Criminal Background Check (CBC) ProcessJustice Center ApplicantsState of California - Department of 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1: Applicant Information. Fill in your Last Name, First Name, MI, Date of Birth, and Social Security Number. Ensure all details are accurate to avoid processing delays.
3. Indicate your Applicant Type by selecting one of the options: Employee, Volunteer, Family Care Operator.
4. Provide the Facility/Provider Name where you will be applying. This is crucial for linking your background check to the correct agency.
5. In Part 2: Attestation, read each statement carefully. Confirm your understanding and consent by checking the appropriate boxes and signing at the bottom.
6. If applicable, provide details regarding any past convictions or pending charges as instructed in section 7.
7. Complete Part 3 by filling out the Authorized Person Information from the facility or provider agency. Ensure that this section is signed by an authorized individual.

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