BACKGROUND CHECK

NESTWELL NANNY AGENCYFAMILY BACKGROUND CHECK REQUEST FORM

Thank you for choosing NestWell Nanny Agency for your caregiver background screening. Please complete this form to request a background check for your prospective caregiver.Important: This form does not collect the candidate's Social Security number, date of birth, driver's license number, or other sensitive identification information. After the request is submitted, the candidate will receive separate instructions to securely complete their portion of the screening.
PERSON REQUESTING THE BACKGROUND CHECK

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

CANDIDATE INFORMATION

Please provide the candidate's basic contact information only Important: Do not enter the candidate's Social Security number, date of birth, driver's license number, passport number, or other sensitive identifying information on this form. The candidate will provide any required confidential information directly through the screening process.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

What position are you hiring for?
(e.g., Full-Time Nanny, Part-Time Nanny, Newborn Care Specialist, After-School Nanny, Housekeeper, etc.)
Start Date
Select Your Background Check Package

My Products

PACKAGE 1 — ESSENTIAL CARE SCREENING

Includes:

Identity Verification

SSN Trace

County Civil Search — Last 7 Years

County Criminal Search — Last 7 Years

State Criminal Search — Last 7 Years

Federal Criminal Search — Last 10 Years

National Criminal Search — Standard

Global Watchlist Search

Sex Offender Search

Motor Vehicle Report

Social Media Search

Alias Search

$99.00 Quantity

Package 2 — Professional Care Screening

Includes everything in Package 1, plus:

Employment Verification

I am selecting Package 2 — $125.00

$125.00 Quantity

Package 3 — Comprehensive Caregiver Screening

Education Verification

FACIS Search

Personal Reference Verification

Professional License Verification

Professional Reference Verification

$165.00 Quantity

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

FAMILY AUTHORIZATION By submitting this request, I authorize NestWell Nanny Agency to initiate the selected background screening process for the candidate identified above.I understand that the candidate will receive separate instructions to complete the required portion of the screening and provide confidential identifying information directly through the screening process.I understand that NestWell Nanny Agency does not guarantee a specific background check result and that screening results are dependent upon information available through applicable records, databases, verification sources, and third-party screening services.

I confirm that I am authorized to request this background screening and that the information I provided is accurate to the best of my knowledge.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
BACKGROUND CHECK PROCESSING TIME Once the candidate has completed all required information, the background check will begin processing.Typical processing time is approximately 24–48 hours and may take up to 5 business days, depending on the package selected, the number and type of searches being conducted, the depth of the records being reviewed, and the response time of individual courts, agencies, employers, educational institutions, licensing boards, or other verification sources.More comprehensive background checks can require additional processing time because they include additional searches and verifications.Processing times are estimates and are not guaranteed completion deadlines.
CANDIDATE COMPLETION REQUIREMENT After the family request is processed, the candidate will receive an email containing instructions and a secure link to complete the required portion of the background screening.The candidate must complete the screening within 7 days of receiving the screening request.If the candidate does not complete the required information within the initial 7-day period, the original link may expire and a new link may need to be issued.A reminder will be sent around Day 15 if the screening remains incomplete.Following the final reminder, the candidate will have approximately 3 additional days to complete the screening.If the candidate still does not complete the screening after the final deadline, the request may be considered void and closed.Any refund, credit, or transfer to another candidate after a screening becomes void will be handled case by case at the discretion of NestWell Nanny Agency.
REFUND NOTICE Background check fees are generally non-refundable once processing or screening services have begun.No refund is guaranteed if:The family changes its mind.The family decides not to hire the candidate.The candidate refuses to complete the screening.The candidate fails to complete the screening within the required timeframe.Incorrect or incomplete information is provided.The candidate's information cannot be verified.The screening provider rejects or cannot process the information submitted.The candidate has recently been screened and the screening system does not permit another submission.Delays occur because the candidate does not respond to requests for information.If a screening becomes void because the candidate fails to complete the required process, NestWell Nanny Agency may, at its discretion, offer a credit toward another candidate or, in limited circumstances, consider a refund on a case-by-case basis.Submitting this form constitutes acknowledgment that the separate Background Check Terms & Conditions must also be reviewed and accepted before the screening is processed.
NestWell Nanny Agency Background Check Services Terms & Conditions By submitting a background check request and authorizing NestWell Nanny Agency to begin the screening process, the requesting family agrees to the terms below.Background Check Services NestWell Nanny Agency provides background screening services to help families review information about prospective caregivers. Depending on the package selected, this may include criminal, civil, federal, state, and national searches, sex offender and watchlist searches, motor vehicle reports, employment, education, and license verification, references, FACIS, social media, and alias searches. NestWell Nanny Agency does not guarantee that every source or record will be found. Family & Candidate Responsibility The family is responsible for providing accurate information about the candidate, position, and selected package. The candidate is responsible for completing their own confidential screening information (SSN, ID, address, employment, and education history) directly through the secure screening link families should not submit this on the candidate's behalf.Processing Time Once the candidate completes their screening, results generally take 24–48 hours, though more comprehensive packages or third-party delays (courts, employers, schools, licensing boards) can extend this to 5 business days or longer. This is an estimated timeframe, not a guarantee.Candidate DeadlinesThe candidate has 7 days to complete their screening after receiving the link. If incomplete by Day 15, a final reminder is sent with 3 additional days to respond. If the candidate still hasn't completed the screening, the request may be closed and considered void. Refund Policy Background check fees are non-refundable once processing has begun. This includes situations where the family changes their mind, the candidate doesn't respond or complete the screening, the family hires someone else, or results are unexpected or unavailable. If a request is voided due to candidate non-completion, NestWell Nanny Agency may, at its discretion, offer a refund, a credit toward another candidate, or another resolution this is not automatic.Accuracy of Information Incorrect information may cause a screening to fail, be rejected, or require resubmission possibly with added processing time or fees. NestWell Nanny Agency is not responsible for errors caused by inaccurate information provided by the family or candidate.Results & Hiring Decisions A background check is an informational tool and may not capture every record due to sealed, restricted, or unavailable sources. The family is solely responsible for deciding whether to hire, retain, or reject a candidate, and should treat the background check as one part of a broader hiring process.Package Selection & Payment The family is responsible for reviewing and selecting the appropriate package before payment. Payment is required before processing begins, and changing packages after processing starts may require an additional fee or new request. Family Acknowledgment By submitting this request, the family confirms that:The information provided is accurate.The candidate will complete their own confidential screening information separately.Processing time is an estimate, not a guarantee.The candidate has 7 days to complete screening, plus a Day-15 reminder and 3-day grace period.Refunds are generally not available once processing begins, and any exception is discretionary.They agree to these Terms & Conditions.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Selected Package and how many
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

NESTWELL NANNY AGENCYFAMILY BACKGROUND CHECK REQUEST FORM

CANDIDATE INFORMATION

Select Your Background Check Package

My Products