Get State Form 53259 (907) Cw 3610

This guide provides a clear and comprehensive overview on how to complete State Form 53259 (907) CW 3610 online. Designed for those seeking a criminal history background check, this form is essential for various DCS-related applications.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the form and open it in your editing interface.
2. In Section 1, enter the county or agency, the date, your full name (as the DCS employee, agency staff member, or employer), title if applicable, work telephone number, and your complete address including number, street, city, state, and ZIP code.
3. Proceed to Section 2, where you will indicate the reason for being fingerprinted by checking the appropriate box related to foster care, adoption, or employment.
4. In Section 3, fill in your full legal name, any previous names, social security number, date of birth, gender, race, current address, home and cellular telephone numbers, email address, and a list of all counties or states you have resided in for the past five years. Answer whether you have been convicted of an adult crime and provide a description if applicable.
5. Section 4 requires you to list all other household members, excluding children under DCS supervision, on a separate page if the check is not for employment purposes.
6. In Section 5, provide your signature, printed name, and date of application to authorize necessary background checks. Ensure all details are correct.
7. After completing the form, you can save changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth submission process.