Background Check Request Form

Please complete this form to request a background check for an employee in H&S. Please review our website for more information on who must pass a background check prior to employment.

Candidate Information

Please provide the candidate's information below.

Legal First Name*

Please provide the employee's legal name - it must match their Social Security Card or other legal documents, and be the same name that will be used to hire the employee in PeopleSoft.

Legal Last Name*

Candidate Email*

Please confirm with the employee they regularly check this email address - the HireRight invitation will be sent to this email.

Where does the candidate currently reside?*

Please confirm if the candidate currently resides in the United States or outside of the United States. Candidates currently residing outside of the United States at the time of the background check request require an international background check.

Select

Employee Type*

Select

Background Check Request Type*

Select or enter value

Taleo Requisition Number

For posted positions, please provide the Taleo Requisition number.

Document Upload*

Offer letters are required for all employees needing a background check. (right click and open in a new window to view the linked documents below)

All hourly employees, including non-exempt benefits eligible employees - please include the completed and signed DLSE Notice Form.
Academic Staff -Teaching- please also include the academic consent form.
Academic Staff - Research - if this is a waiver ASR hire, please include the completed SU Application.
Temp/Casual Employees - please also include the completed SU Application

Drag and drop files here or

Requesting Department Information

Department*

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Name of person submitting this form*

Submitter Phone Number*

Submitter's Email Address*

This email will be sent automated status updates throughout the background check process.

Any additional comments/remarks

Send me a copy of my responses

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