Application Background Disclosure Form. Illinois Secretary of State Application Background Disclosure Form for Employment 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field at the top of the form. Ensure that it is typed or printed clearly.
3. Next, provide your Social Security Number in the specified format. This information is crucial for identification purposes.
4. If applicable, answer 'YES' to questions #1 and/or #2 from the front page of the Secretary of State Employment Application. Use this form to provide detailed explanations.
5. For any criminal convictions, fill out the section regarding charges, location of offense, date of conviction, sentence, and a brief explanation of your involvement.
6. If you have been discharged from employment, complete that section with your employer's name, address, dates of employment, job title, date of action taken against you, and an explanation.
7. Review all entries for accuracy before submitting. You may attach additional pages if necessary.
8. Finally, return the completed Background Disclosure Form along with your Employment Application to the specified addresses provided on the form.

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