Get Respite Provider Recertification Background Check Permission Form - Namimaine

Filling out the RESPITE PROVIDER RECERTIFICATION BACKGROUND CHECK PERMISSION FORM is a vital step for individuals wishing to become certified respite providers through NAMI Maine. This guide aims to provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Use the ‘Get Form’ button to access the RESPITE PROVIDER RECERTIFICATION BACKGROUND CHECK PERMISSION FORM. This action will allow you to retrieve the form and open it in an editable format.
2. Begin by reading the introduction on the form carefully. Understand that NAMI Maine will conduct necessary criminal, child protective, and motor vehicle background checks as part of the recertification process. This understanding is crucial for filling out the rest of the form accurately.
3. In the section labeled 'Individuals in the household aged 18 and older,' list the names and relationships of all individuals who live with you and are 18 years old or older. Ensure that you provide complete and accurate information for each person. If there are no individuals in your household of this age, check the designated box.
4. Proceed to authorize NAMI Maine to perform the required background checks. Fill in your name, respite region, date of birth, social security number, and driver license number as requested. It is essential to double-check these details to avoid any issues later.
5. Sign and date the form, indicating your consent and agreement to facilitate the checks as stipulated. This step is critical as it verifies your acknowledgment and willingness to comply with the background check requirements.
6. Once you have completed the form, save your changes to retain your entries. You have several options to finalize the process: download the completed form, print it for physical submission, or share it with the necessary parties as instructed.

Take action now by completing your RESPITE PROVIDER RECERTIFICATION BACKGROUND CHECK PERMISSION FORM online.