BACKGROUND CHECK CONSENT FORM / FINGERPRINTING REQUEST

This form is only for an applicant whose employer is paying for the state and federal criminal records background checks; it is NOT for payment. If you need to access the web page for payment, CLICK HERE.

NOTE: The Child Maltreatment Central Registry check is not available on this web page. Follow your employer’s instructions or see the instructions on the Department of Education website under Background Check Requirements.

STEP 1. REASON FOR BACKGROUND CHECK

Check the CORRECT boxState Statute:Requestor/Agency ID:
Employment (Classified)Ark. Code Ann. § 6-17-414EDN - AR920140Z
Employment (Fiscal Officer)Ark. Code Ann. § 6-17-421EDF - AR920623Z
Employment (Substitute Teacher)Ark. Code Ann. § 6-17-410EDC - AR920080Z
Licensed Teacher Transfer of EmploymentArk. Code Ann. § 6-17-411EDC - AR920080Z
Teacher (Licensure, Renewal, Lifetime License)Ark. Code Ann. § 6-17-410EDC - AR920080Z
Teacher (Pre-Service)Ark. Code Ann. § 6-17-410EDC - AR920080Z
NOTE: IT IS A VIOLATION OF FEDERAL LAW TO REQUEST A DEPARTMENT OF EDUCATION BACKGROUND CHECK FOR ANY OTHER PURPOSE
(For Example: Early Childhood, Non-RVPA Volunteers, Independent Contractors or Contracted Employees NOT in a staff position, Handgun Carry).