Get Employer Criminal Background Check Notification Formpdf Document

Filling out the Employer Criminal Background Check Notification Form is a crucial step in ensuring a safe environment in child care facilities. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete your form

1. Click ‘Get Form’ button to acquire the form and open it for editing.
2. Fill out the facility name in the designated field, ensuring that the name accurately reflects your child care establishment.
3. Provide the DVN (Departmental Vendor Number) of your facility, which can be obtained through your licensing documents.
4. Enter the owner's name, and ensure it matches the name registered with your child care facility.
5. Insert the contact person's name, followed by their email address and phone number for any follow-up communication.
6. Complete the mailing address section, including city, state, zip code, and county to ensure accurate communication and documentation.
7. Select the appropriate facility type by checking the corresponding box, such as family child care home, group child care home, child care center, or nursery school.
8. Indicate the status of your facility by selecting from the options of licensed, license exempt, or pending licensure.
9. List the employees or applicants to be fingerprinted by entering their last name, first name, middle initial, and social security number.
10. Provide the date of birth for each individual listed and indicate if they have lived in any other state(s) besides Missouri in the past five years by selecting yes or no. If yes, specify the states.
11. Record the date that fingerprints were taken for the individuals listed.
12. Read and confirm the statement declaring that the information provided is accurate to the best of your knowledge.
13. Sign the form by providing the signature of the owner, board chairperson, or designee, circling the appropriate title, and include the date of signing.
14. Review the completed form for accuracy, then save your changes. You can download, print, or share the form as needed.

Complete your Employer Criminal Background Check Notification Form online today to ensure compliance and safety in your child care facility.