Level 1 Background Check Request Form

Jurisdiction: Country: United States | Province or State: Florida

What is a Level 1 Background Check Request Form?

A Level 1 Background Check Request Form is a document you use to start a state-level screening in Florida. It records the reason for the check, your identity, and your consent. It also sets the scope of the search. A Level 1 check is name-based. It focuses on state records and related public sources. It does not include a fingerprint-based national search.

You use this form to authorize and request the screening. The form lets the screening provider match you correctly. It reduces the risk of reporting errors. It also gives the requester a record of lawful permission. That record matters if you make decisions based on the results.

Typical searches in a Level 1 request State criminal records. The scope can also include county court checks, sex offender registry checks, and address history. Some organizations add employment or education verifications. The form tells the provider which searches to run. It also tells them where to deliver results.

Who typically uses this form?

Small businesses, nonprofits, and volunteer programs use it. Property managers and homeowner associations use it. Professional firms use it for support roles. Contractors and vendors use it during onboarding. Many roles only need a state-level check. That is where Level 1 fits.

Why would you need this form?

You need it to show clear consent and a lawful purpose. You need it to define the checks you are asking for. You need it to ensure correct identity matching. You also need it to receive results fast and securely. If you are the applicant, this form protects your rights. It tells you what will be checked and why. It lets you request a copy of the report.

Here are common usage scenarios

• You run a Level 1 check to hire an office assistant.
• You screen a volunteer for a weekend event.
• You onboard a vendor who will access a facility.
• You screen a tenant for a small rental.
• You verify that a contractor has no recent state convictions.

In each case, you want a focused and fast check. You also want to avoid the extra time and cost of a national fingerprint search.

Level 1 is not for every role. Some positions require a fingerprint-based national check. Those roles often involve vulnerable populations or high trust. If you are unsure, ask whether your role needs more than a Level 1 check. When a statute or policy requires a higher level, use that higher level. Do not try to substitute a Level 1 request in those cases.

In Florida, the term “Level 1” has a specific meaning. It signals a state-only, name-based scope. It also signals that the approach is less intensive than a Level 2 check. Your form should reflect that scope. The form should not promise searches that belong to a different level. Clarity avoids delays and disputes.

When Would You Use a Level 1 Background Check Request Form?

You use this form when a state-level, name-based check meets your needs. Think about risk, speed, and cost. If the role has limited access to funds, clients, or minors, Level 1 may be enough. If the role is short-term or seasonal, Level 1 may work well. Many organizations start with Level 1 for support roles. They reserve more intensive checks for high-risk roles.

Picture a small medical office hiring a receptionist. The job involves scheduling and basic records handling. The office wants to confirm no recent state convictions. The manager uses a Level 1 request to check state records and county courts. The applicant signs the authorization. Results arrive within a few days.

Consider a nonprofit hosting a charity run. You need volunteers for registration and water stations. You want a quick screen to protect participants and donations. A Level 1 check fits. It reviews state records and registration databases. It is fast, budget-friendly, and proportional to the risk.

Think about property management. You have a duplex and two applicants. You want a clear picture of recent state criminal history. You use a Level 1 request and set the purpose as tenancy. You keep the scope focused on state records and county courts. You also follow fair housing rules when you review results.

Now consider a technology startup. You need to onboard a contractor for a two-month project. They will have limited system access. You use a Level 1 check to confirm recent state history. You include identity and address history to reduce mismatch risk. The contractor signs online and you get a fast report.

Level 1 can also support license renewals for lower-risk roles. Some boards accept state-level checks in specific cases. If your renewal guidelines allow a name-based screen, use this form. Keep the scope aligned with the purpose.

If you run a school program, youth camp, or in-home care, pause here. Many of those roles need a fingerprint-based national check. Do not use a Level 1 request if rules require something else. When in doubt, confirm the required screening level before you proceed.

In short, use this form when the role is lower risk and time matters. Use it when your policy calls for a state-level review. Use it when you need consent, clarity, and an audit trail.

Legal Characteristics of the Level 1 Background Check Request Form

This form is not an employment contract. It is an authorization and disclosure. It gives written permission to collect and use personal data for screening. That permission makes the process lawful. It also limits how the data can be used and shared. In that sense, the authorization is binding. Both sides must follow what the form says.

Enforceability comes from clear disclosure and express consent. The form should explain the purpose of the check. It should list the types of records that may be searched. It should state how the information will be used. It should identify who will receive the report. The applicant must sign and date the form. The signature shows voluntary agreement.

A good form stands alone. If you use the form for hiring, do not bury the disclosure. Use plain language. Avoid legal jargon. Make sure the form does not ask for unrelated waivers. If you include a release of liability, draft it with care. Broad releases can raise risk. Keep the release tied to lawful screening activities.

Accuracy and identity matching matter. The form must capture correct data. That includes name, aliases, date of birth, and address history. Incorrect data leads to mismatches. Mismatches lead to incorrect records. Clear data protects both the applicant and the requester.

Privacy and data security are part of the legal picture. The form should explain how data will be handled. Limit access to authorized users. Store the form and report in a secure location. Delete them when you no longer need them. Do not keep background data longer than necessary.

If you use the report to make a decision, follow required notice steps. Give the applicant a copy if they ask. If you might take adverse action, give them a chance to review the report. Provide a summary of their rights when required. If the applicant disputes accuracy, pause and investigate. Use a process that protects both fairness and speed.

Florida has rules on sealed and expunged records. Do not ask applicants to disclose those records. Do not base decisions on those records. Your form should include a short notice on this point. Keep any self-disclosure questions narrow and job-related.

Equal opportunity principles apply. Avoid blanket bans that are not tied to job duties. Use a targeted, case-by-case review. Consider the nature of the offense, time passed, and job relevance. Document your reasoning. Consistent, fair processes reduce legal risk.

In summary, the form is a lawful instrument of consent. It outlines scope, purpose, and rights. It supports fair and compliant decisions. Draft it with plain language and clear steps. Then use it exactly as written.

How to Fill Out a Level 1 Background Check Request Form

Follow these steps to complete the form accurately and quickly.

1) Confirm the screening level

• Verify that a Level 1, state-level check fits your purpose.
• If rules require fingerprint-based national screening, stop and use that process instead.

2) Identify the purpose

• Select the purpose: employment, volunteer, tenancy, contractor, or licensing.
• Use one clear purpose. This keeps the scope targeted and lawful.

3) Enter requester information

• If you are the organization, list your legal name and address.
• Add a contact person, phone, and email. Include a department if useful.
• If you have an internal account or reference number, add it for tracking.

4) Enter applicant information

• Provide full legal name as it appears on a government ID.
• List all other names used, including maiden and hyphenated names.
• Provide date of birth. Include month, day, and year.
• Provide Social Security number if requested. This helps matching, but it must be protected.
• Provide current address with city, state, and ZIP. List prior addresses for seven years if asked.
• Add a phone number and email for updates and identity verification.

5) Provide government ID details

• List the type of ID (driver license, state ID, or passport).
• Enter the ID number and issuing state or country.
• Attach a clear copy. Make sure the image is readable and current.

6) Define the scope of searches

• Check the boxes for the searches you authorize. Typical Level 1 searches include:
• State criminal records.
• County or local court records where you lived or worked.
• State sex offender registry.
• Address and identity history.
• Add employment or education verification only if needed for the role.
• Do not add fingerprint searches. That belongs to a different level.

7) Read the disclosure

• Review a plain-language disclosure about the screening.
• Confirm the purpose, scope, and who will receive the report.
• Look for information about your rights and dispute steps.
• If you are the requester, ensure the disclosure is clear and complete.

8) Sign the authorization

• Sign and date the authorization section. Print your name clearly.
• If the form includes a separate acknowledgment, initial where shown.
• If electronic signatures are used, follow the verification prompts.

9) Note applicant rights and preferences

• Indicate if you want a copy of the report. Some uses require offering this.
• Provide the best email for delivery if you request a copy.
• If you are the organization, confirm you will provide notices when required.

10) Add self-disclosure, if included

• Some forms ask about current charges or recent convictions.
• Answer truthfully and narrowly. Do not disclose sealed or expunged records.
• If you are the requester, keep questions job-related and lawful.

11) Attach supporting documents

• Attach a photocopy of your ID. Include proof of address if requested.
• If you changed your name, attach supporting documents to help matching.
• Make sure documents are legible. Blurry images cause delays.

12) Payment and billing

• Indicate who pays for the screening. The organization often pays.
• If the applicant pays, provide a secure method, not on the form itself.
• If invoicing is used, include billing contact and purchase order, if any.

13) Delivery instructions

• Specify where to send results. Provide a secure email for the authorized recipient.
• Limit recipients to those with a need to know. Do not copy broad lists.
• If you want a mailed copy, provide a complete address.

14) Certifications

• The organization should certify a permissible purpose.
• Certify that you will use the report only for that purpose.
• Certify that you will follow notice and adverse action steps when required.
• The applicant certifies that information provided is true and accurate.

15) Review for accuracy

• Check name spellings, dates, and numbers. Confirm the address history.
• Confirm all required fields are complete. Incomplete forms lead to delays.
• Verify all signatures and dates. Confirm attachments are included.

16) Submit securely

• Submit through a secure portal if available. If not, use encrypted email.
• Do not fax or email unencrypted forms that include sensitive data.
• Retain a copy in a secure file. Limit access to authorized personnel.

17) After submission

• If you are the applicant, watch for identity verification steps.
• If you are the requester, monitor the order status. Respond to any questions.
• If records appear, review them for accuracy and relevance to the role.

18) If you consider adverse action

• Provide the applicant a copy of the report.
• Provide required notices before making a final decision.
• Allow time for the applicant to dispute inaccuracies.
• Make the final decision only after that review window.

19) Disputes and corrections

• If the applicant disputes a record, pause your decision.
• Ask for documentation if needed. Cooperate with the reinvestigation.
• Use corrected results for your decision. Keep notes of your process.

20) Retention and disposal

• Keep the form and report only as long as needed.
• Store records in a secure, access-controlled location.
• Dispose of records securely. Shred paper and wipe electronic files.

Practical examples

• You are hiring a bookkeeper for a small firm. You choose the employment purpose. You select state criminal records, county court checks, and identity history. You add past addresses for seven years. You ask for a copy of the report. You sign the employer certification. Your candidate signs the authorization and uploads an ID. You receive the report in a few days. You review any records for job relevance. You document your decision.
• You are screening a tenant for a condo. You choose the tenancy purpose. You authorize state criminal records and county court checks. You do not ask for education or employment verification. You tell the applicant that you will share a copy upon request. You apply consistent standards to every applicant. You make a decision based on clear, property-related criteria.
• You need volunteers for a one-day fundraiser. You use a simple Level 1 scope. You collect name, date of birth, and current address. You run a state check and registry search. You store results for a short period. You then delete them after the event.

These steps keep the process clean and defensible. Clear forms reduce errors. Proper consent protects rights. Focused scopes save time and money. When you follow the form as written, you get reliable results with less risk.

Legal Terms You Might Encounter

• Level 1 background check: This is a name-based search that relies on the information you enter, like your full legal name, date of birth, and other identifiers. On this form, you confirm you are requesting a Level 1 check, not a fingerprint-based check.
• Name-based search: The records system looks for matches using your name and other identifiers. That is why the form asks for full legal name, prior names, and accurate dates of birth.
• Identifiers: These are data points that help match records to the right person, such as date of birth, address history, and the last four digits of your Social Security number. The form uses these to reduce false matches.
• Alias or former name: Any other name you have used, including maiden names, nicknames, and name changes. The form often requires you to list all names. Missing one can cause incomplete results.
• Consent and authorization: Your signed permission for the requesting party to obtain your record. The form usually includes a signature block that authorizes the search. Without consent, the request may be rejected.
• Purpose of request: The reason you are asking for the background check, like employment or volunteer screening. The form prompts you to select or describe the purpose. This helps define how the results may be used.
• Disqualifying offense: A criminal offense that could prevent you from holding a position. The form does not decide disqualification. It only initiates the search. The organization using the results evaluates any offenses.
• Disposition: The final outcome of a case, such as conviction, dismissal, or acquittal. If the search returns records, the disposition helps you understand the case result. The form’s role is to request the records that show it.
• Sealed or expunged record: A record that has been restricted or removed from public view under certain conditions. A Level 1 search may not display sealed or expunged records. The form will not change that status.
• Certification and perjury statement: Your promise that the information you provide is true and correct. The form often includes a certification or a warning that false statements can carry penalties. Sign only after you review your entries.
• Notarization (if required): Some versions of this request may need a notary to verify your identity and witness your signature. If the form includes a notary section, do not sign until you appear before a notary.
• Adverse decision: An action taken based on the results, such as not proceeding with a hire. The form does not contain the decision. It authorizes the search. If an adverse decision is considered, the organization should give you a chance to review the report and respond.

FAQs

Do you need fingerprints for a Level 1 background check?

No. A Level 1 check is name-based. You submit your full legal name and other identifiers. You do not provide fingerprints for this level. Confirm that your form clearly indicates a name-based search.

Do misdemeanors appear on a Level 1 background check?

They can. Results reflect records available in the searched databases. Many name-based checks can return both misdemeanor and felony records. Sealed or expunged records usually do not appear. If you expect a record, prepare to review the disposition.

How long does a Level 1 check take?

It is usually faster than fingerprint-based checks. Many name-based results return within a few business days. Processing times vary by volume and data matching. Plan for extra time if you have multiple prior names or complex history.

Can you run a Level 1 background check on yourself?

Yes. You can request your own record to see what appears. Use your complete identifiers and list every prior name. This helps you verify accuracy before you share results with others.

Do you need to include your Social Security number?

Some forms request your full number or last four digits. It helps confirm your identity and reduce mismatches. If the form asks for it, provide it. If it is optional, include at least the last four digits when possible.

How far back does a Level 1 check go?

Many systems report available records without a set time limit. Records can go back decades if they exist and are public. Sealed or expunged items usually do not appear. The form itself does not set look-back periods.

Can an employer use a Level 1 check for hiring?

Yes, if a name-based search meets the role’s requirements. Some roles require a more in-depth level. If a Level 1 check is used, the employer should share relevant findings and allow you to explain or dispute them before making a final decision.

What if the report contains an error or belongs to someone else?

Disputes happen with common names or similar identifiers. Compare the identifiers in the result to your information. If something is wrong, notify the requesting party in writing. Provide corrected identifiers and any documents that support your claim. Ask for a recheck or correction.

Checklist: Before, During, and After the Level 1 Background Check Request Form

Before you sign

• Confirm the check level is name-based (Level 1).
• Gather your full legal name exactly as it appears on your ID.
• List all former names, maiden names, and aliases.
• Note your date of birth and, if requested, the last four digits of your Social Security number.
• Collect your current address and prior addresses with dates.
• Have a government-issued ID available for reference.
• Identify the purpose for the check, such as employment or volunteer placement.
• If you are requesting for someone else, obtain their written consent.
• If an organization is requesting, gather that organization’s legal name and contact information.
• Check fee amounts and acceptable payment methods.
• Prepare any supporting documents required by the form, like a copy of an ID, if requested.

During completion and signing

• Enter your name exactly as shown on your ID. Avoid nicknames or initials.
• Add every former name and spelling variation to improve matching.
• Confirm your date of birth and other identifiers are correct.
• Provide a complete address history if the form requests it.
• Select the correct purpose of the check on the form.
• Read the consent and authorization language carefully before you sign.
• Sign and date in all required places. Use blue or black ink if on paper.
• If notarization is required, wait to sign until you are in front of the notary.
• Attach any requested identification copies. Ensure they are clear and legible.
• Include the correct fee amount and the accepted payment type.
• Choose a delivery method for results (mail or electronic) if offered.
• Verify the return address or email for where results should be sent.

After submission

• Keep a copy of the entire form and any attachments for your records.
• Keep proof of payment, such as a receipt or transaction confirmation.
• Record the date you submitted the form and any reference number.
• Notify the subject of the check that it has been submitted, if you are the requester.
• Calendar an expected completion date and a follow-up reminder.
• Watch for any requests for more information and respond quickly.
• When results arrive, confirm the identifiers match the correct person.
• If you consider an adverse decision, share relevant findings and allow time for a response.
• Store the form and results securely with access controls.
• Follow your retention policy for how long to keep and when to destroy records.

Common Mistakes to Avoid

• Don’t forget full names and aliases. Using a nickname or missing a former name can cause missed records or mismatched results. It often leads to delays or rechecks.
• Don’t enter the wrong date of birth. A single digit error can connect you to someone else’s record. You may need to resubmit and pay another fee.
• Don’t skip consent. Submitting without signed authorization risks rejection, complaints, or sanctions. Always include a clear, current signature.
• Don’t select the wrong check level. A Level 1 request cannot produce fingerprint-based results. If the role needs more depth, you will have to start over.
• Don’t submit illegible copies or incomplete forms. Blurry IDs, missing pages, or unchecked boxes stall processing. You may lose time-sensitive opportunities.

What to Do After Filling Out the Form

1. Review for accuracy. Confirm names, prior names, dates of birth, and addresses are correct. Fix any typos before filing.
2. File and pay. Submit the form using the method the instructions require. Include the exact fee and accepted payment type.
3. Save copies. Keep the completed form, attachments, and proof of payment. Secure them in a restricted folder or locked cabinet.
4. Track status. Note your submission date and any tracking or reference number. Set a reminder to follow up if you hear nothing by the expected date.
5. Respond to requests. If the processor asks for clarification or more documents, reply quickly. Delays can push your request to the back of the queue.
6. Review results carefully. Check that the identifiers in the report match the subject. Look at the disposition for any listed case and confirm it belongs to the right person.
7. Address potential adverse decisions. If you plan to deny a role or opportunity based on the results, first share the relevant findings with the subject. Give time for them to explain, correct, or dispute any item. Document your review.
8. Update records. Note the completion date, outcome, and any follow-up actions. If your policy requires periodic rechecks, schedule the next date.
9. Store securely. Limit access to those with a legitimate need to know. Apply your retention schedule. Destroy records securely when the retention period ends.
10. Amend if needed. If you discover you left out a name or had a typo, submit an update or a new request. Reference the original submission where possible.