Basic Employee Application

 

This is the Online Basic Disclosure application form specifically for the members of staff of our clients. Please note for you to proceed with your application you should be in receipt of a pre-paid reference number which would have been issued by us to your employer.

 

 

Please confirm you require the Basic Disclosure (Required)


Employers reference number (Required)

Employers company name (Required)


PERSONAL INFORMATION

Your Gender (Required)

Title (Required)

First Name (Required)

Surname (Required)

Enter Your Middle Name

Date of Birth (Required)
/ /

Surname at Birth

Have you changed your name by marriage/deed poll/adoption/other reason? (Required)

If Yes state Previous Name here

Date of change
/ /

Have you changed your name for a second time by marriage/deed poll/adoption/other reason? This could include reverting back to your maiden name.(Required)

If Yes state previous name here

Date of change
/ /

Mother's Maiden name (Required)

Town Of Birth (Required)

County or District (Required)

Country of Birth (Required)

Nationality (Required)


ADDRESS HISTORY

To process your criminal record check you will need to supply us with a full 5 year address history. You will also need to show proof of your current address which can be in the form of a utility bill which can be uploaded in the IDENTIFICATION section below.

Current Address (Required)

From
/ /

To
/ /

Have you lived at this address for 5 yrs or more ? (If No please complete the second address box) (Required)

Second Address

From
/ /

To
/ /

Have you completed your 5 year address history? (If No please complete the third address box)

Third Address

From
/ /

To
/ /

Have you completed your 5 year address history?

Fourth Address

From
/ /

To
/ /

Have you completed your 5 year address history?


IDENTIFICATION

For CRB-check.com to process your criminal record check we will require you to supply us with a scanned copy of your current passport or driving licence and proof of address. These can be uploaded in the section below and will be used in the processing of your application. You can skip this section but please be aware that we are not able to start your application until we have received all the information necessary. If you do not have a current passport or driving licence please contact us and we will inform you on what other documents we will accept.

Please confirm you have either included (Required)
 Passport Drivers Licence Neither (Sending by post/email)

Passport / Driving licence Date of issue.
/ /

Please upload a copy of your Valid Passport or Drivers Licence (Skip if necessary).


Please confirm you have included the following
 Official document showing your current home address (Sending by post/email)

Please upload a copy of a document showing your current address (Skip if necessary).


Please upload a copy of the signed declaration which was supplied by your employer. (Skip if necessary).


National Insurance No. (Required)


Your Contact No. (Required)

Your Email Address (Required)

DECLARATION

I confirm that the information that I have provided in support of this application is
complete and true and understand that knowingly to make a false statement for this
purpose is a criminal offence.

I consent to UK Employee Checks checking the details I have provided in support of this application
in order to verify my identity and process this application.

We will need your acceptance for us to process your application (Required)

My acceptance is given for you to process my application and I agree to all the terms and conditions


If the box is greyed out please make sure you have ticked both boxes at the top and bottom of the application form.

 

If you experience problems with submitting your application form and you see the message “processing” this  might be due to the fact that the files attached are too large. If this is the case please submit your application without attaching your documents. The documents can be supplied by email to enquiry@crb-check.com.  Please mark in the subject line of the email your full name so we can match your application to your supporting documents.