Last updated: 5/30/2015
Instructions For Completing A Request For Live Scan Service Form (California Residents) {17M-15}
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Description
17M-15, INSTRUCTIONS FOR COMPLETING A "REQUEST FOR LIVE SCAN SERVICE" FORM (California Residents), NOTE TO APPLICANT and LIVE SCAN OPERATOR: The applicant’s name, date of birth and US Social Security Number must be entered in at the time of the Live Scan transmission in order for the results to be accepted by the Board of Pharmacy. If any of the applicant’s name, date of birth or US Social Security Number are not entered at the time of Live Scan transmission, the applicant may have to have a new Live Scan transmission completed. www.FormsWorkflow.com
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