Get (cbc) Unit

Completing the CBC Unit form is essential for designating an authorized person for your agency to request criminal background checks. This guide provides clear, step-by-step instructions to assist users in filling out the form correctly and efficiently.

Follow the steps to complete the CBC Unit form online.

1. Press the 'Get Form' button to access the form and open it in your preferred document viewer.
2. In the top section, enter your provider name and agency code. Fill in the address, including city, state (NY), and zip code. Ensure all information is accurate to avoid processing delays.
3. Provide your telephone number and fax number in the designated fields. This allows for efficient communication regarding your request.
4. Indicate the state oversight agencies that apply to your organization such as OMH, OPWDD, OCFS, and OASAS by checking all relevant boxes.
5. In Part 1, enter the last name, middle initial, and first name of the authorized person. Fill in their business email address, business phone number, title, and business address.
6. The authorized person must read the consent section and sign it. Ensure the date of signature is also included.
7. In Part 2, have the director of the provider agency sign to approve the designation of the authorized person. The director's name, title, and signature with the date must be completed.
8. For Part 3, the authorized person must sign in the presence of a Notary Public and complete the notary acknowledgment section.
9. Once the form is fully completed and signed, return it to the Justice Center by emailing, faxing, or mailing it to the CBC Unit using the provided contact information.
10. After submission, maintain a copy of the original form for your agency's records.

Complete your CBC Unit form online today to ensure your agency's compliance and facilitate the background check process.