Get Background Screening Application - Licensing - Utah.gov - Hslic Utah

Filling out the Background Screening Application is a crucial step for individuals seeking to provide services to children or vulnerable adults in Utah. This guide will walk you through the application process, ensuring that you have the necessary information and understand each section thoroughly.

Follow the steps to complete your application online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by completing the Applicant Information section. Provide your first name, middle name (if applicable), last name, social security number, date of birth, phone number, and mailing address. Make sure to use colored ink and ensure that all information is clear and legible.
3. In the Applicant Authorization and Release section, read carefully and sign where indicated. Ensure you authorize the Utah Department of Human Services Office of Licensing to investigate your backgrounds, such as past abuse or neglect records.
4. Proceed to the Licensed Program Certification and Release section. This section must be completed by your Foster Care Licensor or an authorized representative. They need to provide their verification and signature.
5. Answer all questions in the Applicant Information Continued section truthfully, particularly questions regarding any past criminal charges or investigations related to abuse. Attach required documents as needed.
6. Review your completed application for clarity and correctness. Ensure all necessary attachments, including your social security card and state identification, are included.
7. Finally, save changes, download, print, or share your application as required before submission.

Complete your application online today to ensure a smooth processing experience.