Get Waiver Agreement And Privacy Act Statement - Iowa Board Of ...

Filling out the waiver agreement and privacy act statement is an essential process for individuals who require fingerprint-based national criminal history record checks for noncriminal justice purposes. This guide will help you navigate the form online with clear, step-by-step instructions.

Follow the steps to complete the waiver agreement and privacy act statement online.

1. Click the ‘Get Form’ button to access the waiver agreement and privacy act statement and open it in the online editor.
2. Begin by reading the introduction section carefully, ensuring that you understand the purpose of the agreement and your rights as a noncriminal justice applicant.
3. In the acknowledgment section, check the appropriate box that applies to your status: employee, volunteer, contractor/vendor, or licensee. Ensure you select one that accurately reflects your role.
4. Provide your personal information as it appears on a valid identification document. This includes your printed name, residential address, date of birth, city, state, and zip code.
5. Initial next to each statement listed under the acknowledgment section to confirm your understanding of your rights and the use of your fingerprints. Make sure to read each statement carefully.
6. If applicable, indicate whether you have been convicted of a crime by checking the appropriate box. If you have, provide a brief description of the crime(s) and particulars of the conviction(s) in the designated area.
7. Sign and date the form at the bottom of the page, affirming that you authorize the release and dissemination of your criminal history record.
8. If required, the qualified entity representative will also sign the form and fill in their details. Ensure that they provide you with a copy of the signed agreement.
9. Once completed, save the changes to the form, download it, print it, or share it as needed.

Complete your waiver agreement and privacy act statement online today to ensure your application is processed promptly.