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Forms
About
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DNA Testing
Drug Testing
Schedule Appointment
Contact Us
Home
Forms
About
Services
Live Scan Fingerprinting
DNA Testing
Drug Testing
Schedule Appointment
Contact Us
Home
Forms
About
Services
Live Scan Fingerprinting
DNA Testing
Drug Testing
Schedule Appointment
Contact Us
CA Bureau of Security & Investigative Services Alarm Company Live Scan Request Form
Call for fees
ORI: A0522(Code assigned by DOJ )
Type of Application: Alarm Co Lic
Job Title or Type of License, Certification or Permit:
Agency Address Set Contributing Agency:
Bureau of Security & Investigative Services
Agency authorized to receive criminal history information
06078
Mail Code(five-digit code assigned by DOJ)
P.O. BOX 989002
Street No. Street or P.O. Box
Licensing
Contact Name (Mandatory for all school submissions)
West Sacramento,
City
CA
State
95798-9002
Zip Code
(916)322-4000
Contact Telephone No .
Applicant Information:
Name of Applicant: (Please print)
Last Name
First Name
MI
Alias:
Last Name
First Name
Driver's License N o.
DOB:
Sex
Male
Female
Misc. No.
BIL
HT:
WT:
Eye Color
Hair Color
Misc. No.:
Home Address: (All applicants must complete)
POB:
STREET OR PO BOX
SOC
CITY, STATE AND ZIP CODE
Your Number:
Level of Service
DOJ
FBI
If resubmission, list Original ATI No.
Employer: (Additional response for agencies specified by statute)
Employer Name
Street No.
Street or PO Box
Mail Code (five digit code assigned by DOJ)
City
State
Zip Code
Agency Telephone No. (Optional)
Live Scan Transaction Completed By:
Name of Operator
Date
Transmitting Agency
LSID#
ATI No.
Amount Collected/Billed
SUBMIT
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