Instructions for the LIC 9163. 1. Originating Response Indicator (ORI): Preprinted. 2. Working Title: Check the appropriate box. 3. Authorized Applicant Type: Indicate the facility type where you will be working.
LiveScan - California Dept. of Social Services
Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office. This form will automatically request a Child Abuse Central Index (CACI) check if needed.
Instructions for the LIC 9163 LIC 9163 (3/21) Page 2 of 6 1. Originating Response Indicator (ORI): Preprinted 2. Working Title: Check the appropriate box 3. Authorized Applicant Type: Indicate the facility type where you will be working. Select your licensed facility type from the left column, and in the right column find its
Finger Printing - California Dept. of Social Services
Also, the DOJ’s Integrated Voice Response (IVR) System can provide a simplistic snapshot of the background check processing status. The phone number for the IVR is (916) 227-2300, and the ATI identifies the transaction. For detailed information about the DOJ’s role in fingerprinting, please refer to the DOJ website. Manage pages within the site.
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LIC 9163
Instructions for the LIC 9163 1 Originating Response Indicator (ORI): Enter the CCLD or TrustLine ORI code below that pertains to you. Select one of the following: For CCLD applicants, check: A0448 For TrustLine applicants, check: A1157 2 Type of Application: Check the appropriate box.
Form LIC9163 Request for Live Scan Service - TemplateRoller
Form LIC 9163, Request for Live Scan Service is a legal document which must be completed if you wish to work at, be licensed, or present at a licensed community care facility or organization. "Live Scan Fingerprinting" (or "Live Scan" for short) will electronically transfer your personal details and images of your fingerprints to the Department ...
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Instructions for the LIC 9163 1. Originating Response Indicator (ORI): Preprinted 2. Working Title: Check the appropriate box 3. Authorized Applicant Type: Indicate the facility type where you will be working. Select your licensed facility type from the left column, and in the right column find its corresponding DOJ abbreviated facility type.
Form Lic 9163 - Request For Live Scan Service - formsbank
View, download and print fillable Lic 9163 - Request For Live Scan Service - Community Care Licensing in PDF format online. Browse 2 Community Care Licensing Forms And Templates collected for any of your needs.
Instructions for the LIC 9163. LIC 9163 (3/23) Page 2 of 6. 1. Originating Response Indicator (ORI): Preprinted. 2. Working Title: Check the appropriate box. 3. Authorized Applicant Type: Indicate the facility type where you will be working. Select your licensed facility type from the left column, and in the right column find its corresponding DOJ
LIC 9163 - HRWorkHub
LIC 9163 Form. Live Scan Service Request For Fingerprinting. Page 1 of 4. REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE LICENSING. Applicant Submission. 1. ORI: A0448. 2. Working Title. Adult Resident other than Client. Employee. License, Certification, Applicant. Volunteer. Home Care Aide Registry Applicant