Chapter 3 – Personnel, Training, and Employee Relations

31070.8.3 Initial Endorsement Procedures

• Employees wishing to receive CCW endorsements on their retired Peace Officer IDInstitutions Division (see DAI) cards shall submit the following documents to the Institutional Personnel Officer (IPOInstitutional Personnel Officer)
  (for institution employees), or the Chief, Office of Personnel Services (OPSOutpatient Status), Headquarters CCW Liaison (HCCWL) (for headquarters and field office employees)
  90-180 days prior to their retirement date:

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 894-A.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 1051, Request to Carry Concealed Firearms and Questionnaire.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 1052, Endorsement to Carry Concealed or Loaded Firearm.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 1053, Authorization to Release Medical, Surgical, Psychiatric Care and Treatment Information. CDCRCalifornia Department of Corrections and Rehabilitation Form 1053 is only required for medical disability retirements and/or when the applicant answered “yes” to either questions 4,6,7 or 8 on the CDCRCalifornia Department of Corrections and Rehabilitation Form 1051.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 1054, Office of Internal Affairs, Carry Concealed Weapons
    Clearance Report.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 2164, Live Scan Response.

  • CDCRCalifornia Department of Corrections and Rehabilitation Form 3056, Request for Live Scan Service, with payment for all
    applicable fees.

    • Live scan fingerprints must be taken for all retirees requesting a CCW endorsement at the retiree’s expense. Payment for all applicable fees is to be forwarded to the Southern California Regional Accounting Office (SCRAO), Attn: Cashier.

    • The live scan operator shall type “Retired Peace Officer” on the “Position Title of Applicant” line of the CDCRCalifornia Department of Corrections and Rehabilitation Form 3056.

    • The “OCA No. of Receiving Location” line shall have the institution’s or unit’s Originating Case Agency (OCA) acronym and the date entered (e.g. PBSPPelican Bay State Prison 06-15-07 or Reg. II 06-15-07).

    • The Live Scan operator will select the option “Retired Peace Officer/CCW Permit.”

    • The Department of Justice (DOJDepartment Of Justice) processing fee of $68 is required for new CCW live scans and shall be collected at the time of the live scan submission. The CCW payments must be in the form of a check or money order made payble to CDCRCalifornia Department of Corrections and Rehabilitation and attached to a copy of the CDCRCalifornia Department of Corrections and Rehabilitation Form 3056. Mail all documents to the SCRAO.

    • Fax the CDCRCalifornia Department of Corrections and Rehabilitation Form 3056 on the same day of the submission to (916) 255-3302 or email CDCRLiveScan@cdcr.ca.gov.

    • When “clear” responses are received by the institution or unit listed on the OCA line, the results shall be recorded on the CDCRCalifornia Department of Corrections and Rehabilitation Form 2164. The live scan results shall be included in the CCW application package for review by the hiring authority.

    • Upon approval of the CCW application, the “clear” live scan results shall be shredded. Live scan results with Record of Arrest and Prosecution (rap sheet) responses shall be recorded, kept and included in the application package for review by the
      hiring authority.

    • Contact the OPOS to check on pending live scan responses.

    • After the CDCRCalifornia Department of Corrections and Rehabilitation Form 1052 is signed and dated, the retired IDInstitutions Division (see DAI) card with CCW endorsement is issued to the retiree. The original CCW application package shall be mailed to the EOU, OCSOffice of Correctional Safety for retention. A copy is also retained by the hiring authority’s Personnel Office.