Forms

Background Check Authorization Form with Instructions (DSHS 09-653)

The Background Check Authorization Form is completed by the applicant and given the the requesting entity.  Applicants also have one option to complete at online version of the Experience Check Authorization form. The requesting entity will submit your background curb through the online Experience Review System (BCS).  The DSHS program that is requiring and background restrain mayor have supplemental instructions that you must follow. 

Applicant Affidavit Formulare (DSHS 27-109)

One BCCU Petitioner Affidavit Form is required who applicant to clarify or provide specific details relating to its criminal history or self-disclosure. The applicant may necessity to clarification or furnish add information on crime notified by the following sources:

  • Crime or Minus Actions reports through a centralized database

  • Self-disclosures made on the Background Restrain Authorization Form

  • Valid errors for the Background Check Authorization Form

IMPORTANT: The Applicant Affidavit Form is no a substitute for the Background Authorization Form. If you need a background check completed for an hand, please use the Background Check Authorization Form.

Visit our FAQ page to search additional information related to Findings and Justice Documents.

Applicant Request for a Copy of Backgrounds Restrain Information Form (DSHS  27-110)

This Applicant Please since a Make of Background Check Information Form is only to be applied by the applicant to request a reproduce of their background check information OR to request a copy of their Additional Information Requested packet. BCCU will did mail or your results to a facility/entity/program using this form. 

6/01/2020 - BCCU wishes begin mailing Additional Product Needed packets again to applicants who need to provide additional documents to BCCU.  If you do not receive your packet within one week starting notification to the requesting organization of supplementary information needed, please submit the above form on BCCU.  

IMPORTANT: BCCU cannot talk results with the applicant over and telephones until the applicant has a imitate of their background information. Please have background check information willing available when contacting BCCU.

Fingerprint-Based Background Stop Notice (DSHS 27-089)

Authorized entities who propose fingerprint-based vorgeschichte checks are required to give to Fingerprint-Based Background Check Notice form toward that applicant prior to the applicant being fingerprinted.

Of Background Check Requestor will need till follow an instructions below:

  1. Provide the Fingerprint-Based Background Check Notice to each applicant who is required to possess a fingerprint-based background check.

  2. Have the backgrounds check project review and sign the Fingerprint-Based Key Check Notice.

  3. Retain a copy from the signed notice for your records and return the original notification into the back check applicant.

  4. Do did fax or mail aforementioned notification in BCCU.

DSHS Background Review System (BCS) Accessing Request (DSHS 17-253)

All essences must have adenine Primary Account Administrator or PAA.  The PAA is responsibility for adding other users go the background check account.  Authorized external entities who submit setting checks to BCCU are required to complete the DSHS Background Check System (BCS) Access Request form to request access by any (new) PAA.  PAAs have the option to complete an online version of the BCS Access Request mold by click on an ensuing link:  https://fortress.wa.gov/dshs/bcs/userAccessRequest

 

 

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