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Background Check Forms

The most current versions of the DHS background check forms are located here. 

NEW! The Background Check Request form (MSC301QED) and the Instructions for the QED about the 301 form (MSC QED-Inst) have been updated to coincide with CRIMS data entry. 

If you subscribe to updates on our site, you will be notified when the forms are in place.  Otherwise, please refer to this forms page periodically. 

 

Form Number Form Name 
 
Revision date
MSC 0299 Hearing Request: English: (PDF) (Word) 09/07/2011
MSC 0299
Spanish
Hearing Request: En Español (PDF) (Word) 09/07/2011
DHS 0299HR Hearing Request - for Abuse and Criminal Records Checks with Adverse Outcomes (To be used only by DHS or OHA for background checks originating on the 301HR form): (Word) 10/30/2009
MSC 0301QED Background Check Request - THIS FORM IS OPTIONAL and may be used to gather information to be entered into the CRIMS System. IF you use this form, scan and attach it as a document to the Subject Individual's record when submitting in CRIMS: (Word) 10/2012
MSC 0301QED Spanish NEW Background Check Request En Español: (Word) 10/2012
MSC 0301QED  Instructions Background Check Instructions for qualified entity designees (QEDs): (Word) 10/2012

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