I understand that Disclosure and Barring Service, Disclosure Scotland and Access Northern Ireland are
Executive Agencies that carry out specific checks and then issue certificates which give details of an
individual's criminal convictions, or state that they have none.
I hereby authorise CRB Support through Staffvetting.com Limited to verify the information presented in
my application for a criminal record check, for the purpose of performing a Basic Disclosure check
through the relevant Executive Agency.
If required I authorise the organisation requesting this check to scan and upload the completed
certificate into the online Basic Disclosure application system to enable a recruitment decision to be
made. I confirm that my consent is explicit, fully informed and freely given for the purposes of
obtaining a disclosure certificate as stated above.
By signing this declaration, I agree that I have provided complete and true information in support of the
application and that I understand that knowingly making a false statement for this purpose is a criminal
I have read and understood the DBS statement of fair processing and consent to the Responsible
Organisation receiving an electronic notification once the application has been processed which states
either the ‘Certificate contains no information’ or ‘Please wait to view applicant certificate’.
I declare that the information I have given is complete and correct. I understand that to knowingly make
a false statement in this application is a criminal offence. I will give any additional information that
may be required to verify the information given and will immediately notify any changes to this
All information requested is used solely for the purpose of obtaining a Basic Disclosure Certificate and
is collected, stored and processed in accordance with the Data Protection Act 1998. CRB Support through
Staffvetting.com Limited treat all personal information as confidential and will not disclose it to any
third party except: (i) with the applicant’s prior agreement; (ii) as necessary for providing our
disclosure service; or (iii) as required by law.
Any organisation which uses the online Basic Disclosure DBS application system is obliged to sign a
service contract requiring them to abide by the Data Protection Act 1998 and have a policy for secure
storage, handling, use, retention and disposal of Disclosures and Disclosure Information.
The Executive Organisation will refer the details provided on this application form to government and law
enforcement bodies in accordance with any relevant legislation. The details provided to these bodies
will be used for identifying possible matches to records held by them. Where such a match is established, data
may be released to the Disclosure and Barring Service, Disclosure Scotland or Access Northern Ireland for
inclusion on any certificate issued. The details provided on this form may be used to update the records held by
the bodies specified above.
The DBS Code of Practice can be found