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Printable Form 12333 Roseville California: What You Should Know

B. The fingerprint database includes 3D-rendered prints of applicants. The database's fingerprint and identity verification technology is accurate and robust to prevent misclassifications. However, it must be acknowledged that the California Department of Justice (DOJ) has not reviewed applicants. The database may be inaccurate, especially if the fingerprint and identity verification system is operating on erroneous information. Applicant is hereby informed that they are being contacted by a person or persons unknown with the intent of misrepresenting themselves to applicants and obtaining their identification information at their direction and expense. Applicant is hereby informed that the information provided herein will only be relied on by DOJ for determining an applicant's eligibility. C. When the fingerprint and identity verification system is not operating on an erroneous or faulty information, the system must include a “no match” indicator on the application form. D. The Department does not accept electronic applications. We will print the application in triplicate and send it to you. E. You may fax, or mail the completed application to: Live Scan Service California Department of Justice P.O. Box 3277 Roseville, CA 95678. Fingerprinting — Department of Motor Vehicles The procedure for fingerprinting begins with the submission of a driver's record, DMV ID card with photo, and proof of address and vehicle information to the local DMV office. To schedule an appointment at the Roseville DMV office or fill out an application: The Department does not accept electronic applications. We will print the application in triplicate and send it to you. Fingerprinting — Medical Care Facility Your Medical Care Facility may have fingerprinting as part of its background procedures. Fingerprinting (Request Form) California Department Of Insurance This form outlines the insurance requirements for those covered by state-approved medical insurance, to include but not limited to: Long term (or group) insurance carriers offering medical coverage Any other business or business entity Healthcare Facilities When requesting a fingerprinting of the facility's employee, please include this letter with your application: Please provide a valid photo. The facility will provide fingerprint verification of an applicant for employment purposes ONLY for employees. Please review each facility's information regarding how to obtain a fingerprint from their facilities. Failure to include all facilities' information or the following requirement will not be considered the provision of this fingerprinting service and does not constitute consent to fingerprinting.

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