Free background check form 36Free background check form 36Free background check form 36
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Background Check
Hard-Copy Submissions Procedures & Cover Sheet
Hard copy may be used when the candidate does not have email.
1. Have the candidate complete pages 4 and 5. Page 6 will only need to be printed and used if the
candidate has more than one offense to report. Please duplicate page 6 as needed with one
offense per section.
2. Give pages 7-9 to the candidate; if you have a candidate from California, New Jersey,
Washington and New York give them the applicable state rights form.
3. E-mail the following information to [email protected] :
Subject Line
Insert candidate’s name in the of the email (First Name First, Last Name Last)
Body of Email
Insert single-spaced, no bullets:
Full Name including middle name
Hard Copy Submission
Employee Type
Position Title and Number (if applicable)
What check is needed:
a. criminal only or
b. motor vehicle only or
c. both
Tentative Start Date
Department Head
Department Name and Number
Your Contact Information