Get Ny Jc Cbc 4 2017-2025

This guide provides a clear and supportive approach to filling out the NY JC CBC 4 form, which is essential for the criminal background check process. Follow the outlined steps to ensure accurate completion for your application.

Follow the steps to successfully complete the NY JC CBC 4 form.

1. Press the ‘Get Form’ button to access the NY JC CBC 4 form and open it for editing.
2. In Part 1, fill in your last name, first name, and middle initial. Include your date of birth, address (city and state), and social security number. Select your applicant type by marking the appropriate option (Employee, Volunteer, Family Care, Operator). Lastly, enter the name of the facility or provider.
3. In Part 2, read the attestation carefully. Confirm your understanding by acknowledging each statement and indicating whether you have been convicted of a crime. Check the appropriate boxes next to the options that apply to you and provide any necessary details if applicable.
4. Affix your signature in the designated area and write the date. If you are under 18, ensure that a guardian's signature is included, along with the date.
5. In Part 3, fill out the information for the authorized person at the facility or provider agency. This includes their name, title, signature, and email address.
6. After reviewing the completed form for accuracy, save your changes. You may then download, print, or share the form as needed.

Complete your NY JC CBC 4 form online today to expedite your application process.