Record Requests and Applicant Affidavit

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Applicant Request for a Copy of Background Check Information Form (DSHS  27-110)

The Applicant Request for a Copy of Background Check Information Form is only to be used by the applicant to request a copy of their background check information OR to request a copy of their Additional Information Needed packet. Applicants MUST attach a copy of their valid government issued picture identification to form. 

IMPORTANT: BCCU cannot discuss results with the applicant over the phone until the applicant has a copy of their background information. Please have background check information readily available when contacting BCCU.

Please Note: Applicants will automatically receive results only if there is reported Criminal History Record Information (CHRI) and the entity that is requesting the background check is within a program that has authorized BCCU to send those results. If BCCU is authorized to send result information, the applicants will receive their result packet to the email (if requested/allowed) or mailing address that was provided on their Background Check Authorization form (BAF). Please wait five (5) business days after the final result has been issued prior to requesting a copy of your results.

No Record and Interim Fingerprint Result letters are not automatically sent to the applicant as No Record indicates there is no CHRI reported by our data sources and the Interim Fingerprint Result isn’t a completed background check result letter. BCCU staff will only send completed WA State N/DOB and Final Fingerprint Background Check result letters. BCCU will also send requests for additional information packets to the applicant if clarification is needed prior to issuing their background check results letter.

 

Applicant Affidavit Form (DSHS 27-109)

The BCCU Applicant Affidavit Form is for the applicant to clarify or provide specific details relating to their criminal history or self-disclosure. The applicant may need to clarify or provide additional details on crimes reported by the following sources:

  • Crimes or Negative Actions reported through a centralized database

  • Self-disclosures made on the Background Check Authorization Form

  • Correct errors on the Background Check Authorization Form

IMPORTANT: The Applicant Affidavit Form is not a substitute for the Background Authorization Form. If you need a background check completed for an employee, please use the Background Check Authorization Form.

 

Helpful Resources

For further assistance, please contact BCCU.

Visit our FAQ page to find additional information related to Findings and Court Documents.

 

Additional Information Packets

BCCU may ask for more information before completing a background check, which may include an Applicant Affidavit Form.  This can happen when BCCU cannot accurately determine a result from the criminal history information that is provided to us.

View our YouTube tutorial below on completing an Additional Information request: