Get Utah Department Of Human Services Background Screening Application Form

Filling out the Utah Department of Human Services Background Screening Application Form is a crucial step for individuals seeking to provide services to children or vulnerable adults. This guide provides clear, step-by-step instructions to ensure the process is completed accurately and efficiently.

Follow the steps to successfully complete the background screening application form online.

1. Press the ‘Get Form’ button to access the background screening application form and load it in an appropriate editor.
2. Begin filling out the applicant information section, which includes providing your full first name, middle name (or indicating if you do not have one), last name, aliases, and social security number. Ensure that this information matches your identification documents.
3. Provide your date of birth and contact information, including your area code, phone number, mailing address, city, state, and zip code.
4. In the applicant authorization and release section, read and acknowledge the consent to allow investigations into your relevant records and sign where indicated.
5. Navigate to the licensed program certification and release section, which needs to be filled out by the licensor or authorized representative. Ensure all fields are completed and read all instructions carefully.
6. Carefully answer the questions regarding your background, including inquiries about any past charges, investigations, and residency history in foreign countries or other U.S. states.
7. If applicable, provide the required attachments, such as your social security card and valid state identification, ensuring they are clear and legible.
8. Review your application for completeness. Make sure all signatures are present and that any additional documents are attached as required.
9. Once all sections of the form are complete, save your changes. You can opt to download, print, or share the form if needed.

Begin your background screening application online now.