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Criminal History Check Forms
The current version of DHS criminal history check forms are located here. When initiating the criminal history check process, please download the forms you need from the list below to ensure you are using the latest version.
New! Effective October 1, 2009, forms for DHS employees, DHS volunteers and contractors working directly in DHS are located on the DHS forms server.
| Form Number |
Form Name
|
Revision
date |
| DHS 0298 |
Authorized Designee and Contact Person Application: (PDF) or (Word) |
1/2009 |
| DHS 0299 |
Hearing Request: English: (PDF), (Word) or En Español (PDF) |
1/2009 |
| DHS 0300 |
Notice of Final Fitness Determination: English: (PDF) (Word ) or En Español (PDF) (Word) |
1/2009 |
| DHS 0301AD |
Criminal History Request (for use when the final fitness determination will be conducted by an Authorized Designee): (PDF) or (Word) or En Español (PDF) or (Word) |
1/2009 |
| DHS 0301CP |
Criminal History Request (for use when the final fitness determination will be conducted by the DHS Criminal Records Unit): English: (PDF), (Word) or En Español (PDF) or (Word) |
1/2009 |
DHS 0301AD/
CP Instructions |
Instructions for completing the DHS 0301AD and DHS 0301CP for the subject individual:
(PDF) |
1/2009 |
| DHS 0303SA |
Criminal History Check - Supplement For Personnel Services or Staffing Agencies: (PDF) or (Word) |
12/1/07 |
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