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Criminal Background Checks

Residential Facility Employment

Three forms are required for fingerprint-based criminal background checks for employment in the Supervised Independent Living Program and in a residential facility including a Qualified Residential Treatment Program or a Psychiatric Residential Treatment Facility.

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If you have lived outside of North Dakota in the past five years, you may need to complete additional out-of-state authorization forms for each state you have lived in. You may also need to provide a copy of a valid photo ID, copy of your social security card or an extra set of fingerprint cards. If an extra set of fingerprint cards are required, you must obtain them from a law enforcement agency or an authorized third party fingerprinting agency.

Select from the list below. PLEASE READ ALL INSTRUCTIONS CAREFULLY!

Alabama Georgia Maine Nevada Pennsylvania Washington
Alaska Hawaii Maryland New Hampshire Rhode Island Washington, D.C.
Arizona Idaho Massachusetts New Jersey South Carolina West Virginia
Arkansas Illinois Michigan New Mexico South Dakota Wisconsin
California Indiana Minnesota New York Tennessee Wyoming
Colorado Iowa Mississippi North Carolina Texas  
Connecticut Kansas Missouri Ohio Utah  
Delaware Kentucky Montana Oklahoma Vermont  
Florida Louisiana Nebraska Oregon Virginia  

Alabama

The signature on the form below must be witnessed.

Alaska

Arizona

Arkansas

The signature on the form below must be notarized.

California

  • No forms are required.

Colorado

The form below must be typed. Enter all children on the form. If you do not have any children, enter N/A.

Connecticut

Delaware

Florida

Georgia

The form below must be typed.

Hawaii

Idaho

The signature on the form below must be notarized.

Illinois

Indiana

  • Online form required. You will receive email instructions upon the department initiating a registry search.

Iowa

  • No forms are required.

Kansas

Kentucky

  • No forms are required.

Louisiana

The form below requires a photo ID.

Maine

Complete only if you are 18 yrs old or older. This form CANNOT BE TYPED.

Maryland

The form below must be typed. The signature must be notarized.

Massachusetts

  • No forms are required.

Michigan

Minnesota

Mississippi

  • Online form required. You will receive email instructions upon the department initiating a registry search.

Missouri

Montana

The signature on the form below must be notarized.

Nebraska

The signature on the form below must be notarized. If the applicant is not 20 years old or older, the applicant's parent or guardian must sign the form.

Nevada

The form below requires a photo ID.

New Hampshire

The signature on the form below must be notarized.

New Jersey

New Mexico

The form below must be typed. The signature must be notarized.

New York

The signature on the form below must be notarized.

North Carolina

Ohio

The form below must be typed. It requires a copy of a valid photo ID and a copy of the applicant's social security card. Results will be mailed to the applicant. The applicant must forward them to the Criminal Background Check Unit in Bismarck.

Oklahoma

  • Does not maintain a public registry.

Oregon

  • No forms are required.

Pennsylvania

Rhode Island

  • No forms are required.

South Carolina

The signature on the form below must be notarized.

South Dakota

Complete the form below ONLY if the applicant has been the subject of a child abuse/neglect report in South Dakota.

Tennessee

  • No forms are required.

Texas

The signature on the form below must be notarized.

Utah

The form below requires a photo ID.

Vermont

  • No forms are required.

Virginia

The signature on the form below must be notarized. The form must be printed 2-SIDED (on one sheet of paper).

Washington

The form below must be typed.

Washington, D.C./District of Columbia

The signature on the form below must be notarized. The form requires full 18 years of address history.

West Virginia

Wisconsin

The form below is only required if you lived in Milwaukee County. The signature must be witnessed.

Wyoming

 

Contact Information

Children and Family Services
600 East Boulevard Avenue, Department 325
Bismarck ND 58505-0250
Phone: (701) 328-2316
Toll Free: (800) 245-3736
711 (TTY)
Fax: (701) 328-0358
Email: dhscfscbc@nd.gov

 

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