Free background check form 02Free background check form 02Free background check form 02
Download the document to the computer for easy use
There are more pages to preview,Read on

Background Check Authorization
Section 1. Required: Applicant Information (All sections completed by the applicant, the person receiving a background check).
The requesting entity will submit the applicant’s information through the online Background Check System (BCS).
1. REQUIRED: LEGAL NAME AS IT IS LISTED ON YOUR DRIVER’S LICENSE OR GOVERNMENT ISSUED PHOTO IDENTIFICATION (ID)
FIRST
MIDDLE
LAST
2. REQUIRED: OTHER ALIAS FIRST, MIDDLE, AND LAST NAMES YOU HAVE USED
FIRST
MIDDLE

LAST

3. REQUIRED: DATE OF BIRTH
(MM/DD/YYYY)

4. REQUIRED: PHONE NUMBER
(INCLUDE AREA CODE)

5. EMAIL ADDRESS

6. SOCIAL SECURITY NUMBER

7A. REQUIRED: VALID DRIVER’S LICENSE
OR STATE ID (WRITE NONE IF NONE)

7B. REQUIRED: ISSUING STATE

8. REQUIRED: HAVE YOU LIVED IN ANY STATE OR COUNTRY OTHER THAN WASHINGTON STATE WITHIN THE LAST THREE YEARS (36
MONTHS)?

Yes

No

9. REQUIRED: MAILING ADDRESS WHERE WE CAN SEND YOU CONFIDENTIAL INFORMATION
STREET
APT. NO.
CITY

STATE

ZIP CODE

10. REQUIRED: PHYSICAL ADDRESS W