Get Iowa Health Care Facility (135c) Record Check Form C
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How to fill out the IOWA HEALTH CARE FACILITY (135C) RECORD CHECK Form C online
Filling out the IOWA HEALTH CARE FACILITY (135C) RECORD CHECK Form C online is a crucial step for individuals seeking a criminal history check in Iowa. This guide provides clear, step-by-step instructions to help you effectively complete and submit the form.
Follow the steps to fill out the IOWA HEALTH CARE FACILITY (135C) RECORD CHECK Form C online.
- Press the ‘Get Form’ button to access the form. This initiates the process of retrieving the document you need to complete.
- Enter your account number in the designated field at the top of the form to identify your request properly.
- Fill in the 'TO' section with the contact information for the Iowa Division of Criminal Investigation, ensuring accuracy for proper processing.
- Provide your contact information in the 'FROM' section, including your phone number and fax number, to enable communication.
- In the 'REQUEST' section, type or print the name of the individual for whom the criminal history check is being requested. Make sure to include their last name, first name, and middle name as specified.
- Enter the mandatory date of birth in the format MM/DD/YYYY, followed by the optional maiden name if applicable.
- Complete the 'Sex' and 'Social Security Number' fields, both of which are mandatory for identification purposes.
- Sign the requester section to authorize the investigation. This is a critical step confirming that you are the one petitioning for the record check.
- In the 'RESULTS' section, wait for confirmation from the Iowa Division of Criminal Investigation to determine the outcome of the request.
- Once the form is completed, you can save changes, download, print, or share the form as needed.
Start filling out the IOWA HEALTH CARE FACILITY (135C) RECORD CHECK Form C online today to ensure a prompt and accurate completion.
You can request a background check online or in person. Email, fax, or U.S. mail Complete both the DCI Record Check form and the DCI Billing form, save it to your computer, and then print and send the document. In Person: You can drop off your request and billing forms to DCI at 215 East 7th Street, Des Moines, Iowa. Request a Criminal History Background Check | Iowa.gov iowa.gov https://.iowa.gov › how-do-i-request-criminal-histor... iowa.gov https://.iowa.gov › how-do-i-request-criminal-histor...
Fill IOWA HEALTH CARE FACILITY (135C) RECORD CHECK Form C
Form C. ACCOUNT NUMBER___________________. Form C. ACCOUNT NUMBER. Record check evaluation requests for employers. Currently processing forms received on September 11, 2025. Form C. Iowa Division of Criminal Investigation. The document outlines the procedures and forms required for conducting criminal history checks and dependent adult abuse information requests in Iowa. Do you have a record of founded child or dependent adult abuse or have you ever been convicted of a crime, in this state or any other state? The document is a request form for an Iowa criminal history check, specifically for individuals associated with the Longhouse-Northshire facility.
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