Nursing Home Employee Background Check Authorization Form
About this free form template

Nursing homes and long-term care facilities face strict regulatory requirements when hiring staff who will work directly with vulnerable residents. This Nursing Home Employee Background Check Authorization Form streamlines the pre-employment screening process by gathering all necessary consents and authorizations in one professional, compliant document.

Healthcare employers need to verify that potential employees don't appear on state abuse registries, have clean criminal histories, meet health requirements, and have verifiable professional references. This template consolidates those critical checks into a single form that protects both your facility and your residents.

Built with Paperform, this authorization form can be customized to match your facility's branding and specific state requirements. Use conditional logic to show different consent sections based on the position type, automatically route completed forms to your HR team via Stepper workflows, and integrate with your applicant tracking system to keep hiring moving smoothly.

The form includes clear legal language for FCRA compliance, consent for health screenings including TB tests and physical examinations, authorization to contact previous employers and references, and permission to check state and federal abuse registries. Each section is written in plain language that candidates can understand while maintaining the legal specificity you need.

Whether you're hiring CNAs, LPNs, RNs, dietary staff, or administrative personnel, this template gives you a solid foundation for compliant background screening. For facilities managing multiple locations or ongoing hiring needs, Paperform's Agency+ plan makes it easy to customize versions for different states or facility types while maintaining consistent data collection across your organization.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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