Identity Verifier DBS 3C Form

"*" indicates required fields

To be completed by the ID verifier

Name of Applicant*

First Middle Last

Date used from

Date used to

Any Name Changes

Birth or other names used

First Middle Last

Date used from

Date used to

Birth or other names used

First Middle Last

Date used from

Date used to

Parish / Religious Order / Organisation:*

Church (if applicable)*

Volunteer Roles at the Parish*

Applicant's Email address:*

Applicant's Phone Number*

Applicant's Date of Birth*

Applicant's Current Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Document 1:*

Documents provided for verification

Accepted file types: jpg, pdf, gif, png, Max. file size: 16 MB.

Document 2:*

Documents provided for verification

Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.

Document 3:*

Documents provided for verification

Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.

Document 4:

Documents provided for verification

Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.

Document 5:

Document provided for verification

Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.

ID Verifier's Full Name*

First Last

Name of your Parish (include town)/Religious Order or Organisation*

Position*

Signature*

Date*

DBS Application – KYP & CSSA Declarations

DBS Application Declarations

Knowyourpeople (hereafter “KYP”) is now working in partnership with the Catholic Safeguarding Standards Agency (CSSA) and is registered with the Disclosure & Barring Service (DBS) for processing criminal record checks.

Individuals working in diocesan offices, parishes, religious congregations and Catholic organisations (where agreed with CSSA), who carry out criminal record check processes via the DBS, are “agents” of the CSSA and are bound by the policies of the DBS, KYP and the Catholic Church national safeguarding procedures for DBS application processing, and the DBS Code of Practice which can be accessed here: DBS Code of Practice.

Before we process your application, please confirm the following:

I have been provided with a link to the DBS privacy policy and the KYP privacy notice.
I understand that the Registered Body and its Agents will process my personal data.
I consent to my application being processed online by KYP and CSSA.

You are required by the DBS, to confirm the following:

Privacy Policy standard/enhanced checks declaration:

I have read the Standard/Enhanced Check Privacy Policy for applicants and I understand how DBS will process my personal data and the options available to me for submitting an application.
I consent to the DBS providing an electronic result directly to the registered body that has submitted my application. I understand that an electronic result contains a message that indicates either the certificate is blank or to await certificate which will indicate that my certificate contains criminal record information. In some cases, the registered body may provide this information directly to my employer prior to me receiving my certificate.
I understand if I do not consent to an electronic result being issued to the registered body submitting my application that I must not proceed with this application, and I should submit a paper application form.
I understand that to withdraw my consent whilst my application is in progress, I must contact the DBS helpline on 03000 200 190. My application will then be withdrawn.

To be completed by the applicant: Signature*

To be completed by the applicant: Name*

First Last

To be completed by the applicant: Date*