Applicant Transmittal Form - Prepaid (Cash) - Department Of Justice

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STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
JUS 203
(Orig. 09/1996; Rev. 07/2016)
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APPLICANT TRANSMITTAL FORM - PREPAID (CASH)
POE
DOJ USE ONLY
Number of
Applicants
Fee
Total Due
$
Trans
Fund
Count
Total $
Employment/Licensing/Certifications-General
State Level
$32
$32
101
0017
Federal Level
$17
$17
111
0017
Federal Level Volunteer
$15
$15
181
0017
Social Services
$32
101
0017
State Level - Hard Card
$52
$20
167
0017
Federal Level
$17
$17
111
0017
$15
$15
181
0017
Federal Level Volunteer
Child Abuse Index
$15
$15
192
0566
Trustline
Licensing (Lic 198/a)
$15
$15
148
0142
Retired Peace Officer CCW
$68
$17
111
0017
Peace Officer
$32
101
0017
$51
$19
155
0460
CCW Initial Permit
$32
101
0017
$19
111
0017
90-Day Employment
$71
$22
172
0460
CCW Renewal Permit
$8
105
0017
90-Day Employment
$30
$22
173
0460
Secondhand Dealer License
Initial License
$300
$300
133
3240
Renewal License
$300
$300
161
3240
$32
$32
101
0017
Fingerprint Cards
POST Certification
$32
101
0017
$49
$19
176
0017
License - State Level
License - Federal Level
$17
$17
111
0017
Check Casher Permit
$32
101
0017
Permit - Initial
$82
$50
162
0017
Permit - Renewal
$50
$50
163
0017
Permit - Late Renewal
$25
$25
163
0017
Permit - Duplicate
$5
$5
163
0017
Bureau of Security/Investigative Services
$32
$32
101
0017
License - State Level
$32
101
0017
Licensing with Firearm:
* Initial Application
$87
$38
168
0460
* Renewal Application
$38
$38
168
0460
Fingerprint Roller Certification
$32
101
0017
$17
111
0017
$74
$25
171
0017
Certification Fee
$25
$25
171
0017
$5
$5
171
0017
Replacement Certificate
Record Review
$25
$25
108
0017
Visa/Immigration
$32
$32
101
0017
Fingerprint Rolling
$10
$10
143
0017
Sub-Arrest Notification Transfer
$10
$10
624
0017
Foreign Adoptions
$25
$25
672
0017
ATTACH A LIST OF NAMES FOR BACKUP.
TOTAL $
Number of Reprints
Do not include a count for fee exempt prints on this form.
MAIL TO: CALIFORNIA DEPARTMENT OF JUSTICE
PRESCAN UNIT, K-111
Print Name
PO BOX 903417, SACRAMENTO, CA 94203-4170
Address
I certify that the above information is correct.
City
Phone
Authorized Signature
Date

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