Trustline Registry In-Home/license Exempt Child Care Provider Application Page 2

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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY
COMMUNITY CARE LICENSING
HOW TO APPLY
To become listed on the TrustLine Registry, you must complete the attached application, including the TrustLine Registry
Criminal Record Statement (TLR 508) and follow the fingerprint instructions below for either the Live Scan process,
Transfer process or the Out-Of-State Resident Only process.
LIVE SCAN PROCESS - Complete this application form (TLR 2). Schedule an appointment to have your fingerprints
scanned with either the Community Care Licensing Live Scan vendor at 1-800-315-4507 or at a Department of Justice Live
Scan site - either a Police Department or Sheriff’s Office (for a list of Live Scan locations, refer to
). Take this application form with you to the Live Scan site. If you do not bring
this form with you, you may not be fingerprinted. You must contact the Live Scan site at least 24 hours in advance if you
are unable to keep your appointment. Submit the completed TrustLine application form along with the appropriate fee to
the address listed in Box 10 on the TrustLine application form or contact 1-800-822-8490 for information.
Processing Fees:
Community Care Licensing Live Scan site (1-800-315-4507). Make check or money order in the amount of $82.00
payable to the Live Scan vendor and an additional check or money order in the amount of $43.00 payable to the
California Department of Social Services. Take the TLR 2 with you to get fingerprinted. The TLR 9163A is not required.
Police or Sheriff’s Live Scan site:
Make one check or money order in the amount of $66.00, payable to the Department of Justice and make one check or
money order in the amount of $43.00, payable to the California Department of Social Services. The $66.00 fee does not
include the Live Scan fingerprint rolling fee charged by the Police or Sheriff’s Department. This fee varies by site and is
paid to the law enforcement agency. Most law enforcment sites will rquire the use of the Request of Live Scan Service
form (TLR 9163A) so take the TrustLine Registry Application (TLR 2) and two copies of the TLR 9163A with you when
you get fingerprinted. The law enforcement office will keep one of the TLR 9163A forms for their records.
TRANSFER PROCESS - If you are currently licensed by the Community Care Licensing Division or working in a facility
licensed by Community Care Licensing, you may transfer your background clearance from the Community Care Licensing
Division to the TrustLine Registry Program. Check the appropriate boxes in section 8 and submit the completed TrustLine
application form along with a photocopy of your I.D. to the address listed in Box 10 of the TrustLine application form or con-
tact 1-800-822-8490 for information. Make one check or money order in the amount of $43.00, payable to California
Department of Social Services. If you are transferring your background clearance from a non-child care facility type, a
Child Abuse Central Index check is needed and an additional fee of $15.00 is required. NOTE: A transfer is not possible
from County licensed facilities.
OUT-OF-STATE RESIDENTS ONLY PROCESS - Complete this application and have your fingerprint impressions placed
on one TrustLine fingerprint card (FD 258). Submit the completed application, the completed TLR 508 form and finger-
print card along with the appropriate fee to the address listed in Box 10 on the TrustLine application form or contact 1-800-
822-8490 for information.
Processing Fees:
Make check or money order in the amount of $130.00 payable to Calfiornia Department of Social Services. The finger
print rolling fee varies by site and is paid directly to the fingerprint service agency.
Application Process
Payment to Live Scan Site
Payment to CDSS
Community Care Licensing
$43.00
$82.00 (Includes fingerprint imaging fee)
Live Scan Vendor
Police or Sheriff’s (DOJ)
$66.00 (Fingerprint imaging fee varies by site.)
$43.00
Live Scan Site
$43.00 ($15.00 fee for Child Abuse
None
Transfer Process
Central Index check, if needed.)
Out-Of-State Residents
$130.00 (Fingerprint rolling
None
fee varies by site.)
Only Process
Page 2 of 4
TLR 2 (2/09)

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