Staff test - Checks.co.uk

Your employer has requested you submit your details for a Basic DBS Check

– Please carefully fill in this form

– It will only take 3 minutes

"*" indicates required fields

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Session id

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Key id

Company name*

Email Address*

Enter Email Confirm Email

Title*

First name*

Middle names (s)

Please list all middle names here (if any)

Surname*

Since you are now a MRS, please confirm by clicking YES below and provide your date of marriage along with any other name changes. If your name did not change upon marriage, simply enter your current name together with the date of marriage

Gender*

Have you ever legally changed your name?*

Yes

Only officially registered names

Previous legal names

What was your name before the current one?

Title First name Surname

What date did you make this name change?

Day

Month

Year

This section is optional — add any previous legal names here, if applicable.

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What was your name before the current one? (1)*

Title First name Middle name Surname

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What date did you make this name change? (1)*

Day

Month

Year

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Did you have a previous name before this one? (1)

Yes

What was your name before the current one? (2)*

Title First name Middle name Surname

What date did you make this name change? (2)*

Day

Month

Year

Do you have a previous name before this one? (2)

Yes

What was your name before the current one? (3)*

Title First name Middle name Surname

What date did you make this name change? (3)*

Day

Month

Year

Do you have a previous name before this one? (3)

Yes

What was your name before the current one? (4)*

Title First name Middle name Surname

What date did you make this name change? (4)*

Day

Month

Year

Do you have a previous name before this one? (4)

Yes

Additional Informtion

Phone number*

Date of birth*

Day

Month

Year

You must be over 16 years old

Town born*

Country born*

Country

Do you hold a valid passport?*

Yes

Passport number*

Passport country of issue*

Passport Date of Birth*

Day

Month

Year

Passport Issue Date*

Day

Month

Year

Do you have a valid UK driving license?*

Yes

Driving license number*

Do you have a valid National Insurance number?*

Yes

National Insurance number*

Current Address

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Address finder

Enter your current address here. If we can’t find it automatically, please type it manually below

Current address*

Address Line 1 Address Line 2 Town County Post code Country

Date lived in address above from*

Day

Month

Year

Cover the full 5-year period.

Have you lived at this address for more than 5 years?*

Yes

If your previous addresses is abroad simply enter it below and select the correct country

Previous address

Address Line 1 Address Line 2 Town County Post code Country

Date lived in previous address above from

Day

Month

Year

Please list your previous address below

If your previous addresses is abroad simply enter it below and select the correct country

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Previous address finder (1)

Enter your current address here. If we can’t find it automatically, please type it manually below

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Previous address (1)

Address Line 1 Address Line 2 Town County Post code Country

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Date lived in previous address (1) above from*

Day

Month

Year

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Have you now provided 5 years of address history? (1)

Yes

Please list your previous address below

If your previous addresses is abroad simply enter it below and select the correct country

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Previous address finder (2)

Enter your current address here. If we can’t find it automatically, please type it manually below

Previous address (2)

Address Line 1 Address Line 2 Town County Post code Country

Date lived in previous address (2) above from*

Day

Month

Year

Have you now provided 5 years of address history? (2)

Yes

Please list your previous address below

If your previous addresses is abroad simply enter it below and select the correct country

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Previous address finder (3)

Enter your current address here. If we can’t find it automatically, please type it manually below

Previous address (3)

Address Line 1 Address Line 2 Town County Post code Country

Date lived in previous address (3) above from*

Day

Month

Year

Have you now provided 5 years of address history? (3)

Yes

Please list your previous address below

If your previous addresses is abroad simply enter it below and select the correct country

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Previous address finder (4)

Enter your current address here. If we can’t find it automatically, please type it manually below

Previous address (4)

Address Line 1 Address Line 2 Town County Post code Country

Date lived in previous address (4) above from*

Day

Month

Year

Have you now provided 5 years of address history? (4)

Yes

Please list your previous address below

If your previous addresses is abroad simply enter it below and select the correct country

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Previous address finder (5)

Enter your current address here. If we can’t find it automatically, please type it manually below

Previous address (5)

Address Line 1 Address Line 2 Town County Post code Country

Date lived in previous address (5) above from*

Day

Month

Year

Have you now provided 5 years of address history? (5)

Yes

Terms and Conditions

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DBS Application Fee

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Upsell

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Please select which speed you require

24 hour processing - £84

12 hour processing - £94

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I have read the Basic DBS Check Processing Privacy Policy and acknowledge that I understand how my personal data will be processed

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I consent to the DBS providing an electronic result directly to the Responsible Organisation that submitted my application. I understand that this result will either confirm that my certificate contains no criminal record information, or instruct me to await the physical certificate, which will indicate if criminal record information is present.

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I confirm that all the information I have provided for this application is complete and accurate. I understand that knowingly providing false information for this purpose is a criminal offence

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I accept the Terms & Conditions

Additional Informtion

Current Address

Terms and Conditions

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