Get Bdbhds Virginia Form 960e 1227

Completing the Bdbhds Virginia Form 960e 1227 is a crucial step in ensuring compliance with state regulations regarding criminal history background investigations. This guide will provide you with clear, step-by-step instructions to help you accurately fill out the form online.

Follow the steps to complete your form effectively.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editing tool.
2. Begin by entering the licensed provider's name in the designated field. This identifies the organization under which you are applying.
3. Input the provider number, which consists of 3 to 4 digits. This number is used for identification within the state's licensing system.
4. Fill in your full name as the applicant in the format of Last, First, Middle, ensuring that the spelling is correct.
5. Provide your social security number in the specified field. If you do not have a social security number, select the 'No SSN #' option.
6. Enter your mailing address, including street, city, state, and zip code, to ensure that all correspondence is directed to you.
7. Include your phone number, formatted with the area code, so you can be reached for further information or verification.
8. Respond to the question regarding any founded complaints of child abuse or neglect by selecting 'Yes' or 'No.' If applicable, list all cases and provide explanations.
9. Answer the question regarding any past convictions or pending charges, excluding juvenile offenses, by selecting 'Yes' or 'No.' If applicable, list cases and explanations.
10. If you have been convicted of misdemeanor assault & battery, ensure to list the date(s) of conviction(s) in the provided section.
11. Indicate whether any of the convictions occurred while you were employed in a direct consumer care position by choosing 'Yes' or 'No.'
12. Certify the accuracy of your entries by signing the application and providing the date of signature.
13. Once completed, save your changes, then download, print, or share the form as required.

Start completing your Bdbhds Virginia Form 960e 1227 online today for a smooth submission process.