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Criminal History Check Consent Form

Criminal History Check Consent Form 2025

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The document is a Criminal History Check Consent Form from the Inter-Tribal Council of Michigan, Inc. It authorizes the council to conduct a criminal background check for individuals seeking to provide services as Access to Recovery (ATR) providers. The purpose is to ensure that no individual with serious criminal convictions, particularly those involving violence or offenses against children, is approved as an ATR provider. The form outlines the disclosure of information, the need for such checks due to contact with vulnerable populations, and details on records management.

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Click ‘Get Form’ to open the Criminal History Check Consent Form in the editor.
Begin by clearly printing your name in the designated field at the top of the form.
Fill in your Social Security number, ensuring accuracy for identification purposes.
Provide any other names you are known by, if applicable, to assist in background checks.
Complete your address, race, gender, and date of birth in the respective fields.
Answer the questions regarding past arrests and felony convictions by checking 'yes' or 'no'.
Finally, certify that all information is true by signing and dating the form at the bottom.

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What is a background check authorization form?

For example, some candidates may have a failed background check because of their credit history, and others may fail because of a criminal conviction, suspended drivers license, or positive drug test.

What is background check consent?

Purpose: This document serves as a formal authorization for employers to perform background checks on an individual being considered for employment. The information obtained through these checks will be used solely for employment-related decisions and in accordance with applicable laws.

What is the authorization form for a background check?

A background check authorization form is a release given to allow someone else to perform credit and criminal background checks. A person who is agreeing to have their information looked up must provide consent to the requesting party.

How do you write a consent letter for a background check?

I, , hereby authorize [name of company] to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying.

What is a background check consent form?

Consent form: This document is where the candidate provides written consent to the background check process. The candidate electronically signs with their full name. The name the candidate signs must match the one they entered earlier in the process.