Get Cbc Consent Form

Filling out the CBC Consent Form online can be a simple and straightforward process when approached step-by-step. This guide will help you navigate each section of the form effectively, ensuring that you provide all necessary information accurately.

Follow the steps to complete the CBC Consent Form online:

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin with Part 1: Applicant Information. In this section, clearly print your last name, first name, middle initial, social security number, and date of birth. Make sure to provide your current applicant address and select your applicant type by circling the appropriate options.
3. Proceed to Part 2: Attestation. Carefully read each statement and confirm your understanding of the requirements. You may need to check the boxes that apply to your situation regarding criminal convictions or pending charges, providing further details if necessary.
4. Continue down the attestation section by reviewing your rights and obligations regarding your social security number and the confidentiality of your criminal history information. Make sure to sign and date this section to affirm that all information provided is accurate.
5. If you are under 18 years of age, ensure that a parent or guardian also signs the form, indicating their consent.
6. Complete Part 3 by filling in the facility or provider agency authorized person's information, including their name, title, and email address.
7. After filling out all sections, carefully review your entries for accuracy and completeness. Once satisfied, you can save changes, download, print, or share the completed form as required.

Take the next step and complete your documents online for a smooth submission process.