Iowa Background Check Printable Form When a background check revealed a criminal conviction including a deferred judgement founded child or dependent adult abuse or a combination thereof complete the Record Check Evaluation form in black ink or typed Record Check Evaluation Spanish Evaluation materials may be submitted via email fax or mailed to
Directions When a background check revealed a criminal conviction including a deferred judgement founded child or dependent adult abuse or a combination thereof complete this form in black ink or typed The person being evaluated must complete Part D for each transgression Any questions in reference to Iowa criminal history records can be answered by writing to the address on the front of this form or calling 515 725 6066 between 8 00 a m and 4 00 p m Monday Friday REMINDER 1 Send in a separate Request Form for each last name 2 a fee is required for each last name submitted 3 a completed Billing
Iowa Background Check Printable Form
Iowa Background Check Printable Form
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Form DCI 77 9 22 21 HOW TO REQUEST AN IOWA CRIMINAL HISTORY RECORD CHECK Please write clearly on the Request Form Iowa criminal history record checks are based on name and exact date of birth Without fingerprints positive identification cannot be determined The records maintained by the Iowa Division of Criminal Investigation DCI are Option 1 You can complete the forms online in a fillable format and download the completed Request and Billing Form to mail fax or email to us Option 2 You can download a blank Request and Billing Form and complete them manually and mail fax or email both forms to us Both forms must be complete or we will not process your request
Any questions in reference to Iowa criminal history records can be answered by writing to the address on the front of this form or calling 515 725 6066 between 8 00 a m and 4 30 p m Monday through Friday If the No CCH record found box is checked it could also mean that information in the file is not releasable per Iowa law without Background checks typically take between 4 6 weeks to process If you have questions concerning the process please call 515 725 9025 Background checks are valid for 180 days from the date the FBI conducted the check
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What is Criminal History Information Will completed deferred judgment information show on a criminal history record check How long is the record check valid Will a charge that has been dismissed show on my criminal history record How long will information stay on my criminal history record REMINDER 1 Send in a separate form for each surname 2 13 for each surname 15 fax or 5 volunteer 3 Attach a billing form with request s and 4 Submit a self addressed envelope Iowa law requires employers to pay the fee for potential employees record checks 595 1489 Rev 4 07
Child Abuse Registry I hereby request and give permission to the Department to conduct a Child Abuse Registry check I further give permission to the Department to conduct such a registry check at any time while I have direct contact with the Department s clients or provide Department approved services for the Department s clients Signature Form C ACCOUNT NUMBER TO Iowa Division of Criminal Investigation FROM Bureau of Identification Wallace State Office Building Des Moines Iowa 50319 515 281 5138 515 242 6876 fax Phone Fax I am requesting an Iowa Criminal History Check on TYPE PRINT LEGIBLY REQUEST Last Name First Name Middle Name mandatory mandatory
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https://hhs.iowa.gov/programs/programs-and-services/record-check-evaluations
When a background check revealed a criminal conviction including a deferred judgement founded child or dependent adult abuse or a combination thereof complete the Record Check Evaluation form in black ink or typed Record Check Evaluation Spanish Evaluation materials may be submitted via email fax or mailed to
https://hhs.iowa.gov/media/4756/download?070520192017=
Directions When a background check revealed a criminal conviction including a deferred judgement founded child or dependent adult abuse or a combination thereof complete this form in black ink or typed The person being evaluated must complete Part D for each transgression
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Form Dci 67 Criminal History Record Check Billing Form Iowa Division Of Criminal
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47 Free Background Check Authorization Forms TemplateLab
47 Free Background Check Authorization Forms TemplateLab
Iowa Background Check Printable Form - Any questions in reference to Iowa criminal history records can be answered by writing to the address on the front of this form or calling 515 725 6066 between 8 00 a m and 4 30 p m Monday through Friday If the No CCH record found box is checked it could also mean that information in the file is not releasable per Iowa law without
