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DPP106D (R. 8/11)Commonwealth of Kentucky Cabinet for Health and Family Services Department for Community Based ServicesMEDICAL APPOINTMENT TODAY IS DATE: CHILD IS NAME: DOB: DUBS CASE NUMBER: REASON
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Obtain the authorization form for background check from the relevant authority or organization.
02
Read the form carefully and provide all the requested personal information, such as full name, date of birth, and address.
03
Fill out any additional details required, such as previous addresses or employment history.
04
Review the form to ensure all information is accurate and complete before signing.
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Sign and date the authorization form.
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Submit the completed form to the designated authority or organization for processing.

Who needs authorization for background check?

01
Various entities may require authorization for background checks, including:
02
- Employers: Employers often conduct background checks on prospective employees as part of their hiring process.
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- Landlords: Landlords may require background checks on potential tenants to ensure their trustworthiness and ability to pay rent.
04
- Volunteer Organizations: Organizations that work with vulnerable populations, such as children or elderly, may require background checks for volunteers.
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- Financial Institutions: Financial institutions or lenders may require background checks for loan applicants to assess their creditworthiness.
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- Government Agencies: Certain government agencies may require background checks for security clearances or licensing purposes.
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- Immigration Authorities: Background checks may be required by immigration authorities to determine eligibility for visas or residency.
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Authorization for background check is a formal consent given by an individual allowing an employer or organization to conduct a background check, including criminal records, credit history, and other pertinent information.
Typically, employers, organizations, or agencies that wish to conduct background checks on potential employees or volunteers are required to file authorization for background checks.
To fill out the authorization for background check, an individual usually needs to provide personal information such as name, address, Social Security number, and date of birth, along with signatures to consent to the process.
The purpose of authorization for background check is to ensure that the individual is aware of and consents to the investigation of their background, which helps employers make informed decisions regarding hiring or other engagements.
The information that must be reported generally includes personal identification details, the purpose of the background check, and any rights the applicant has regarding the process.
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