Bcia 8016Rr Request Form PDF Details

Businesses today are using technology in more ways than ever before. This has led to the development of many new software programs and applications that can help businesses run more efficiently. One such program is BCIA 8016RR Request Form. This application is designed to help businesses track and manage requests for product or service information. BCIA 8016RR Request Form is a user-friendly program that makes it easy for businesses to keep track of all their requests in one place. With this application, businesses can save time and money by streamlining the process of requesting information from suppliers.

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

How to Edit Bcia 8016Rr Request Form Online for Free

Working with PDF documents online can be super easy with this PDF tool. You can fill out record doj review form here within minutes. Our team is relentlessly endeavoring to develop the editor and insure that it is even faster for people with its handy functions. Make use of present-day modern prospects, and discover a heap of new experiences! To start your journey, take these simple steps:

Step 1: Simply click the "Get Form Button" at the top of this page to open our pdf form editing tool. This way, you'll find everything that is necessary to fill out your document.

Step 2: As soon as you access the online editor, you will see the form prepared to be filled out. Other than filling out different fields, you may also perform many other things with the PDF, namely writing custom words, editing the original text, inserting illustrations or photos, putting your signature on the document, and much more.

This form will require specific details to be filled out, thus you must take some time to type in exactly what is requested:

1. You'll want to complete the record doj review form correctly, therefore take care when filling in the parts including all these fields:

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)

Always be extremely careful while filling in Designee or Embassy Name and If resubmission list original ATI, as this is the part where many people make some mistakes.

3. Completing Collection and Use of Personal, In response to a Public Records, In response to a court or, To another government agency as, Contact Information For questions, Department of Justice, and Bureau of Criminal Information is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

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

Step 3: Right after taking one more look at the entries, press "Done" and you're done and dusted! After getting a7-day free trial account with us, it will be possible to download record doj review form or send it through email right off. The document will also be readily accessible from your personal account page with your each change. At FormsPal, we aim to ensure that all your information is maintained private.