Staffing

Fingerprint Clearance Requirements

Fingerprint Submission Process Guidance
Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.
- Guidance
Request for Live Scan Service (BCIA 8016) (Rev 04/20)
Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.
- Request For Live Scan Service
  Blank BCIA 8016 form and sample request for ADHC/CBAS staff are located on California Department of Public Health’s (CDPH) Licensing and Certification Program Forms Page.
Transmittal Application For Criminal Record Clearance (CDPH 322) (Rev 05/14)
Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.
- Transmittal Application for Criminal Record Clearance
  - Located on the CDPH’s Licensing and Certification Program Forms Page.