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By mail: Send this form and Rap Disclosure form with two fingerprint cards to:In person: Bring this form and Rap Disclosure form and submit electronic fingerprints at:Louisiana State Police Bureau
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Obtain a copy of the LDH Criminal Background Authorization form.
02
Read the instructions provided on the form carefully.
03
Fill out your personal information accurately in the designated fields.
04
Provide any additional required information, such as your social security number or driver's license number.
05
Sign and date the authorization form.
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Submit the completed form to the appropriate authority or organization as directed.
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Keep a copy of the filled-out form for your records.

Who needs ldh criminal background authorization?

01
Anyone who is required to undergo a criminal background check as part of their engagement with the LDH (Louisiana Department of Health) needs the LDH Criminal Background Authorization. This may include individuals applying for certain job positions or volunteer roles within the LDH, as well as those seeking licensure or certification in certain healthcare professions.
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LDH criminal background authorization is a form that allows the Louisiana Department of Health to conduct a criminal background check on individuals applying for certain positions.
Individuals applying for certain positions within the Louisiana Department of Health are required to file LDH criminal background authorization.
LDH criminal background authorization can be filled out online or submitted in person with the required information and signatures.
The purpose of LDH criminal background authorization is to ensure that individuals applying for positions within the Louisiana Department of Health do not have a criminal history that would disqualify them from employment.
LDH criminal background authorization requires information such as name, address, date of birth, social security number, and consent for a criminal background check.
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