Get Ddd-1703a - Provider Request For Central Registry Background Check. Provider Request For Central

Filling out the DDD-1703A form online is a crucial step in initiating a Central Registry background check for prospective or current employees providing services to vulnerable populations. This guide provides a clear, step-by-step approach to ensure your submission is accurate and complies with the required standards.

Follow the steps to complete the request form successfully.

1. Click the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Complete the cover sheet by entering the contractor or subcontractor name in the designated field, ensuring all entries are accurate and clear.
3. Check all applicable boxes for the request type, including whether it pertains to a new employee or existing contracts.
4. Fill in the tracking number, which should be a unique combination used to track your request — avoid using names or Social Security numbers for individuals.
5. Provide the name, email address, and phone number of the person authorized to submit the request.
6. Enter the date of the request and ensure the requestor’s signature is included for validation.
7. Attach the request forms (page 2) with the cover sheet, ensuring all fields on the request form are also completed accurately.
8. Submit your completed cover sheet and request forms via the designated secure email, fax, or mail options provided at the bottom of the cover sheet.
9. Once submitted, track the response based on the type of report received. Notifications will be sent within two working days.
10. Save, download or print your submission for your records to ensure compliance and documentation.

Start your application process today by completing the DDD-1703A form online.