Get Employer Statement - Cyfd - Cyfd

Filling out the EMPLOYER STATEMENT - CYFD - Cyfd accurately is essential for processing background checks for applicants in positions of care. This guide provides clear, step-by-step instructions for completing the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to access the EMPLOYER STATEMENT - CYFD - Cyfd and open it in your preferred document editor.
2. Begin by entering the 'Name of Facility or Program' in the designated field. This should reflect the official name of your organization.
3. Fill in the 'Mailing Address' section with the appropriate details. Include the street address, city, state, and zip code.
4. Provide the 'Physical Address of Applicant’s Service' to indicate where the applicant will be working or providing care.
5. In the section labeled 'I, [authorized representative]', write the full name of the individual filling out this statement, ensuring they are an authorized representative of the organization.
6. Complete the statement confirming that the individual named is applying for employment, is an employee, contractor, or volunteer within your organization.
7. Verify the requirement for a CYFD background check by indicating if the applicant has direct care responsibilities or potential unsupervised access to care recipients.
8. Acknowledge the waiver statement which confirms your organization’s understanding regarding the applicant's responsibilities and potential risks.
9. State that your organization has, or could have, primary custody of children related to this employment.
10. Have the authorized representative sign the form in the 'Signature of Employer Representative' field.
11. Enter the representative's title, providing clarity on their position within the organization.
12. Include a contact phone number for any follow-up regarding the background check.
13. Lastly, write the date on which the form is being completed to give a clear timeline.
14. Review all filled information for accuracy. Once verified, save changes and consider downloading, printing, or sharing the completed form as necessary.

Complete your EMPLOYER STATEMENT online to facilitate background checks for your organization.