Washington State Background Check Authorization
The Background Check Authorization form is essential for individuals seeking employment or volunteering in positions related to vulnerable populations in Washington State. It requires personal information and answers to self-disclosure questions to facilitate a thorough background check. Completing this form correctly ensures compliance with state regulations and the safeguarding of sensitive information.
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How do I fill this out?
Filling out the Background Check Authorization form involves providing your legal name, contact information, and answering self-disclosure questions. Ensure you have all required documents ready for accurate responses. Take your time to review each section carefully before submission.

How to fill out the Washington State Background Check Authorization?
1
Gather all necessary personal information and documents.
2
Complete the required fields accurately and truthfully.
3
Answer all self-disclosure questions as directed.
4
Review the form for any missing information or errors.
5
Submit the completed form via the designated method.
Who needs the Washington State Background Check Authorization?
1
Individuals applying for jobs in childcare or healthcare sectors.
2
Volunteers seeking to work with vulnerable populations.
3
Professionals requiring licensing in social services.
4
Students in internship programs involving vulnerable adults or children.
5
Employed individuals undergoing routine background checks by employers.
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What are the important dates for this form in 2024 and 2025?
For the year 2024, the Background Check Authorization form has been reviewed and is in effect as of January 1, 2024. Updates may also be expected every late summer to accommodate any regulatory changes. Ensure you're using the most current form for your background check by checking the DSHS website regularly.

What is the purpose of this form?
The Background Check Authorization form serves a vital role in ensuring the safety of vulnerable populations by screening individuals seeking to work or volunteer in sensitive positions. It collects necessary personal information and disclosure of any past legal issues to aid in thorough background checks. The purpose is to protect children, juveniles, and vulnerable adults from potential harm by assessing the suitability of persons applying for these roles.

Tell me about this form and its components and fields line-by-line.

- 1. Legal Name: Your first, middle, and last name as per official documents.
- 2. Other Alias Names: Any other names you have previously used.
- 3. Date of Birth: Your date of birth in the correct format.
- 4. Phone Number: A contact number where you can be reached.
- 5. Email Address: Your email address for communication.
- 6. Social Security Number: Your SSN which may be optional.
- 7. Driver's License Number: The number of your current driver's license.
- 8. Mailing Address: Your address where confidential information will be sent.
- 9. Physical Address: Your current physical residence.
- 10. Self-Disclosure Questions: Responses to questions regarding criminal history.
What happens if I fail to submit this form?
If the Background Check Authorization form is not submitted, the applicant may experience delays in the hiring or volunteering process. Without this form, organizations cannot proceed with necessary background checks, impacting the applicant's eligibility to work in sensitive roles.
- Delayed Processing: Failure to submit may slow down your background check results.
- Loss of Job Opportunity: Not submitting could lead to missed employment or volunteer opportunities.
- Reputation Risks: Omission may cause concerns regarding your reliability or integrity.
- Legal Complications: Not providing complete information can lead to unintended legal consequences.
How do I know when to use this form?

- 1. Job Applications: Must be submitted with applications for jobs in sensitive environments.
- 2. Volunteering: Required for volunteers who work with children or vulnerable adults.
- 3. Licensing Requirements: Necessary for professionals applying for licenses that require background checks.
- 4. Internships: Applications for internships in relevant fields must include this form.
- 5. Routine Checks: Employers may request this form for routine background checks.
Frequently Asked Questions
What is the Background Check Authorization form?
The Background Check Authorization form is a document required for individuals undergoing background checks for employment or volunteering in sensitive roles.
How do I fill out the form?
Fill out the required fields, answering all questions accurately, and review for any missing information before submitting.
Can I edit the PDF on PrintFriendly?
Yes, PrintFriendly allows you to edit the PDF directly in the browser for easy updates.
How do I sign the PDF?
You can sign the PDF using the signature tool available in PrintFriendly.
Who needs to fill out this form?
This form is required by individuals in various sectors, including healthcare, childcare, and social services.
What happens if I don’t submit the form?
Failure to submit the form may delay your background check process, potentially affecting your employment or volunteer status.
How will my information be used?
The information provided will be used specifically for background check purposes and will be treated confidentially.
Is there assistance available for filling out the form?
Yes, you can reach out to the Background Check Central Unit for support with the form.
What kind of information is required?
The form requires personal identification information, contact details, and disclosures regarding any legal issues.
Can I save the form after editing?
While editing is allowed, the form cannot be saved on the site, but you can download the edited version to your device.
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