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How to fill out the WAIVER AGREEMENT AND FBI PRIVACY ACT STATEMENT online
This guide provides comprehensive instructions for completing the Waiver Agreement and FBI Privacy Act Statement, essential for fingerprint-based record checks for noncriminal justice purposes. Follow these steps to ensure accurate and efficient submission of your form online.
Follow the steps to complete your WAIVER AGREEMENT AND FBI PRIVACY ACT STATEMENT.
- Click ‘Get Form’ button to obtain the document and open it in the editor for online completion.
- In the first section, provide your name as the applicant, ensuring it matches your identification documents. Include your date of birth and residential address accurately.
- Authorize the recipient by filling in the name of the authorized recipient. This is typically the agency requesting the background check, such as the Kansas Department for Children and Families.
- Indicate whether you have ever been convicted of a crime by checking the appropriate box and provide details of the conviction, if applicable. Include the crime details, date, and location, along with the name of the convicting court.
- Review the section regarding the waiver and the Privacy Act Statement. Ensure that you understand your rights concerning your criminal history record and how to challenge it if needed.
- Sign and date the form to confirm your identity and acceptance of the terms. If you are under 18, a parent or guardian's signature is also required.
- Finally, you will need to save your changes, download the completed form, print it out, or share it as necessary based on the instructions provided by the agency conducting the background check.
Complete your Waiver Agreement and FBI Privacy Act Statement online today.
The Privacy Act of 1974, as amended, 5 U.S.C. § 552a , establishes a code of fair information practices that governs the collection, maintenance, use, and dissemination of information about individuals that is maintained in systems of records by federal agencies.
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