Get Ar920100z

Filling out the Ar920100z form is a crucial step in requesting a criminal record check for individuals involved in child care services. This guide provides a clear overview of the form's necessary components and offers step-by-step instructions for successful completion.

Follow the steps to complete the Ar920100z form online.

1. Click the ‘Get Form’ button to access the Ar920100z and open it for editing.
2. Begin by entering the facility request information. In the designated field, input the name of the facility requesting the report. This ensures that the correct institution is associated with the request.
3. Provide the name of the licensing specialist requesting the criminal check in the appropriate section. This identifies the official who will manage the request.
4. Fill in the mailing address for the facility. Ensure that it includes the street address, city, state, and ZIP code for accurate communication.
5. Enter the title of the individual making the request along with the corresponding county. This information is pertinent for proper documentation.
6. Record the city, state, and ZIP code of the submitting facility in the specified fields.
7. Provide a telephone number for easy contact. This allows the licensing specialist to reach you if needed.
8. Input the facility director's name and their corresponding telephone number. This identifies who is responsible at the facility.
9. Enter the date of the request in the designated area. This indicates when the form was completed.
10. Provide the name of the individual to be checked, ensuring accuracy in spelling the last, first, and middle names.
11. If applicable, input the individual’s maiden name in the corresponding field.
12. Record the date of birth in the specified format (month/date/year) for accurate identification.
13. Include any aliases that the individual may have used in the relevant field.
14. Input the individual's social security number, ensuring the number follows the correct format.
15. Fill in the driver's license number and state of issuance in the corresponding fields to complete identification.
16. Provide a contact phone number for the individual to be checked. This may be needed for any follow-up questions.
17. Indicate the race of the individual in the appropriate section. This information may be required for processing.
18. Select the appropriate sex designation (male or female) by marking the correct box.
19. Complete the individual's address thoroughly with street, city, state, and ZIP code to ensure accurate processing.
20. Answer the question regarding residence in Arkansas for the past six years by selecting yes or no.
21. If the answer was no, a note states that an FBI record check and fingerprint card must be completed.
22. List the current place of employment to provide additional context for the request.
23. Authorize the Arkansas State Police to release any criminal history information by signing the form. This signature verifies consent.
24. Include the date of the signature and the county where this authorization is made.
25. Complete the notary public section, if required. Ensure all fields are filled out accurately, including commission expiration.
26. Once all fields are completed accurately, users can save changes, download, print, or share the form as needed.

Complete your Ar920100z form online today for a smooth processing experience.