Criminal History Request Form

Use a Criminal History Request Form 2017 template to make your document workflow more streamlined.

What the Criminal History Request Form does

A Criminal History Request Form records a person’s authorization and identifying information for a criminal-history inquiry. The requester completes the applicable subject, requester, purpose, disclosure, and signature information, then submits the form through the channel required by the receiving agency or organization. It is not itself a criminal-history report and does not determine eligibility, employment status, or licensing. When electronic signing is permitted, signNow can upload the document, detect fillable fields, route it to authorized signers, and preserve the completed form with an audit trail. Agency instructions and state law control submission requirements.

Human resources

Human resources teams use the Criminal History Request Form to obtain authorized background information during screening workflows, while limiting access to personnel with a defined business need. Consent language, subject identifiers, and disclosure records should remain attached to the completed submission.

Regulated organizations

Government agencies, licensing offices, and regulated employers use the form when a criminal-history inquiry requires documented authorization. signNow can route the request, capture signatures, and preserve an audit trail, but the receiving authority’s instructions control required fields and submission method.

Complete the form online

Use this sequence to prepare, route, sign, and retain the Criminal History Request Form.

Upload form:
Upload the completed Criminal History Request Form to signNow.
Check fields:
Review detected fields and add missing signature or date fields.
Add signers:
Enter each authorized signer’s email address and signing order.
Complete record:
Send the form, monitor completion, and download the signed record.

How the request moves through signNow

The signNow workflow moves the Criminal History Request Form from upload through field preparation, authorized signing, and evidence-preserving storage.

Upload document: Upload the Criminal History Request Form into signNow.
Prepare fields: Review detected fields and add required signer fields.
Route request: Send the request to authorized recipients for signature.
Retain evidence: Store the completed form with its audit trail.

Legal standing and document limits

A signed Criminal History Request Form can support attribution and evidentiary review when the signer demonstrates intent, consents to electronic records, and the record is retained and reproducible under ESIGN, 15 U.S.C. ch. 96, and applicable UETA law. ESIGN exceptions include wills, certain court orders, and family-law decrees.

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Authenticate signer:

Records the signer’s identity and selected authentication method.

Capture timestamp:

Captures signing time, date, IP address, and document actions.

Hash document:

Creates a document hash supporting later integrity checks.

Seal record:

Seals the completed record against unnoticed content changes.

Preserve certificate:

Maintains the certificate of completion with signing events.

Export audit trail:

Allows authorized users to retrieve or export audit evidence.

Security controls for criminal-history records

Data encryption:

Encryption in transit and at rest

Transport protection:

TLS 1.2/1.3 and AES-256

Security certification:

SOC 2 Type II certified

Information security:

ISO 27001 certified

Health information:

HIPAA compliant with BAA

Electronic signatures:

ESIGN and UETA compliant

Find and fill out the correct criminal history request form

airSlate SignNow helps you fill in and sign documents in minutes, error-free. Choose the correct version of the editable PDF form from the list and get started filling it out.

Versions	Form popularity	Fillable & printable
NC Right to Review Process Form 2019	4.8 Satisfied (271 Votes)
NC Right to Review Process Form 2017	4.7 Satisfied (134 Votes)

Record-keeping practices for this form

Retain the Criminal History Request Form with its authorization evidence, completed signature record, and audit trail under the rule governing the underlying screening activity.

Export the signed form and audit trail

Export the completed Criminal History Request Form together with its signNow audit trail and certificate of completion. Preserve the original file format, signer evidence, and access history so reviewers can evaluate authorization and document integrity without relying on an email thread.

Apply the governing retention rule

Apply the retention period required by the record’s actual context. HIPAA documentation requires six years under 45 CFR 164.530(j); other employment, licensing, or agency rules may differ and should be confirmed with the responsible authority.

Limit access to authorized reviewers

Restrict criminal-history information to authorized personnel and separate preparation, approval, and records-management permissions. Use signNow roles, shared templates, and controlled sending access so a completed request is not exposed through unrestricted links or shared accounts.

Archive the complete request package

Keep the submitted request, consent language, attachments, and completion evidence together in secure archival storage. Document the disposition date and any state-specific requirements before deleting records containing personal or criminal-history information.

Retention periods depend on record context

A Criminal History Request Form does not have one universal retention period. Apply the rule governing the employer, agency, health record, or screening activity connected to it.

Six years for HIPAA records

HIPAA 45 CFR 164.530(j) requires six years from creation or the last effective date when applicable.

Three years for tax records

IRS records generally require three years from filing under IRC §6501(a) when the request supports tax records.

Three years for payroll records

FLSA payroll records require three years under 29 CFR §516.5 when connected to employment records.

Five years for injury records

OSHA injury records require five years following the year under 29 CFR §1904.33 when applicable.

Thirty years for exposure records

OSHA exposure records require 30 years under 29 CFR §1910.1020 when the request concerns covered exposure information.

Platform requirements for the form

The Criminal History Request Form can be prepared through supported desktop browsers using Windows or macOS, or through signNow mobile apps on iOS and Android. Secure connections use TLS, while browser and app access support review, field completion, signing, and document retrieval.

Browser support Chrome, Firefox, Safari, and Edge
Operating systems Windows, macOS, iOS, and Android
Device access Desktop browsers and signNow mobile apps

Organizations should control access through managed devices, approved browsers, and role-based signNow permissions. Teams using integrations or API workflows should confirm the required plan, authentication controls, storage destination, and retention policy before routing criminal-history information.

Privacy and disclosure pitfalls

Criminal-history details may be exposed when unrestricted signing links, shared accounts, or broad folder permissions allow unauthorized access.
Missing or unclear consent language can weaken the record showing that the subject authorized the criminal-history inquiry.
Sending the request to the wrong recipient can disclose sensitive identifiers and create an inaccurate audit trail.
Keeping only the signed page while discarding the audit trail can make later verification of timing and signer attribution harder.

Connect the request to business systems

Route Criminal History Request Form data through Salesforce, Microsoft Dynamics 365, NetSuite, Microsoft 365, Google Drive, Box, or Procore while keeping document status and signed records connected to the operational workflow.

Troubleshooting the request workflow

Resolve Criminal History Request Form issues by checking document quality, signer identity, authorization, retention, and the signNow plan features used for routing.

Upload the original PDF again and confirm that its pages are readable. signNow can detect fillable fields, but unclear scans may require manual field placement before sending the Criminal History Request Form.

Confirm the recipient’s email address and resend through the document’s signing workflow. Business plans provide templates and audit trails; the signer can often complete the request without creating a signNow account.

Use signNow authentication options appropriate to the sensitivity of the record, including two-factor authentication where configured. ESIGN and UETA support electronic signatures when intent, consent, attribution, and record retention are established.

Review the form’s authorization language before sending. A signNow signature does not replace consent or disclosure requirements imposed by the agency, employer, state law, or the Fair Credit Reporting Act when applicable.

Export the completed form and audit trail from signNow, then store them under the organization’s approved retention policy. HIPAA records require six years under 45 CFR 164.530(j) when the rule applies.

The Business plan is listed at $8/user/month when billed annually and includes audit trails and templates. Business Premium adds bulk send at $15/user/month annually; confirm plan limits before sending multiple requests.

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