Dangerous Weapons License/Permit(s) Application

CA Bureau of Security & Investigative Services Alarm Company Live Scan Request Form

CA0349400

ORI (Code assigned by DOJ)

Entertainment Firearms Permit Application

Authorized Applicant Type

Entertainment Firearms Permit Application

Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned)

Contributing Agency Information:

Department of Justice, Bureau of Firearms

Agency Authorized to Receive Criminal Record Information

01123

Mail Code (five-digit code assigned by DOJ)

P.O. Box 160367

Street Address or P.O. Box

Firearms Licensing and Permit Section

Contact Name (mandatory for all school submissions)

Sacramento

City

CA

State

95816-0367

Zip Code

(916)227-2153

Contact Telephone No .

Applicant Information:

Last Name

First Name

Middle Initia

Suffix

Alias:

Last Name

First Name

Suffix

DOB:

Sex

Male Female

Driver's License N o.

HT:

WT:

Hair Color

Eye Color

BIL

Place of Birth (State or Country)

Social Security Number

Misc. Number

Home Address

Street Address or P.O. Box

City

State

ZIP Code

Your Number:

Level of Service:

DOJ FBI

If re-submission, list original ATI number: (Must provide proof of rejection)

Employer (Additional response for agencies specified by statute):

Employer Name

Mail Code (five digit code assigned by DOJ

Street Address or P.O. Box

City

State

ZIP Code

Telephone Number (optional)

Live Scan Transaction Completed By:

Name of Operator

Date

Transmitting Agency

LSID

ATI Number

Amount Collected/Billed

Call For Fee

ORIGINAL - Live Scan Operator

SECOND COPY - Applicant

THIRD COPY (if needed) - Requesting Agency

Applicant must contact their Contributing Agency to verify the accuracy of the form required for their Live Scan submission.

CA Bureau of Security & Investigative Services Alarm Company Live Scan Request Form

CA0349400

ORI (Code assigned by DOJ)

Entertainment Firearms Permit Application

Authorized Applicant Type

Entertainment Firearms Permit Application

Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned)

Contributing Agency Information:

Department of Justice, Bureau of Firearms

Agency Authorized to Receive Criminal Record Information

01123

Mail Code (five-digit code assigned by DOJ)

P.O. Box 160367

Street Address or P.O. Box

Firearms Licensing and Permit Section

Contact Name (mandatory for all school submissions)

Sacramento

City

CA

State

95816-0367

Zip Code

(916)227-2153

Contact Telephone No .

Applicant Information:

Alias:

Home Address

Employer (Additional response for agencies specified by statute):

Live Scan Transaction Completed By:

ORIGINAL - Live Scan Operator

SECOND COPY - Applicant

THIRD COPY (if needed) - Requesting Agency

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Contact Info