LIC 9163B - Request Live Scan Service - Long Term Care OMBUDSMAN

Form LIC 9163B is used to request Live Scan services for individuals involved in Long Term Care Ombudsman programs in California. This form is completed by the applicant and submitted to authorized Live Scan service providers, who capture the applicant's fingerprints electronically. The fingerprints are then used for criminal background checks conducted by the Department of Justice and the Federal Bureau of Investigation. By completing this form and undergoing the Live Scan process, applicants allow their backgrounds to be screened for any criminal records, ensuring the integrity and trustworthiness of individuals serving as Ombudsmen in long-term care settings.