Criminal Record Check Application Form

Follow the simple stages below to apply for a Criminal Record Check:

Please complete the form below and submit
Telephone us on 0844 848 2997 (Mon – Fri 9.00am – 5.30pm) with payment details* or alternatively send a cheque/postal order to:
Bridestones Associates Ltd, Riverside, Mountbatten Way, Congleton, CW12 1DY.
Upon receipt of payment, we will post your completed application form to be signed and returned with the required identification.

* Card payments are subject to £2 administration fee

Enhanced Check	£63.07
Standard Check	£45.07
Basic Check	£44.07
Volunteer Check	£19.07

Alternatively, if you would like to receive a blank application form please email: crb@bridestoneshr.co.uk with your contact details.
For more information on the levels of Criminal Record Check available and our prices please click here.

*Name of person submitting details
Your Company Name:
Details of person requiring Criminal Record Check:
Title
Forename (s)
Surname
Other Names (previous forenames and/or surname) Give dates that the names were applicable)
Mothers Maiden Name
Where will you be working?
Date of Birth
Town of Birth
County of Birth
Email address
Contact telephone number
Do you hold a valid passport
If yes-
Passport Number
Nationality
Country of Issue
Do you have a National Insurance Number
*If yes-*
National Insurance Number
Do you hold a UK Driving Licence
*If yes-*
Driving Licence number
Current Address
Town/City
County
Postcode
Date Moved to current address
Previous address (s) to cover 5 years (including any overseas addresses)
Type of disclosure required?
Position applied for and name of organisation
Are you applying for registration with the ISA?
Will you be working with children
Will you be working with vulnerable adults
Will this be in a paid or voluntary capacity
Security question: What was the name of your 1st school as a child?
Have you ever been convicted of a criminal offence or received a caution, reprimand or warning?

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