Pleasant Hill, CA · Contra Costa County
Request for Live Scan Service
This form requests Live Scan service for an applicant seeking a Massage Establishment Permit and provides information for the Pleasant Hill Police Department.
What this form is
The Request for Live Scan Service identifies the Massage Establishment Permit as the permit type and Pleasant Hill Police Department as the agency authorized to receive criminal record information. It collects applicant details, a signature and date, and information about the Live Scan transaction. The form also includes a privacy notice acknowledgment and fields for the level of service and transaction number.
Who needs it
An applicant seeking a Massage Establishment Permit who needs to provide information for a Live Scan request may use this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the applicant signs and dates the form after acknowledging receipt of the included privacy information.
How to submit this form
- 1
Download The Form
Download the Request for Live Scan Service for the Massage Establishment Permit.
- 2
Complete Applicant Information
Fill in the applicant information requested on the form and acknowledge receipt of the included privacy information.
- 3
Sign And Date
Sign and date the form. It does not require notarization.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Request for Live Scan Service?
- It is an applicant submission form that identifies the Massage Establishment Permit and Pleasant Hill Police Department as the agency authorized to receive criminal record information.
- Who uses this Live Scan form?
- The form is for an applicant seeking a Massage Establishment Permit. It collects applicant details, a signature and date, and information about the Live Scan transaction.
- Do I need a notary for the Request for Live Scan Service?
- No. The applicant signs and dates the form and acknowledges receipt of the included privacy information; the document does not call for notarization.
- How do I submit the Request for Live Scan Service?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Request for Live Scan Service doesn’t need a notary — but if you have another Pleasant Hill form that does, a commissioned online notary can help.