University of California, Riverside

Live Scan



Download Form


Download Form

 

 

 

 

 

 

How do I complete the form?:

  • Download the form and fill out the highlighted fields
  • JOB TITLE of the person coming in to be livescanned located at the top of the form
  • Department requesting the live scan
  • Contact Name – name of the person who will be receiving the clearance notification from HR
  • Contact extension
  • Section 2 of the form, containing personal data, will be filled out by the (applicant) person coming in to be live scanned.

More Information 

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

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