Form Bcia 8016A PDF Details

Embarking on roles tied to public schools or joint powers agencies in California ushers in the necessity of navigating through specific procedural pathways, one of which involves the BCIA 8016A form, a vital document developed by the State of California's Department of Justice. Established as a Request for Live Scan Service, this form specifically caters to classified and credentialed school employees, volunteers, peace officers, and law enforcement officials, underscoring its significance in the realms of employment and volunteer engagement within public educational settings. Intricately designed to facilitate the submission of applicant information for background checks via Live Scan fingerprinting, the form serves as a conduit for ensuring the safety and integrity of the educational environment. It meticulously collects applicant details ranging from personal information to job titles, while also delineating instructions for the requesting agency and Live Scan operators, thereby streamlining the process of obtaining criminal record information. This comprehensive approach not only aids in upholding stringent standards for those entering the educational sector but also epitomizes the state's commitment to safeguarding its educational institutions and, by extension, its future generations.

QuestionAnswer
Form NameForm Bcia 8016A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescalifornia request live scan service form, notary live scan form california, live scan schools, california request live scan

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

BCIA 8016A

(orig. 04/2001; rev. 01/2011)

REQUEST FOR LIVE SCAN SERVICE

(Public Schools or Joint Powers Agencies)

Applicant Submission

ORI:

 

Type of Applicant:

Classified School Employee

 

 

 

 

 

Code assigned by DOJ

 

The following selections are for Public Schools only:

License, Certification, Permit

Peace Officer

Law Enforcement Officer

Type of License/Certification/Permit OR Working Title:

Credentialed School Employee

Volunteer

(Maximum 30 characters - if assigned by DOJ, use exact title assigned)

Contributing Agency Information:

Agency Authorized to Receive Criminal Record Information

Street Address or P.O. Box

Mail Code (five-digit code assigned by DOJ)

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

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Height

 

Weight

Eye Color

 

 

 

First Name

Middle Initial

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

Suffix

Female

 

 

 

 

 

 

 

 

Driver's License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

Billing

 

 

 

 

 

 

Number

 

 

 

 

 

Hair Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Agency Billing Number)

 

 

 

 

 

 

 

 

 

 

Misc.

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

Place of Birth (State or Country)

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Other Identification Number)

 

 

 

 

Home

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

Street Address or P.O. Box

 

 

 

City

 

 

State

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Number:

(OCA Number (Agency Identifying Number)

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

Level of Service:

DOJ

FBI

Original ATI 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

THIRD COPY (if needed) - Requesting Agency

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1. It is very important fill out the state of california request for live scan form accurately, thus pay close attention when filling out the parts containing all of these blanks:

Stage no. 1 in submitting doj 8016a form

2. The third step would be to submit the following blanks: Last Name, Other Name AKA or Alias Last, Date of Birth, First Name, Middle Initial, Suffix, First, Suffix, Sex, Male, Female, Drivers License Number, Height, Weight, and Eye Color.

Filling out part 2 in doj 8016a form

As for Other Name AKA or Alias Last and Eye Color, be certain that you review things in this section. These two are the key ones in this form.

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