is requesting the screening. – APD (Agency for Persons with Disabilities) Level 2 Live Scan Background Screening, including CDC+, Medicaid Waiver, Support Coordinators and Group Homes–$80. : Enter your driver’s license number or birth date. The . Number (Other Identification Number) Your Number: OCA Number (Agency Identifying Number) Level of Service: DOJ FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Employer (Additional response for agencies specified by statute): Employer Name Street Address Contact the live scan servicefor hours of operation,an appointment (if necessary), acceptableforms of payment and identification requirements. Q: Where can I go for Live Scan processing? A: Stanford’s Department of Public Safety (Live Scan instructions for service at DPS can be found here) and a number of UPS stores. STATE OF CALIFORNIA BCIA 8016 (Rev. OCA stands for "Originating Case Agency". Street Address or P. OCA stands for “Originating Case Agency”. OCA Number (Agency Identifying Number) Level of Service: DOJ In order to request fingerprint cards and training aids, you must have an Originating Agency Identification (ORI) Number. 04/15 *OCA Number: (SSN OR ITIN#) Level of Service: X DOJ X FBI If resubmission, list Original ATI Telephone Number (optional) Live Scan Transaction Completed By: Date ATI Number Name of Operator Transmitting Agency LSID Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - RequestingAgency . STATE OF CALIFORNIA. BCIA 8016 - Request for Live Scan Service. 2. OCA Number (Agency Identifying Number) The standard form available from the DOJ for requesting live scan service is the “Request for Live Scan Service” Form (BCII 8016). ATI Number Amount Collected/Billed. Job Title or Type of License, Certificate or Permit: For Live Scan services, please make an appointment with: ADF Protection Services, 3224 McHenry Ave, Ste. REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE LICENSING Applicant Submission 1. §1033) Applic ants The California Department of Justice (DOJ) and Federal Bureau of Inves tig ation’ s (FB I) p rocess ing fe es are t o be pai d by the licens e a ppl ican t. Transmitting Agency LSID. Step 3: Report to Live Scan Station of your choice Required Documents: 1 . If you do not have an ORI Number you will need to contact the FBI, CJIS Hours of operation and fees vary, so please contact the Live Scan site directly for information. Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency AD979 Emergen Med Tech Lic/Cert Emergen Med Tech Lic/Cert Coastal Valleys EMS Agency 15001 REQUEST FOR LIVE SCAN SERVICE Applicant Submission ORI: A0522 Type of Application: Security Guard w/Firearm Code assigned by DOJ Job Title or Type of License, Certification or Permit: G/FQ Security Guard w/Firearms Agency Telephone No. Please provide an OCA# number issued by regional DCF office. 5200 Soquel Ave. If you do not provide an ORI number or if you provide an incorrect ORI number to the live scan provider, you will not receive your fingerprint results. 4. In order to be fingerprinted using the Live Scan system, a valid OCA # will be required - fingerprints cannot be processed without this number. 12, APD Providers must register and initiate all criminal history checks through the Clearinghouse. For Live Scan locations, click here. call your HR Specialist at (916) 568-3107 to confirm if you must complete this live scan process again F or questions, please call (916) 568-3107. Each agency must have an assigned ORI prior to submitting fingerprints. ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency. A complete list of approved locations throughout the Bay Area can be found here. The . For Home Care Organizations and Home Care Aides, a hard copy Live Scan Submission form may be obtained by contacting the Home Care Services Bureau at (916) 657-3570 or by email at [email protected] If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Live Scan Form A Live Scan form should be printed from our website at www. 06/09 Keywords "41-LS, Live Scan, Fingerprints, DOJ, FBI," Created Date: 10/1/2019 8:58:28 AM Live Scan Form. DCF and APD — daycare, aftercare, group homes, nursing homes, home health care, health care facilities, and VPK programs need an OCA number registered with DCF. This field in the live scan system is only required by specific agencies. " Step 3 Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency AL193 Volunteer/VCA 92072 Youth Organization Volunteer South Mission Viejo Little League 21732 Live Scan Fingerprinting is the process of capturing fingerprints electronically with our Live Scan machine. What is an OCA number? Convenient Locations Nationwide for Fingerprinting and Other Identity-Related Products and Services IdentoGO Centers provide a wide range of identity-related services in safe, professional and convenient locations. X . The OCA number is a field for the requesting agency to use for internal needs. This form must be completed in triplicate; therefore, THREE copies will be printed automatically when fee at the live scan site (cash, check or money order). Complete the Applicant Information section on the Live Scan Service Request, form BCIA 8016. Step 1 To begin the fingerprinting process, an individual will need to supply EZ FingerPrints with their valid driver’s license, social security # and the requested ORI and/or OCA Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency AE789 Volunteer (Non Profit) Imagine Los Angeles, INC Agency Authorized to Receive Criminal Record REQUEST FOR LIVE SCAN SERVICE . Download the Live Scan form and complete all areas marked with a red “X”. Live scan can also permit the timely identification of individuals at booking stations and applicant processing. To check the status of your live scan, you can visit the DOJ website by clicking here. 02/2018) REQUEST FOR LIVE have completed the Live Scan process, a copy of the Request for Live Scan Service form must be mailed to the California Board of Accountancy at the address on the form. It varies depending on what live-scan vendor you choose to go to for primary screenings. This field in the live scan system is only required by specific agencies. The ORI number identifies the correct profession and the agency that is responsible for processing your request. Copy 1: Live Scan Operator. All screenings for specified agencies in the Care Provider Background Screening Clearinghouse, or Clearinghouse, must be submitted electronically either through Livescan or scanning a hard card (converting the card to an electronic submission to FDLE). Ten-Print "Hard Card" Applicant Fingerprint Card . 00 Level II Background Check-Live Scan . Box City State ZIP Code Misc. Agency authorized to receive criminal history information Applicants will receive a transactional number that acts as a confirmation number at the end of the registration process. REQUEST FOR LIVE SCAN SERVICE. OCA stands for "Originating Case Agency". DEPARTMENT OF JUSTICE . WHO NEEDS LIVESCAN FINGERPRINTS? Per F. You will need the following information: Your date of birth (DOB) The 10-digit Automated Transaction Identifier (ATI) number that is located at the bottom of the Live Scan Applicant Request form. CA0341600. What is an "OCA" number? How can I find out what is taking so long on my live scan? How long does it take for the requesting agency to receive the results? How far back does a live scan background check go? Who can I contact to check the status of my live scan? Can I get my results from a previous live scan sent to a new agency? Completion of Form RE 237 Live Scan Service Request The following information must be entered in Part 2 of the form: • Your printed name and former names (if any). Confirm Consumer must present a valid OCA# number issued by regional DCF office. In the case of AHCA and DCF, it is their agency assigned number (not the license number). 9 Correct Social Security Number and Date of Birth 9 OCA # (if populated) 9 Completes the bottom of your Live Scan form and provides a legible ATI number, see image below. I certify that I am unable to locate Live Scan/fingerprinting services and am therefore unable to provide fingerprint impressions for this reason. Q: Is there a separate screening and the associated costs required for each different provider type (i. 4/01; rev. ”. 00 (Including Picture). We cannot do background screening for the Department of Agriculture REQUEST FOR LIVE SCAN SERVICE . 487. ORI (Code assigned by DOJ) Authorized Applicant Type . are paid to the live scan vendors. 435. 4/2001; rev. Please print ATI Number Amount Collected/Billed. I was charged 100$ for the fingerprints, which seemed way over priced. S. e. CA0480700 Permit . Always complete the employer's name, address, and Org ID number on every fingerprint card submitted. ORI: A0448 CA Dept of Social Services PO BOX 944243 Sacramento, CA 94244-2430 LIC 9163 (10/15) PAGE 1 OF 4 3. gov. What is Live Scan Fingerprinting? How long will it take to have my fingerprints scanned? IDENTICO LLC is FDLE authorized Live Scan vendor serving APD and CDC+ providers in Area 15, Area 9, Area 10 and Area 11. It is only applicable to AHCA, DCF, and Medicaid applicants. Authorized Applicant Type - Enter from list on Page 2, “DOJ Abbreviated CCLD Facility/Organization Type. 01/2018) REQUEST FOR LIVE OCA Number (Agency Identifying Number) City State ZIP Code Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date . The OCA number is a nine character number beginning with your 2 digit Circuit Number, your OCA, and ending with the letter “z”. Thank you for serving as a Livescan vendor for health care employees and providers. It is extremely important to use the correct ORI when scanning your fingerprints. Take two copies of this form with you the day you are fingerprinted. Please be aware that these processing fees are in addition to a service or “rolling” fee that may be charged by the Live Scan site. Number (Other Identification Number) Your Number: OCA Number (Agency Identifying Number) Level of Service: DOJ. livescan-fingerprinting. 3. Box Telephone Number (optional) City State If you do not provide an ORI number or if you provide an incorrect ORI number to the live scan provider, you will not receive your fingerprint results. CA. Number (Other Identification Number) Your Number: (OCA Number (Agency Identifying Number) Level of Service: DOJ FBI If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed Arizona State law requires individuals to be fingerprinted for many certified or licensed professions. The DOJ then checks the fingerprints against known criminal history records. Pay the applicable fees with your completed Request for Live Scan Service form and submit a copy of the “Request for Live Scan Service” form to the Telephone Number (optional) Live Scan Transaction Completed By: Name of Operator Date. CA0301900 LICENSE CERT. The ORI number where the results will be sent; Your application number or other code the regulating agency uses to identify you or your application (OCA, file number, etc. oca number live scan


Oca number live scan
Oca number live scan