Campus Mail Services

Need Help?
Call (831) 459-2765
Fax (831) 502-7190

Campus Mail Services
UC Santa Cruz
1156 High Street
Santa Cruz, CA 95064-1077


LiveScan Home | Applicant | Hiring Unit

LiveScan Service Request Form
for Hiring Units

Please complete all fields of this form and click the 'Submit' button. Please make sure all information has been entered in correctly before clicking 'Submit'.

In addition to this form, your applicant also needs to fill out an Applicant Live Scan Service Request. Once both forms have been processed, we will email the applicant to come in to be fingerprinted.

All inquiries should be directed to Luis Casillas at (831) 459-2765 or you can email

Name of Applicant: Last Name:
First Name:
Middle Initial
Applicant's Email:
Hiring Unit:
  *Campus Mail Mailcode, NOT Payroll Distribution Code
Manager or Supervisor:
Manager or Supervisor Email:
Job Title of Applicant:
Level of Background Check
California Department of Justice:

*If the applicant has resided in a state other than California in the last ten years, we will automatically perform an FBI background check as per SHR policy. If neither box is selected, both checks will be performed.

Types of Employment Action:
Yes No
UCSC Student:
Yes No
Non-UCSC Student:
Yes No
Yes No
Yes No
Reclass/Duties Reassigned:
Yes No
RMS Job Number:
SHR Service Team Representative:
Representative Phone:
Representative Email:
Representative Mailstop:


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