RIVERSIDE COUNTY IHSS PUBLIC AUTHORITY. 14390 ... All the personal information requested in the form must be provided. ... In order to process applications ...
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IHSS Provider. Sacramento County IHSS Public Authority. 00738. 3700 Branch Center Road, Suite A. IHSS PA. Sacramento. CA. 95827. (916) 874-2888.
Please read this packet thoroughly as is contains information you will need to begin utilizing applicant live scan. Included are all of the appropriate DOJ ...
[PDF] IHSS Providers: Instructions for Completing the Criminal ...
www.pascla.org › uploads › 2021/02
Once you have completed the Live Scan, the site should return one copy of the Request for Live Scan Service form to you. Keep the copy for your records. 6 ...
IHSS PROVIDER. REQUEST FOR LIVE SCAN SERVICE. ELDER CARE. Authorized Applicant Type. Type of License/Certification/Permit OR Working Title (Maximum 30 ...
Individuals can obtain a Request for Live Scan form LIC 9163 or from any local Community Care Licensing Division office. This form will automatically ...
If you have any questions about this form, please contact your local licensing regional office. LIC 9163 (12 15). PAGE 4 OF 4.
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The easiest way to edit Generic request for live scan form 1998 in PDF format online · Log in to your account. · Upload a form. · Edit Generic request for live ...