Follow the steps to complete the background check form online.

1. Click the ‘Get Form’ button to access the Health Care Worker Background Check form.
2. In the form, click in the space after 'First Name' and enter your first name. Use the Tab key to navigate to the next field.
3. Complete the 'Full Middle Name' and 'Last Name' fields by entering your full middle name and last name respectively.
4. Provide your 'Mailing Address', including the 'City', 'State', and 'Zip Code'.
5. If you have used other names, fill in the 'Other Names Used' section. Enter your primary telephone number in the 'Telephone' field.
6. List the 'States Where You Have Lived' in the corresponding area.
7. Select your gender by marking either 'Male' or 'Female'. Enter your race by selecting from the options provided.
8. Detail your physical characteristics by specifying your height in feet and inches, weight in pounds, 'Date of Birth', and 'City/State of Birth'.
9. Enter your Social Security number in the appropriate field as this is required by law.
10. Indicate your hair color by selecting the corresponding option from the list.
11. Respond to questions regarding any administrative findings of abuse, neglect, or theft by selecting 'Yes' or 'No' and provide details if applicable.
12. Answer whether you have been convicted of a criminal offense beyond a minor traffic violation, providing details if you answer 'Yes'.
13. After completing all fields, review the information for accuracy. It is crucial to ensure all entries are correct before finalizing.
14. Print the completed form by clicking on the 'PRINT' button located at the top of the form.
15. Once printed and confirmed as accurate, click the 'CLEAR FORM' button to remove your personal information from the form.
16. Close your browser after clearing the form to ensure that your information is protected.

Complete the IL DoH Health Care Worker Background Check online today to ensure you meet the requirements for your desired health care role.