Get Criminal Background Check Exemption Form #28-573

The Criminal Background Check Exemption Form #28-573 is essential for verifying that an adult has already undergone a background check as part of their employment with a governmental agency. This guide provides clear, step-by-step instructions for users to effectively complete this form online.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the 'Applicant's Name' field, enter the full name of the individual who is applying.
3. In the 'Address' section, input the current residential address of the applicant, ensuring to include street number and name.
4. Fill in the 'City' field by providing the name of the city where the applicant resides.
5. Select the appropriate 'State' from the dropdown list to indicate the applicant's location.
6. Enter the 'Zip' code corresponding to the applicant's address to complete the location details.
7. Below the address section, confirm the applicant's eligibility by certifying that they have had a criminal background check completed by checking the relevant box or writing a statement if required.
8. In the 'Participating Organization Head' section, enter the name of the individual who will certify this form.
9. Fill in the 'Title' to indicate the position of the organization head within their organization.
10. Provide the name of the 'Participating Organization' that the applicant is associated with.
11. Sign the document in the 'Signature' field to confirm that the information is accurate and complete.
12. Finally, date the form by entering the current date in the designated field.
13. Once you have filled out all required fields, save the changes, and choose to download, print, or share the completed form as needed.

Start filling out the Criminal Background Check Exemption Form #28-573 online now to ensure a smooth application process.