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Background Check Request Form Template

Streamline Your Hiring Process with Our Background Check Template

Navigating the hiring process can be challenging, especially when ensuring a candidate's background is trustworthy. This Background Check Request Form template helps you easily gather essential information from applicants, promoting a smooth onboarding experience. With this tool, you can securely assess potential hires, comply with legal requirements, and maintain workplace safety, all while ensuring your forms are accessible and user-friendly on any device. Explore this practical solution to simplify your background check requests today.

Use this Template (FREE) Live Preview
Organization or landlord name
Requester full name
Work email
Work phone
Purpose of background check
Employment (pre-hire)
Employment (post-hire)
Volunteer
Tenant screening
Contractor
Licensing
Other
Please Specify:
Full legal name
Date of birth
Other names or aliases used
Subject email
Subject phone
Social Security Number (last 4 digits, US only)
Do you consent to provide your full SSN securely if required?
Yes
No
Current address (street, city, state/province, postal code, country)
Move-in date (current address)
List any previous addresses from the last 7 years (include dates)
Most recent employer (name, city, supervisor/contact, start and end dates)
School name and location (for highest level)
Highest education level completed
High school or equivalent
Some college
Associate degree
Bachelor's degree
Master's degree
Doctorate
Trade/Professional certification
Prefer not to say
Types of checks requested
Jurisdictions to search (states, counties, or countries)
I have provided a written disclosure to the subject that a consumer report/background check may be obtained (where required).
Yes
No
I authorize the procurement of background reports for the stated purpose.
Yes
No
I certify that the information provided in this form is true and accurate.
True
False
Signature (type your full legal name)
Signature date
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Paper art illustration related to background check request form template for FormCreatorAI

When to use this form

Use this request when you need to screen a job candidate, volunteer, contractor, or tenant before making a decision. HR teams can standardize what to check, collect IDs and history, and route the request to your screening provider. For example, ask a driver applicant for license details and a 7-year address history, or ask a caregiver candidate for education and employment history. Pair this request with a Background check authorization form to capture consent, and add an Employment verification release form if you plan to contact past employers. The result is a clear, auditable record that helps you move fast while meeting compliance and fairness standards.

Must Ask Background Check Request Questions

  1. What is your full legal name and any prior names used?

    Aliases ensure you search the right records across courts and agencies. Missing a maiden or former name can cause missed hits or delays.

  2. What is your current address and your address history for the past 7 years?

    Addresses determine which county and state records to check. A complete timeline reduces false matches and speeds up results.

  3. What is your date of birth and government ID number (SSN or national ID)?

    These identifiers confirm identity and reduce mismatches with people who have similar names. Collect only what you need and store it securely under your data policy.

  4. Which screenings should we run for this role or purpose (criminal, employment, education, driving, credit)?

    Defining scope upfront keeps your process relevant and compliant with job requirements. It also helps your screening partner quote timelines and costs accurately.

  5. What is your employment history, including employer, title, dates, and supervisor contact?

    Specific details make verification faster and more reliable. To streamline outreach, use an Employment verification form, and for freelancers, pair it with the Self-employment verification form.

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