Identity Verifier DBS 3C Form – Archdiocese of Southwark

Thank you for undertaking the important role of completing identity verification for our volunteers/staff members. Your confirmation of an individuals identity helps ensure the integrity of our safer recruitment and safeguarding processes. By verifying the original identification documents, you assist the Parish/Archdiocese in meeting their safeguarding responsibilities and maintaining a safe and trusted environment.

If you are not sure if someone is presenting a document that is valid for the DBS process-please click on the below link, which will take you to the government link for what documents are acceptable. Remember you must see the original document, not a photocopy, photo or printout. Also the documents must include one that has the photo of an individual-such as a passport or driving licence, one that has the current address-such as a bank statement (dated within the last three months) or a council tax bill (dated within the last twelve months) and one document that confirms the individual’s date of birth-such as a British birth certificate (dated within three months of birth) or driving licence, if not utilised at the earlier stage.

government identity checking guidance

To be completed by the ID verifier

Verifiers name

Name of Applicant*

First Middle Last

Date name used from

Date name used to

Please ask volunteer/staff member if they have had any name changes-e.g. have been married, divorced, deed pole change. If they have, please click “Yes” and then add all the name changes that have been supplied.

Any Name Changes

Birth or other names used

First Middle Last

Date name used from

Date name used to

Birth or other names used

First Middle Last

Date from used from

Date from 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

Please check the documents that the applicant has provided. If unsure that they are correct, please go back to the guidance at step 2. If the documents are the original and correct, the next stage is to take a photograph of each document and then attach them to this form. Please explain to the applicant that a photo of their document will not be stored on your phone. You must take three individual photos of the three documents. Then click on “Choose file” and then select “Take Photo”, once the photo has been taken, click “Use Photo” and this will secure the photo to this form. Complete this with the other two documents and then click on next.

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.

Please confirm the following;

ID Verifier's Full Name*

First Last

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

Position*

Verifiers Signature*

Date*

Please ensure the applicant reads the following declorations and then signs to agree to the archdioceases processing their DBS check

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*