(If the Level of Service indicates FBI, the fingerprints will be used to check the criminal history record information of the FBI.) Telephone Number (optional).
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Please read this packet thoroughly as is contains information you will need to begin utilizing applicant live scan. Included are all of the appropriate DOJ ...
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If you have any questions about this form, please contact your local licensing regional office. LIC 9163 (12 15). PAGE 4 OF 4.
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[PDF] IHSS Providers: Instructions for Completing the Criminal ...
www.pascla.org › uploads › 2021/02
Once you have completed the Live Scan, the site should return one copy of the Request for Live Scan Service form to you. Keep the copy for your records. 6 ...
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IHSS Provider. Sacramento County IHSS Public Authority. 00738. 3700 Branch Center Road, Suite A. IHSS PA. Sacramento. CA. 95827. (916) 874-2888.
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Usted puede revisar los registros que se encuentran en la División CJIS del. Departamento de Justicia que contienen su información personal, según lo permitido ...
IHSS PROVIDER. REQUEST FOR LIVE SCAN SERVICE. ELDER CARE. Authorized Applicant Type. Type of License/Certification/Permit OR Working Title (Maximum 30 ...
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Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office. This form will automatically ...
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