DBS UPDATE SERVICE FORM/ONLINE STATUS CHECK FORM

IS THE INDIVIDUAL A MEMBER OF THE DBS UPDATE SERVICE?

YES – Complete this form – this is to be completed when the individual has confirmed they have joined the update service. Return the completed form to HR with a copy of the screen print showing the online check status to

NO – Do not complete this form - Please complete a DBS 1 form instead

·  The individuals original DBS Certificate MUST still be seen to complete an online status check,

·  The individuals identity MUST be checked on sight of the original certificate or an online status check cannot be completed

·  You must be entitled to the same level of DBS Check as on the original certificate (i.e enhanced) with the entitlement to the same barred list checks/workforce

A. INDIVIDUAL’S CONSENT: To be completed by the individual who is giving permission for a status check to be undertaken.

I ...... (insert name) give permission for an DBS online status check to be completed by City of York Council:

Signed...... Date: ......

B. CERTIFICATE DETAILS/ONLINE CHECK DETAILS

FULL NAME: ...... POSITION APPLIED FOR: ......
WORKPLACE: ...... DOB: ...... NI NUMBER:......
IDENTITY CHECKED AND CONFIRMED (at time of checking/completing the online status check) / YES / NO / WORKFORCE (as indicated on the original certificate) / ADULT / CHILD / OTHER
DBS CERTIFICATE NUMBER: / DBS CERTIFICATE ISSUE DATE:
LEVEL OF DISCLOSURE STATED ON THE CERTIFICATE: (if the certificate shows standard please contact HR for advice) / CLEARED FOR EMPLOYMENT OR POSITION APPLIED FOR: / YES / NO
DETAILS OF PERSON UNDERTAKING THE ONLINE CHECK AND RECORDING CERTIFICATE DETAILS:
I confirm that an online status check has been completed and the result indicates: no change changes to original certificate, and the individual has been advised to complete a new DBS application form.
Signed:...... Print Name:...... Date Online check completed:......

Please send a copy of this form to the HR Business Centre with a copy of the online status check screen print, via email to