Edit, Download, and Sign the Instructions for Live Scan Fingerprinting in California

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How do I fill this out?

To fill out the form correctly, begin by ensuring your name matches your license application. Next, fill in your personal details accurately, using legible type or print. After scanning your fingerprints, retain one copy and submit the required copy with your application for licensure.

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How to fill out the Instructions for Live Scan Fingerprinting in California?

  1. 1

    Obtain the Request for Live Scan Service Applicant Submission form.

  2. 2

    Complete your personal information as specified.

  3. 3

    Have your fingerprints scanned by a Live Scan operator.

  4. 4

    Retain the second copy of the form for your records.

  5. 5

    Submit the completed form along with your licensure application.

Who needs the Instructions for Live Scan Fingerprinting in California?

  1. 1

    Registered Dental Hygienists who need to submit fingerprints for licensure.

  2. 2

    Registered Dental Hygienists in Alternative Practice (RDHAP).

  3. 3

    Registered Dental Hygienists in Extended Functions (RDHEF).

  4. 4

    Individuals applying for dental hygiene programs.

  5. 5

    Professionals conducting background checks for employment.

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What are the instructions for submitting this form?

Submit the completed Live Scan fingerprint form along with your application for licensure to the Dental Hygiene Board. You can send it via postal mail to the board's address: 2005 Evergreen Street, Suite 1350, Sacramento, CA 95815. Alternatively, you can fax it to (916) 623-4093. Ensure that all submitted forms are signed and complete to avoid delays in processing your application.

What are the important dates for this form in 2024 and 2025?

Ensure to check for any updates regarding fees or requirements for fingerprinting services in 2024 and 2025. It is advisable to stay informed of any changes from the DOJ or FBI.

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What is the purpose of this form?

The purpose of this form is to facilitate the submission of fingerprints for a criminal background check for dental hygiene licensure. It ensures compliance with state and federal regulations necessary for maintaining professional standards. Submitting fingerprints through the Live Scan process helps protect the public and maintain the integrity of the dental hygiene profession.

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Tell me about this form and its components and fields line-by-line.

The form consists of various fields that need accurate completion for successful submission.
fields
  • 1. Name: Your full name as it appears on the license application.
  • 2. Date of Birth: Your date of birth in mm/dd/yyyy format.
  • 3. Height: Your height in a three-digit code representing feet and inches.
  • 4. Weight: Your weight in pounds.
  • 5. Hair Color: Your hair color indicated by specific codes.
  • 6. State of Birth: The state or country where you were born.
  • 7. Social Security Number: Your social security number.
  • 8. Driver's License Number: Your California driver's license number.
  • 9. Home Address: Your current residence.

What happens if I fail to submit this form?

If you fail to submit this form, your application for licensure will be incomplete, and processing may be delayed or denied. It's crucial to ensure that all required information is submitted on time.

  • Delayed Application Processing: Failure to submit may result in lengthy delays before your application is reviewed.
  • Potential Denial of Licensure: Not submitting required documents could lead to a denial of your ability to practice.
  • Increased Scrutiny of Application: Incomplete applications may result in additional scrutiny from review boards.

How do I know when to use this form?

You should use this form when applying for licensure as a Registered Dental Hygienist in California. It is also necessary for those who have previously held a license and need to renew. Anyone seeking employment related to dental services may also need this form for background checks.
fields
  • 1. Initial Licensure Application: Required for new applicants seeking dental hygiene licensure.
  • 2. License Renewal: Necessary for individuals renewing their dental hygiene licenses.
  • 3. Background Checks for Employment: Used by employers for verifying the criminal history of potential hires.

Frequently Asked Questions

What is the purpose of this form?

This form is used to submit fingerprints for a criminal history background check required for dental hygiene licensure.

How do I fill out the Live Scan form?

Complete all required personal information on the form before your fingerprinting appointment.

Where can I get my fingerprints taken?

You can get your fingerprints done at local police departments, sheriff stations, or designated Live Scan sites.

What do I need to bring to the Live Scan site?

You must present valid photo identification when you arrive at the Live Scan location.

Are there fees associated with Live Scan?

Yes, there are fingerprint processing fees set by the DOJ and FBI that you will need to pay.

How long does it take to process fingerprints?

The DOJ processes most submissions within 72 hours, although some may take longer.

What if I make a mistake on the form?

You can edit the PDF using PrintFriendly before submission to correct any errors.

Can I save my changes on PrintFriendly?

Yes, you can download the edited PDF with your changes for future reference.

Is this form mandatory for licensure?

Yes, submitting this form is a required step in the licensure process.

What happens if I don't submit my fingerprints?

Failure to submit fingerprints can result in delays or denial of your licensure application.

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