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Healthcare worker background check form 2025

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The document is a Health Care Worker Background Check Form from the State of Illinois, which outlines the process for individuals to authorize a criminal history records check. It includes instructions for filling out the form, emphasizes the importance of accuracy, and details the information required for identification purposes. The form also includes consent for sharing criminal record information with relevant authorities and acknowledges potential consequences for false statements.

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (25 Votes)
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2007	4.2 Satisfied (55 Votes)

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What is a CACI background check?

The Child Abuse Central Index (CACI) name check is an additional check required for individuals who will be associated to any facility that cares for children. The Department of Justice administers the CACI, which is a statewide database used by law enforcement and agencies that provide childrens services.

How to get a free background check in Illinois?

To obtain these public records, visit the state records website by typing in Illinois State Records. Next, type in the persons name and city to conduct a free background check.

What is the phone number for the Illinois background check?

The ISP prefers an email request at isp.boi.customer.support@illinois.gov; to contact the ISP by phone call 815-740-5160, then select option #2.

How much does a background check cost in Illinois?

Fee Schedule Submission TypeManual/Paper FormElectronic/Live ScanState Only$20.00$15.00FBI Only$13.25$13.25State FBI$33.25$28.25National Child Protection Act/Volunteers for Children Act and Adam Walsh VolunteersN/A$26.2510 more rows

What disqualifies you from being a caregiver?

Other states might allow caregivers with certain misdemeanor convictions to be hired, but most prohibit hiring those who have a history of abuse, neglect, exploitation, or sex offenses from working as caregivers.

How do I obtain a background check in Illinois?

Any individual may approach any Illinois law enforcement or correctional facility or licensed fingerprint vendor agency during regular business hours for the purpose of obtaining the individuals criminal history transcript through Illinois Access and Review process.

What questions are asked on an employment verification background check?

What Employers Want to Know Dates of employment. Educational degrees and dates. Job title. Job description. Why the employee left the job. Whether the employee was terminated for cause. Whether there were any issues with the employee regarding absenteeism or tardiness. Whether the employee is eligible for rehire.

How long does a background check take in Illinois?

National, federal, and state criminal background checks are typically complete in one to three business days; county checks may take longer if in-person visits to the courthouse are required.

Healthcare worker background check form 2025

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