westunion

CERTIFICATEOFCLEARANCEINSTRUCTIONSHEET(AntelopeValley)

PartIandPartIIMUSTBECOMPLETEDTOBEGRANTEDACERTIFICATEOFCLEARANCE

Atwo-partfeeisrequired:1)LiveScanfeeand2)CTCfee.

PartI:ObtainaLiveScan

IfyouhavecompletedanelectronicLiveScanwithinthelast18monthsspecificallyforCTCbutdonotholda

CertificateofClearance,CaliforniaCredential,orPermitproceedtoPartII.

Step1:ObtainaLiveScanform

Complete‘RequestforLiveScanService41-LSform’(attached)oravailableontheCTCwebsiteat

/credentials/dprintonecopy.

Step2:ScheduleanappointmenttoLiveScan

ContactaLiveScanlocationonreverside

StudentswhowillbeworkingwithAntelopeValleyUnionHighSchoolDistrict,PalmdaleSchool

District,WestsideUnionSchoolDistrict,orSouthernKernSchoolDistrictshouldcompletea

callRhondaConteat(661)****************************

furtherinformation.

Step3:ReporttoLiveScanStationofyourchoice

RequiredDocuments:

hotoidentification

anService41-LSform(estep1)

(checkwithyourLiveScanlocationforcurrentfeeandacceptablepaymenttypes)

opyofyourreceiptandlivescanformfor

mustbecompletedinordertoobtainaCertificateof

ClearancethroughtheCommissiononTeacherCredentialingandforadmissionintothecredentialprogram.

PartII:ApplyfortheCertificateofClearancethroughtheCommissiononTeacherCredentialing(CTC).

ClickhereforcurrentCTCfees:CTCFees

DONOTapplyforaCertificateofClearanceifyouholdavalidCaliforniaCredentialorPermit.

--TURNOFFALLPOP-UPBLOCKERSBEFOREBEGINNINGTHISSTEP--

Goto:/andlectthe‘CredentialInformation’button

Clickthe‘EducatorLogin’buttononthefarright.

IfthisisyourfirstapplicationwithCTC,youwillbepromptedcreateaurnameandpassword.

Ifyouhaveanexistingprofile,continuewiththeinstructionsonthefollowingpage.

Printacopyofyourreceiptforyourrecords.

Processingtimemaytakeuptoveralweeks.

CTCwillnotifyyoubyemailoncethedocumenthasbeenissued.

**NOTE:Answering‘Yes’toanyoftheProfessionalFitnessQuestionsrequiressubmissionofsupporting

documeydelaythe

processingtimeofyourapplication.

LookingUpandPrintingYourCertificateofClearance,CredentialorPermit

Goto/lect‘SEARCHFORANEDUCATOR’

Select‘SecuredSearch’;enteryourSocialSecurityNumberandDateofBirth

ClickontheDocumentNumber‘hyperlink’nexttotheCertificateofClearance

Printthispageandsubmitacopyalongwithyourprogramapplication

LIVESCANFINGERPRINTLOCATION

StudentswhowillbeworkingwithAntelopeValleyUnionHighSchoolDistrict,PalmdaleSchoolDistrict,WestsideUnionSchool

District,andSouthernKernSccallRhondaConte

at(661)952-5036or***************withfurtherquestions.

LOSANGELESCOUNTY

AmericanPostNParcel

4375915thStreetWest.

Lancaster,CA93534

(661)942-1150

**********************

AVMailNMore

2851WAvenue,L

Lancaster,CA153055

(661)722-4555

Fax(661)722-4733

*********************

CertifixdbwTheUPSStore#2531

2010WestAvenue,K

Lancaster,CA93536

1(661)726-9135/1(800)710-1934ext.1

*************************

Bandek'sIncomeTax&InsuranceServices

384349thStreet,East,STEA-2

Palmdale,CA93550

(661)224-1177

*************************

CertifixdbwTheUPSStore

38713TierraSubidaAvenue

Palmdale,CA93551

1(661)273-8877/1(800)710-1934,Ext1

*************************

LeslieFingerprinting

521EastPalmdaleBlvd.

Palmdale,CA93550

(661)274-9915

KERNCOUNTY

KernCountySherriff’sDept.

MojaveSubstation

1771Hwy.58

Mojave,CA93501

(661)827-2471

RidgecrestPoliceDept.

100WCaliforniaAve.

Ridgecrest,CA93555

(760)371-3711

DistrictOffices

ct

44811SierraHwy

Lancaster,CA93534

(661)948-7655

PalmdaleSchoolDistrict

Palmdale,CA93550

(661)947-7191x7224

SouthernKernSchoolDistrict

3082GlendowerSt.

Rosamond,CA93560

(661)256-5000

WestsideUnionSchoolDistrictEducational

Services

Lancaster,CA93536

(661)722-0716

ct

21515RedviewDr.

SantaClarita,CA91350

(661)259-0033ext.0

REQUESTFORLIVESCANSERVICE

FORM41-LSRev.04/15

ApplicantSubmission

ORI:TypeofApplication:

AgencyAddressSetContributingAgency:

AgencyauthorizedtoreceivecriminalhistoryinformationMailCode(five-digitcodeassignedbyDOJ)

orPOBoxContactName(Mandatoryforallschoolsubmissions)

CityStateZipCodeContactTelephoneNo.

*NameofApplicant:

(Pleaprint)LastFirstMI

*Alias:*Driver’sLicenNo:

LastFirst

*DateofBirth:*Sex:-

AgencyBillingNumber

*Height:*Weight::

*HomeAddress:

*EyeColor:*HairColor:

orPOBox

*PlaceofBirth:

City,StateandZipCode

*SocialSecurityNumber(full):*RequiredFields

*OCANumber:

(SSNORITIN#)

LevelofService:XDOJXFBI

Ifresubmission,listOriginalATI

Number:

SUPPLEMENTALAGENCY/EMPLOYER

(CountyOfficeofEducation/SchoolDistrict)

EmployerName

orPOBoxMailCode(COE/SDfivedigitcodeassignedbyDOJ)

()

CityStateZipCodeAgencyTelephoneNo.(optional)

LiveScanTransactionCompletedBy:

NameofOperatorLSIDDate

Collected/Billed

CodeassignedbyDOJ

JobTitleorTypeofLicen,CertificationorPermit:

ORIGINAL–LiveScanOperator;SECONDCOPY–Applicant;THIRDCOPY(ifneeded)–RequestingAgency

A0281

Licen/Certification/Permit

TEACHERCRED44340EC

CASMTEACHERCREDENTIALING

1900CapitolAvenue

Sacramento

CA

95811-4213

03294

Section2

Section1

Section3

Section4

Section5

Section6

Print

CL-65912/2016

Page1of2

FEESCHEDULEINFORMATION

TheCaliforniaCommissiononTeacherCredentialingisafee-supportedstateagencythatcollectsfeesas

authorizedinCaliforniaEducationCode§44235andtheCaliforniaCodeofRegulations,Title5,§80487.

Statuteandregulationsstatethatfeesshallaccompanyapplicationsforissuance,reissuanceorrenewalof

documents,andthatfeesareearneduponreceiptandshallnotberefunded.

CTCOnlineApplications

TheCTCOnlineprocessisavailableforapplicationsthatrequireonlinesubmission,bothforfirst-time

applicantsandrenewalorreissuanceofthefollowing:

Renewal/reissuanceofclearcredentialsand30-DaySubstitutePermits

EducatorscompletingarecommendationforadocumentfromaCaliforniaCommission-approved

programsponsor

CTCOnlineisalsoudforthesubmissionofapplicationsbyindividualeducatorsekingtoobtain

certificationintheareas:

CaliforniaresidentsapplyingforCertificatesofClearance

ActivitySupervisorClearanceCertificates(first-timeapplicantsandrenewals)

Allonlinetransactionsaresubjecttoa$2.50rvicefee(effectiveMarch7,2014)inadditiontotheapplication

dualswhomustsubmitfingerprintcardswiththeirapplicationcannotutheCTCOnlinesystemand

ormationontheoptionsavailabletosubmitanapplicationonline,e

/credentials/.

PaperApplications-InitialandRenewal/Reissuance

TheForm41-4paperapplicationmaybeudtosubmitapplicationpacketstotheCommissionby:

Applicantspreparedout-of-stateoroutsidetheUnitedStatesapplyingfortheirinitialCalifornia

credential,permit,or,ifneeded,aCertificateofClearance(eCredentialLeafletCL-900)

ApplicantsrenewingorrequestingreissuanceofChildDevelopment,EmergencyorLimited

Assignmentpermits

Individualswhoneedtosubmitfingerprintcardswiththeirapplication

/moneyorders/cashier’schecksshould

missiondoesnotacceptcash

licationpacketshouldincludeacompletedapplication(Form41-4),official

transcripts,aLiveScanreceipt(Form41-LS)ortwofingerprintcards(FD-258)asappropriate,andall

parateapplicationformandfeeisrequiredforeachdocumentrequested,onlyone

toffingerprintcardsneedstobeprovided.

StateofCalifornia

CommissiononTeacherCredentialing

1900CapitolAvenue

Sacramento,CA95811-4213

Email:******************.gov

Website:

CL-65912/2016

Page2of2

Refertothefeeschedulebelowandincludetheapplicablefeesforeachapplicationpacket

beingsubmittedtotheCommissiononTeacherCredentialing

ApplicationFees

InitialorRenewal/Reissuance(Form41-4orOnlineApplicationforASCC)......................$100.00

Thisisthebasicnonrefundableapplicationfeeforalltypesofcredentials,certificates,permits,alsoforadding

anytypeofauthorizationtoacredential,ationsfortheActivity

SupervisorClearanceCertificate(ASCC)mustbesubmittedonline.

CertificateofClearance*(Form41-4orOnlineApplication)….................................................$50.00

*TheCertificateofClearance(COC)doesnot

authorizeprovidinganytypeofinstructionorrvicesinschools;itssolepurpoistoprovideverification

tialLeafletCL-900identifieswhoneedsa

-of-stateandout-of-countryresidentsmustuForm41-4toapplyforaCOC,whileCalifornia

residentsmustapplyfortheCOCusingtheOnlineApplicationprocess(formoredetailsClickHere).

CertificateofCompletionofStaffDevelopment(Form41-4)..................................................$45.00

CertificateofEligibility-UpgradetoPreliminaryCredential(AdminorEdSpecialist).......$50.00

ChildDevelopmentPermitUpgrade(eCredentialLeafletCL-797)**.................................$50.00

**Theone-halffeeforupgradeisonlyapplicablewithinfirst3yearsoftheinitialissuanceofachild

developmentpermit.

RequestforEmploymentRestrictionChange(Form41-4).........................................................$50.00

NameChangeRequest(completeForm41-NC)...............................................................................$0.00

MilitaryFeeWaiver

TheapplicationprocessingfeeforaninitialCaliforniacredential,MultipleSubject,SingleSubject,Education

SpecialistInstruction,orDesignatedSubjects(CareerTechnicalorAdultEducation),iswaivedforout-of-state

preparedapplicantswhorelocatetoCaliforniaduetoordersreceivedfromabranchoftheUnitedStatesArmed

Forcesthatrequiretheapplicant’iverappliesonlytoaneducator’s

firstCaliforniacredentialandisnotavailableforrenewals,appeals,orthroughtheonlineapplication

printclearance(LiveScanorfingerprintcardsandfee)dentialLeaflet

CL-892formoreinformation.

FingerprintFees

ApplicantsResidinginCalifornia

LiveScanService(Form41-LS)………………………………….......FeeCollectedbyLiveScanOperator

ApplicantsResidingOutsideofCalifornia

FingerprintCards(FD-258)...…………………………………………………………………………….…………….……$49.00

CaiforniaDepartmentofJustice

willonlyacceptfingerprintcardsfromtheCommissionforteacherswhoresideoutsideofCalifornia.

Twofingerprintcardsmustb

submittingapplicationsformorethanonedocument,

CredentialLeafletCL-271FingerprintClearanceInformationformoredetails.

HowtoPrint2/2017Page1

HowtoViewandPrintYourDocument

YourpersonalEducatorPageallowsyoutocompleterecommendationsfromyourprogramsponsor,

alsouyourEducatorPagetoupdateyourpersonal

Form41-NCtochangeyourname,SSN,ITINordateofbirth.

heCredentialingInformationnavigationbutton

theEducatorLoginbuttontoaccessCTCOnline.

lbeaskedtoenteryour

UrIDandPassword.

NOTE:Effective02/16/2017,youwillnotbeabletoaccessyourfileonlinedirectlywitha

rswillberequiredtocreateaUrID

andpasswordfirstbeforeaccessingtheirCTCOnlinefile.

Urswhohavenotyetcompletedthisprocessmustuthelink“CreateUrIDand

Password”(highlightedyellowinthesamplebelow)tolinktotheironlineprofile.

HowtoPrint2/2017Page2

notuthe“Enter”keyonyourdeviceasitwillnotadvanceyoutothenextstep.

ourpersonalinformationincludingyourlectionofaUrIDandPassword,andcreate

3ChallengeQuestionsandAnswersthatcanbeudtoverifyyouraccountifyourIDor

tincludeacurrentvalidemailaddressinyourprofileas

thisishowpasswordrecoveryinformationandotherimportantcorrespondence

lreadyhaveacredentialfileinCTCOnline,you

willstillbepromptedtocreateanewUrID,Password,andchallengequestionsbeforeyou

canproceed.

HowtoPrint2/2017Page3

reatingyourUrIDandPasswordyouwillgobacktotheloginscreentouyournew

ggedin,youwillfirsteascreenwithaPersonalLegal

“Next”onthatscreentoproceed.

XXXxXxxx

HowtoPrint2/2017Page4

eenbelowwillappearwhereyoucanverifytheinformationonyourpersonalprofilepage.

Clickthe“AddorChangePersonalInformation”buttonorthe“AddorchangeAddress”button

toupdateyourfileasneeded.

Whenyouarefinished,clickNext.

extscreen,the

uclickonthehyperlinkeddocumentnumber(enext

screenshot),thefollowingscreenwilllistallthedocument'sauthorizationsandrenewalcodes

(e#9).

HowtoPrint2/2017Page5

,youcanuthePrint

functers

alsolectCTRL+P

fromyourkeyboardtoprintthepage.

ForsomeFirefoxurs:apreviewofthepagethatlooksblankmayappearfirstbutallthe

documentdetailswillstillprint.

HowtoPrint2/2017Page6

cumentdetailswillprintontoapageasshown.

the

lautomaticallybentanemailattachmentofyour

theemailaddressinyourpersonalprofile(estepd)

sionemailsmaybenttoaSPAMorJUNK

folderiftheCommissionaddressisnotinyourFavorites.

HowtoPrint2/2017Page7

asampleofthedocument.