The Bureau of Labor Statistics released the latest version of form Bcia Bof 8016 on Wednesday, December 12th. This report, also known as the Survey of Occupational Injuries and Illnesses (SOII), collects data from employers about job-related injuries and illnesses that occurred in the previous year. The information collected by this survey is used by government agencies to develop policies and programs that protect workers’ health and safety. Employers are required to submit Form Bcia Bof 8016 annually, even if they did not have any job-related injuries or illnesses during the survey year.
| Question | Answer |
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| Form Name | Form Bcia Bof 8016 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ORI, ATI, AB165, BCIA |
STATE OF CALIFORNIA |
DEPARTMENT OF JUSTICE |
BCIA/BOF 8016 (Rev. 01/2012) |
PAGE 1 of 2 |
REQUEST FOR LIVE SCAN SERVICE
Applicant Submission
ORI (Code assigned by DOJ) |
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Authorized Applicant Type |
Type of License/Certification/Permit OR Working Title (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
Contact Name (mandatory for all school submissions)
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City |
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State ZIP Code |
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Contact Telephone Number |
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Applicant Information:
Last Name
Other Name
(AKA or Alias) Last
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Sex |
Male |
Female |
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Date of Birth |
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Height |
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Weight |
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Eye Color |
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Hair Color |
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Place of Birth (State or Country) |
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Social Security Number |
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Home |
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Address |
Street Address or P.O. Box |
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First Name |
Middle Initial |
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Suffix |
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First |
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Suffix |
Driver's License Number
Billing
Number
(Agency Billing Number)
Misc.
Number
(Other Identification Number)
City |
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State |
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ZIP Code |
Your Number:
OCA Number (Agency Identifying Number)
If
Level of Service: |
DOJ |
Original ATI Number
Employer (Additional response for agencies specified by statute):
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Employer Name |
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Mail Code (five digit code assigned by DOJ) |
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Street Address or P.O. Box |
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City |
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State |
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ZIP Code |
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Telephone Number (optional) |
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Live Scan Transaction Completed By:
Name of Operator |
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Date |
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Transmitting Agency |
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LSID |
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ATI Number |
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Amount Collected/Billed |
ORIGINAL - Live Scan Operator |
SECOND COPY - Applicant |
THIRD COPY (if needed) - Requesting Agency |
STATE OF CALIFORNIA |
DEPARTMENT OF JUSTICE |
BCIA/BOF 8016 (Rev. 01/2012) |
PAGE 2 of 2 |
REQUEST FOR LIVE SCAN SERVICE
(Instructions)
California Penal Code sections 11120 through 11127, and 30105 allows you to obtain a copy of your record, if any, contained in the files of the California Department of Justice and refute any erroneous or inaccurate information contain therein.
Beginning with live scan transactions submitted after April 6, 2006, the Department of Justice (DOJ) will only mail responses to you.
You may use the information you receive to answer questions regarding past criminal history, firearms eligibility, or to complete an application or questionnaire. However, no person or agency may require you to obtain a copy of your record or to furnish the information for any purpose, including immigration, visa, employment, licensing, or certification. (See California Penal Code sections 11125 and 30105.)
INSTRUCTIONS FOR COMPLETING THE “REQUEST FOR LIVESCAN SERVICE”
CATEGORY |
INSTRUCTIONS |
COMMENTS |
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Type of Application: |
Verify “Firearms Record Review” appears. |
This is a mandatory field and must be |
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completed. |
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Reason for Application: |
Write a brief explanation of why you need |
Example: “Firearms Eligibility Denial”. |
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this information. |
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Enter your full name, any known alias, |
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Name of Applicant & Personal |
date of birth, sex, height, weight, eye & |
Name, date of birth, and sex are |
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hair color, place of birth, social security |
mandatory fields and must be pro- |
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Descriptors: |
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number and California driver’s license |
vided. All others are optional. |
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number. |
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Applicant Address: |
Enter your home address. |
This is a mandatory field and must be |
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completed. |
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Enter the telephone number, including |
A telephone number is useful in helping to |
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Daytime Telephone Number: |
area code, where you can be reached |
resolve problems which could result in a |
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between 8 a.m. and 5 p.m. |
delay in processing your request. |
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AFTER COMPLETING THE “REQUEST FOR LIVE SCAN SERVICE” FORM
•Check your local telephone directory or contact your local police department or sheriff’s office for a businesses or local law enforcement agencie(s) that offer “Live Scan” fingerprinting services, the fee charged by the business/agency for the Live Scan service, and the types of payment accepted. You can also view a current listing of Live Scan sites offering electronic fingerprinting services on the Attorney General’s website at: http://ag.ca.gov/fingerprints/publications/contact.php
•Go to the Live Scan business/agency of your choice and have your fingerprints taken. The fee will be $25 plus the fingerprint rolling fee. Please ensure that any private fingerprinting service you select is certified by the California Department of Justice.
•If you have questions about completing the “Request for Live Scan Service” form (BCII/BOF 8016 FRR), please contact the Record Review Unit at (916)
•For inquiries regarding the status of your criminal history record review, please contact the Record Review Unit at
(916)
•For inquiries regarding the status of your firearm record review, please contact the Firearms Record Review Unit at
(916)