Get Or Msc 301 2012-2026

The OR MSC 301 form is essential for conducting background checks for individuals in various positions. This guide will provide you with clear, step-by-step instructions on how to navigate and complete this form online effectively.

Follow the steps to successfully complete the OR MSC 301 form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your online editor.
2. In Section 1, completed by the Qualified Entity Designee (QED) or Qualified Entity Initiator (QEI), enter the QED agency name, street address, city, state, and ZIP code. Provide the QED’s name and phone number, along with the QEI’s name and phone number if applicable.
3. Select the application type that corresponds to the program area for the position. Additionally, indicate if this application is for a skilled position in a nursing facility and specify whether the position is paid or non-paid.
4. Enter the start date for the position in the format mm/dd/yyyy. Decide if this is a recheck of the Subject Individual (SI) in the same position.
5. Provide the position title and a brief description of the duties associated with this role.
6. Indicate whether the position requires direct contact with children, adults, seniors, or confidential information. Check all applicable boxes.
7. Specify whether the duties require driving by selecting 'Yes' or 'No.'
8. List the types of documents checked to verify the SI's identity and provide initials of the person checking the ID.
9. Document the worksite locations and addresses for the position.
10. In Section 2, the Subject Individual (SI) should enter their complete name, social security number (optional), date of birth, and email address.
11. Select gender and enter the driver's license or state ID information, including state and number.
12. Check the box if you prefer correspondence to be sent to your mailing address instead of your email address.
13. Provide the residence address and optional mailing address, including city, state, and ZIP code.
14. Input your home and mobile phone numbers.
15. Disclose if you have lived outside of Oregon in the past five years for over 60 days, and provide details for each residence if applicable.
16. Answer whether you have ever been charged, arrested, and/or convicted of a crime. List all details if applicable, including the outcome.
17. Sign and date the form at the end of Section 2.
18. In Section 3, the QED completes the final fields, indicating if the SI disclosed any adverse criminal history. Make sure to sign and date this section.
19. Once all fields are accurately filled, save your changes. You have the option to download, print, or share the completed form.

Complete your OR MSC 301 online today and ensure timely processing of your background check request.