Background Check Central Unit, Department of Social and Health Services
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Background Authorization Form

The English forms are produced in Microsoft Word. If you do not have Microsoft Word, you can download the Microsoft Word Viewer at no charge. This allows you to open, view, and print Word forms.

The language forms are produced in Adobe Acrobat PDF form and require the use of the free Adobe Acrobat plug-in in order to view the document.

Form #
Form Title
Language
Format
09-653 Background Authorization English
  Amharic  
Arabic  
Cambodian
Chinese
PDF
Farsi  
Korean
PDF
Laotian
PDF
Russian
Samoan  
Serbo-Croatian  
Somali  
Spanish
PDF
Tagalog  
Tigrigna PDF
Vietnamese PDF