Background Check Form

Background Check Approval for Background Investigation, Criminal History and Drivers License Check Information

Please be as thorough and honest as possible in your responses. Incomplete applications cannot be accepted.

Approval for Background Investigation, Criminal History and Drivers License Check:
As an employee for a company under contract with DuPage County, I realize that a background investigation, criminal history and driver's license check will be done before I can work in the DuPage County Jail. I hereby authorize the DuPage County Sheriffs Office to search any law enforcement database to conduct it

List all names you have ever used
Name One * (first, middle, last):

Name Two (first, middle, last):

Name Three (first, middle, last):


Address *:

Apt #:

City *:

State *:

Zip *:

Date of Birth *:

Sex *:

Race:

Drivers License Number *:

Vendor *:

Signature *:

Date *:

Witness Signature *:

Date *: