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CONSUMER DISCLOSURE AND AUTHORIZATION FORM Disclosure Regarding Background Investigation Providence Health & Services (the Coma y”) may request, for lawful employment purposes, background information
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How to fill out the bgc-disclosure-and-consent form-minordoc - www2:

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Start by downloading the form from the www2 website.
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Open the form using a PDF reader or other compatible software.
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Read the instructions carefully to understand the purpose and requirements of the form.
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Begin by filling out the personal information section, including the minor's name, date of birth, and address.
05
Provide the contact details of the parent or legal guardian, such as their name, phone number, and email address.
06
If applicable, indicate any previous names or aliases the minor may have used.
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Answer the background questions honestly and accurately. These questions may inquire about the minor's criminal record, previous disciplinary actions, or any current legal issues.
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If there are any additional details or explanations needed for the background questions, use the provided space to provide a clear and concise response.
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Ensure that the form is signed and dated by both the minor and the parent or legal guardian.
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Review the completed form to ensure all information is accurate, legible, and complete.

Who needs the bgc-disclosure-and-consent form-minordoc - www2:

The bgc-disclosure-and-consent form-minordoc - www2 is required for minors who are undergoing background checks as part of a specific application process. This could include individuals applying for jobs, volunteering positions, internships, or participating in certain programs or activities that require a background check. The form ensures that the minor and their parent or legal guardian provide consent for the background check to be conducted.
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