Follow the steps to complete the form online.

1. Click ‘Get Form’ button to access the form and open it in your editing interface.
2. Begin by entering your name in the designated field for 'Applicant Name.' Make sure to provide your full legal name.
3. In the section regarding the purpose of the request, select one of the options: Employment, Day Care, Volunteer, Intern, Mentor, or Other. This indicates the reason for the background check.
4. Provide the name of the agency that is requesting the background check in the specified field.
5. Complete the address section thoroughly, including your street address, city, state, and zip code.
6. List all previous names you have used, including maiden names and names from previous marriages.
7. Add the names of any spouses or other adults currently or previously living in your home, ensuring to include their first and last names.
8. Indicate how many years and months you have resided at your current address.
9. List all previous addresses for the past five years, providing details such as street number, city, and zip code. Make sure to check if an additional sheet is necessary.
10. In the section for children, list all biological children, stepchildren, and adult children living in or out of the home. Fill in their details including last name, first name, middle initial, date of birth, and gender.
11. Answer the questions regarding any active DCF investigations or appeals. Be sure to sign and date the form at the end.
12. After completing the form, ensure there are no blank spaces. Specify 'N/A' where applicable. Review your information for accuracy before submission.
13. Save your changes, then download, print, or share the form as necessary. Ensure you follow the submission instructions provided for emailing, faxing, or mailing the form.

Complete and submit your documents online to ensure a smooth background check process.