Bcia 8016Rr Request Form PDF Details

In a world increasingly conscious of security and personal history, the BCIA 8016RR Request for Live Scan Service form represents a critical tool in the arsenal of individuals seeking to navigate the complexities of legal and bureaucratic requirements, particularly in the contexts of record review and foreign adoption. Issued by the State of California's Department of Justice, this meticulously designed document serves multiple purposes, primarily facilitating applicants in submitting their fingerprints for the purpose of obtaining personal criminal record information or clearing the path for foreign adoptions as regulated under specific Penal Code sections. Mandatory fields solicit comprehensive personal information, including name, contact details, and identifying characteristics, alongside specific details regarding the type of application—whether it’s for a record review or a foreign adoption—each with its unique implications and processing pathways. Moreover, the form outlines the responsibilities of various parties in the live scan process, from the applicant to the live scan operator and the agency authorized to receive the criminal record information. It underscores not only the intricate dance between personal privacy and public safety but also mirrors broader societal efforts to ensure that such delicate matters as adoption and personal background checks are handled with the utmost care and respect for individual rights. This requirement for detailed personal information and the potential sharing thereof with various governmental agencies underscore the balance between individual privacy interests and societal safety concerns. The accompanying privacy notice further highlights the legal and ethical considerations at play, detailing the protections and limitations surrounding the collection, use, and disclosure of personal information within this process.

QuestionAnswer
Form NameBcia 8016Rr Request Form
Form Length2 pages
Fillable?Yes
Fillable fields43
Avg. time to fill out9 min 10 sec
Other namesca0349435, live scan form california, bcia 8016rr pdf, record doj review

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

BCIA 8016RR

Page 1 of 2

 

(orig. 04/2001; rev. 10/2014)

 

REQUEST FOR LIVE SCAN SERVICE

(Record Review or Foreign Adoption)

Applicant Submission

Type of Application (Check One Only)

ORI (Code assigned by DOJ)

Record Review

Foreign Adoption

Reason for Application

Contributing Agency Information:

Agency Authorized to Receive Criminal Record Information

 

Mail Code (five-digit code assigned by DOJ)

 

 

 

 

 

 

 

Street Address or P.O. Box

 

 

 

 

 

Contact Name (mandatory for all school submissions)

 

 

 

 

 

 

 

City

 

State ZIP Code

 

Contact Telephone Number

Applicant Information:

 

Last Name

 

 

 

 

 

 

 

 

Other Name

 

 

 

 

 

 

 

 

(AKA or Alias)

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

Sex

Male

 

Female

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Height

 

 

Weight

 

Eye Color

 

Hair Color

 

 

 

 

 

Place of Birth (State or Country)

 

Social Security Number

 

 

 

 

 

 

 

 

Street Address or P.O. Box

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Initial Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Misc. Number (Other Identification Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

ZIP Code

 

Level of Service:

DOJ Only

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

Original ATI Number

Foreign Government Embassy: (Mandatory for Foreign Adoption requests pursuant to Penal Code section 11105(c)(12)) Designee -- Do not include Employer: (Optional for individual designated by applicant to Penal Code section 11124)

Designee or Embassy Name

 

Street Address or P.O. Box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Country

 

ZIP Code

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Live Scan Transaction Completed By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Operator

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transmitting Agency

 

LSID

 

 

 

 

 

ATI Number

 

 

 

 

 

Amount Collected/Billed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL - Live Scan Operator

SECOND COPY - Applicant

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

BCIA 8016RR

Page 2 of 2

 

(orig. 04/2001; rev. 10/2014)

 

REQUEST FOR LIVE SCAN SERVICE

(Record Review or Foreign Adoption)

Privacy Notice

Collection and Use of Personal Information. The Record Review Unit in the Department of Justice collects the information requested on this form as authorized by Penal Codes 11121 and 11105(C)(12). The Record Review Unit uses this information to process applications pertaining to Live Scan service for record review or foreign adoption. In addition, any personal information collected by state agencies is subject to the limitations in the Information Practices Act and state policy. The Department of Justice's general privacy policy is available at: http://oag.ca.gov/privacy-policy.

Providing Personal Information. All the personal information requested in the form must be provided.

Access to Your Information. You may review the records maintained by the Record Review Unit in the Department of Justice that contain your personal information, as permitted by the Information Practices Act. See below for contact information.

Possible Disclosure of Personal Information. In order to process applications pertaining to Live Scan service for record review or foreign adoption, we may need to share the information you give us with other government agencies.

The information you provide may also be disclosed in the following circumstances:

•In response to a Public Records Act request, as allowed by the Information Practices Act;

•To another government agency as required by state or federal law;

•In response to a court or administrative order, a subpoena, or a search warrant.

Contact Information. For questions about this notice or access to your records, you may contact the Record Review Unit via telephone at (916) 227-3835 or by mail at:

Department of Justice

Bureau of Criminal Information & Analysis

Record Review Unit

P.O. Box 903417

Sacramento, CA 94203-4170

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Completing segment 1 in bcia pdf

2. Right after filling out the previous section, go on to the subsequent stage and complete the necessary details in these blank fields - Place of Birth State or Country, Social Security Number, Telephone Number, Street Address or PO Box, City, State, ZIP Code, Level of Service, DOJ Only, If resubmission list original ATI, Original ATI Number, Foreign Government Embassy, Designee Do not include Employer, Designee or Embassy Name, and Street Address or PO Box.

bcia pdf completion process shown (portion 2)

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Collection and Use of Personal, To another government agency as, and In response to a court or in bcia pdf

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