Corona, CA · Riverside County

No notary required

Fortuneteller Live Scan Form

Fortuneteller applicants use this form to provide information for a Live Scan fingerprint-based criminal history record check.

What this form is

This Live Scan request form collects applicant, contributing agency, and employer information for a fingerprint-based criminal history record check. It includes privacy notices and applicant rights information, and asks the applicant to acknowledge receipt of the notices and sign. The form provides fields for the level of service and, for resubmissions, the original ATI number and proof of rejection.

Who needs it

A fortuneteller applicant whose authorized agency requests a Live Scan criminal history record check uses this form to provide the required information.

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 acknowledgment, and the included privacy notices do not require a sworn or notarized attachment.

How to submit this form

  1. 1

    Download the Form

    Download the Fortuneteller Live Scan Form PDF.

  2. 2

    Complete the Applicant Fields

    Fill in the requested personal, agency, and employer information, including the level of service.

  3. 3

    Gather Any Required Proof

    For a resubmission, provide the original ATI number and proof of rejection.

  4. 4

    Sign and Date

    Read the included privacy information, then sign and date the acknowledgment.

  5. 5

    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 Fortuneteller Live Scan Form for?
It collects applicant and agency information for a Live Scan fingerprint-based criminal history record check, and includes privacy notices and applicant rights information.
Who uses this Live Scan form?
Fortuneteller applicants use it when an authorized agency requests a Live Scan criminal history record check.
Do I need a notary for the Fortuneteller Live Scan Form?
No. The applicant signs and dates the acknowledgment; the included privacy notices do not require a sworn or notarized attachment.
How do I submit the Fortuneteller Live Scan Form?
The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Fortuneteller Live Scan Form doesn’t need a notary — but if you have another Corona form that does, a commissioned online notary can help.