DBS Information Form

DBS Information Form

This Form is used to transfer your details to the DBS System. Please complete in full
Name

TitleFirst NameMiddle NameLast Name
Date of Birth

DayMonthYear
Date
Gender
Birth Surname?
Birth Surname used until

DayMonthYear
Date
NI Number
Unspent Convictions

YesNo
Contact Information
Home Telephone

Area CodePhone Number
Mobile Number

Area CodePhone Number
Email
example@example.com
Birth Information
Birth Town
Birth County
Country of Birth
Birth Nationality
Have you used any other Names?
Other Names 1

First NameLast Name
Other Names Used? (Please Click on Add Row if you need to add more.)
Address History - Full 5 Year
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Moved In

DayMonthYear
Date
Does this address cover the full 5 years
Previous Address 1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Moved In

DayMonthYear
Date
Date Moved Out

DayMonthYear
Date
Previous Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Moved in

DayMonthYear
Date
Date Moved Out

DayMonthYear
Date
Previous Address 3

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Moved In

DayMonthYear
Date
Date Moved Out

DayMonthYear
Date
Any other Address not mentioned with dates
What ID are you using for your DBS? (Please tick) Please see at the bottom of the page what ID you need.
Upload your documents (please also bring these to the interview to be verified).

Cancelof
Route 1
The applicant must be able to show:
- one document from Group 1, below
- two further documents from either Group 1, or Group 2a, or 2b, below
At least one of the documents must show the applicant’s current address.

If the applicant isn’t a national of the UK and is applying for voluntary work, they may need to be fingerprinted if they can’t show these documents.

Route 2
Route 2 can only be used if it’s impossible to process the application through Route 1.
If the applicant isn’t a national of the UK and is applying for voluntary work they can’t use Route 2.
If the applicant doesn’t have any of the documents in Group 1, then they must be able to show:
- one document from Group 2a
- two further documents from either Group 2a or 2b
At least one of the documents must show the applicant’s current address. The organisation conducting their ID check must then also use an appropriate external ID validation service to check the application.

Route 3
Route 3 can only be used if it’s impossible to process the application through Routes 1 or 2.

For Route 3, the applicant must be able to show:
- a birth certificate issued after the time of birth (UK, Isle of Man and Channel Islands)
- one document from Group 2a
- three further documents from Group 2a or 2b
At least one of the documents must show the applicant’s current address. If the applicant can’t provide these documents they may need to be fingerprinted.
Signature

Clear
Should be Empty:

DBS Information Form

Contact Information

Birth Information

Address History - Full 5 Year