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Criminal Background Check Form

The Criminal Background Check Form is used to collect information from an individual about their criminal history. The form asks for the individual's name, date of birth, Social Security number, and other identifying information. The form also asks about the individual's criminal history, including any arrests, convictions, and incarcerations.

Time to complete

3 minutes

Eligibility

Any individual who is required to undergo a criminal background check may be asked to fill out this form.

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Questions for Criminal Background Check Form

1.

What is your full name?

The answer should be a text input.
2.

What is your date of birth?

The answer should be a date input.
3.

What is your Social Security number?

The answer should be a text input.
4.

What is your current address?

The answer should be a text input.
5.

What is your phone number?

The answer should be a phone number.
6.

What is your email address?

The answer should be an email input.
7.

Have you ever been arrested?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
8.

Have you ever been convicted of a crime?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
9.

Have you ever served time in jail or prison?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
10.

Are you currently on probation or parole? If so, please explain the circumstances.

The answer should be a text input.
11.

Do you have any outstanding warrants?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
12.

Have you ever been denied a gun permit?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
13.

Have you ever been involuntarily committed to a mental institution?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
14.

Are you currently under the care of a mental health professional?

The answer should be a text input.
15.

Do you have any physical or mental health conditions that would prevent you from safely using a firearm?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
16.

Do you have any allergies?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
17.

Do you have any chronic health conditions?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
18.

Do you have any mental health conditions?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure

Similar Ideas

  • Background Check Authorization Form
  • Criminal History Authorization Form
  • Criminal Record Check Authorization Form
  • Criminal Background Investigation Authorization Form

Here are some FAQs and additional information
on
Criminal Background Check Form

What is a criminal background check?

A criminal background check is a check of an individual's criminal history. This can be done through a number of different sources, including government agencies and private companies.

What is the purpose of a criminal background check?

The purpose of a criminal background check is to help ensure that an individual does not have a history of criminal activity that could potentially pose a threat to others.

What information is typically included in a criminal background check?

A criminal background check will typically include an individual's name, date of birth, Social Security number, and any criminal convictions that are on record.

How long does a criminal background check take to complete?

The length of time it takes to complete a criminal background check can vary depending on the source of the information and the method used to obtain it. Generally, however, it can take anywhere from a few days to a few weeks.

How much does a criminal background check cost?

The cost of a criminal background check can also vary depending on the source of the information and the method used to obtain it. Generally, however, it can cost anywhere from a few dollars to a few hundred dollars.

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