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DHS OF September 2019CBS USE ONLY UTAH DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSINGLive Scan completed195 North 1950 West, Salt Lake City, Utah 84116TCN: BACKGROUND SCREENING APPLICATION for All
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How to fill out dhs background screening application

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Start by accessing the DHS background screening application form.
02
Read the instructions and gather all the necessary documents and information.
03
Fill in your personal details accurately, including your full name, address, contact information, and social security number.
04
Provide information about your employment history, including previous employers, positions held, and dates of employment.
05
Provide information about your educational background, including schools attended and degrees obtained.
06
Answer any additional questions regarding criminal history, professional licenses, and certifications.
07
Review the completed application form for any errors or missing information.
08
Sign and date the application form.
09
Submit the application form along with the required supporting documents to the designated DHS office.
10
Wait for the screening process to be completed and follow any additional instructions provided by the DHS.

Who needs dhs background screening application?

01
Individuals who are required to undergo a background screening by the Department of Homeland Security (DHS) need to fill out the DHS background screening application. This includes employees, contractors, volunteers, and other individuals who will have access to sensitive information, facilities, or systems controlled by the DHS. The specific requirements for the background screening application may vary depending on the role and level of access required.
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The DHS background screening application is a process mandated by the Department of Health Services (DHS) to evaluate the eligibility of individuals for certain roles within organizations that provide health services or have access to sensitive information.
Individuals who are seeking employment or affiliation with a DHS-regulated entity, particularly those working with vulnerable populations or sensitive information, are required to file the DHS background screening application.
To fill out the DHS background screening application, individuals must provide personal information such as name, address, social security number, and work history, and submit any required documents for verification. It is important to follow the specific instructions provided by DHS to ensure completeness and accuracy.
The purpose of the DHS background screening application is to ensure the safety and welfare of individuals receiving services, by assessing the background of personnel who may pose a risk to vulnerable populations.
The DHS background screening application requires reporting of personal identification details, criminal history, employment history, and any disqualifying offenses, as specified by DHS guidelines.
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