Dps Cch Verification Form PDF Details

Dps cch verification form is an important document that allows taxpayers to verify their child or dependent claimed on their tax return. The form can be used by both the taxpayer and the Internal Revenue Service (IRS) to ensure that all information is correct. By verifying your information, you can avoid potential issues with your taxes and ensure a smooth process. If you have any questions about the form or need assistance filing it, please contact our office for help. Thank you for choosing our firm as your tax resource this year!

QuestionAnswer
Form NameDps Cch Verification Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdps computerized criminal history form, spanish version of dps computerized criminal history cch verification, dps cch verification form texas, dps computerized criminal history cch verification 2018

Form Preview Example

APPLICANT NAME (Please print)
have been notified that a computerized criminal

DPS Computerized Criminal History (CCH) Verification

I,

history (CCH) verification check will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and DOB information I supply.

Because the name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization (as listed below) conducting the criminal history check is not allowed to discuss any information obtained using this method, therefore the agency may offer the opportunity to have a fingerprint search performed to clear any misidentification based on the name search, if the search provides a criminal report I know could not be mine.

For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (automated fingerprint identification system). I have been made aware that in order to complete this process I must have the correct fingerprinting (FAST) form from this agency, make an online appointment, submit a full and complete set of my fingerprints, and pay a fee to the fingerprinting services company, L1Enrollment Services.

Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history record may be discussed with me.

___________________________________

Signature of Applicant

Date

Texas Medical Board

Agency Name (Please print)

Agency Representative Name (Please print)

___________________________________

Signature of Agency Representative

Please:

Check and I nitial each Applicable Space

CCH Report Printed:

YES

 

 

NO

 

 

 

 

 

initial

Purpose of CCH:

 

Applicant background check

 

 

 

 

 

 

 

 

 

 

Date Printed:

 

 

 

 

 

 

 

initial

Destroyed Date:

 

 

 

 

 

 

initial

Retain in your files

Date