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Click ‘Get Form’ to open the Background Disclosure Form in the editor.
Begin by entering your last name, first name, and middle name in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in your physical street address (no PO Box), city, state, zip code, and county. This information helps establish your residency.
Provide your date of birth and telephone number. This data is essential for verification purposes.
Complete the work history section for the past five years by listing dates of employment, business names, and descriptions of employment. Attach additional pages if necessary.
Answer the yes/no questions regarding occupational licenses and any legal issues. If you answer 'yes' to any question, attach relevant documentation directly to your application.
Finally, certify that all information provided is true by signing and dating the form. Include your title as required.
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