TEXAS ANNUAL CONFERENCE CONSENT TO PERFORM CRIMINAL HISTORY/BACKGROUND CHECK IN COMPLIANCE WITH THE FCRA (FAIR CREDIT REPORTING ACT) Last Name First Name Middle Name or Initial Maiden or other name(s) used in any and all other records of 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Last Name, First Name, Middle Name or Initial, and any Maiden or other names used in the designated fields.
  3. Fill in your Address, Apartment number (if applicable), City, County, State, and Zip code accurately.
  4. Provide your Date of Birth and Social Security Number. Ensure these details are correct as they are crucial for the background check.
  5. Complete the Place of Birth and Drivers License Number sections. Include your email address for communication purposes.
  6. Indicate your Gender and Race as required. Fill in your phone numbers for home and work.
  7. Answer the questions regarding criminal history truthfully. If applicable, provide details for each question asked.
  8. List all counties and states of residence since high school graduation or age 18 in the provided section.
  9. Finally, certify that all information is true by signing and dating the form at the bottom.

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