---
title: Nursing Home Employee Background Check Authorization Form Template | Paperform
description: Comprehensive background check authorization form for nursing home and long-term care facility hiring. Includes abuse registry, criminal history, health screening, and reference check consents.
url: "https://paperform.co/templates/nursing-home-employee-background-check-authorization-form"
type: static
generatedAt: "2026-03-31T00:49:14.853Z"
---

[← Back to free form templates](/templates/)    ![Nursing Home Employee Background Check Authorization Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/nursing-home-employee-background-check-authorization-form.png)
    [Preview](https://_preview.paperform.co/ai-template/nursing-home-employee-background-check-authorization-form) [Use this template for free](/create?ai-template=nursing-home-employee-background-check-authorization-form)    [Human Resources Forms](/templates/category/hr/)[Legal & Compliance Forms](/templates/category/legal/) [Healthcare](/templates/industry/healthcare/)[Senior Care](/templates/industry/senior-care/)[Human Resources](/templates/industry/human-resources/) [HR Manager](/templates/role/hr-manager/)[Recruiter](/templates/role/recruiter/)[Healthcare Administrator](/templates/role/healthcare-admin/)     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.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Hospice Care Worker Background Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hospice-care-worker-background-verification-form.png)

### Hospice Care Worker Background Verification Form

A comprehensive background verification form for hospice care workers, including criminal history checks, abuse registry authorization, and reference consent for compassionate care positions.](/templates/hospice-care-worker-background-verification-form/)
[![Behavioral Intervention Specialist Background Check & Authorization](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/behavioral-intervention-specialist-background-check-authorization.png)

### Behavioral Intervention Specialist Background Check & Authorization

A comprehensive authorization form for behavioral intervention specialists seeking positions in ABA therapy and clinical services, including criminal background check consent, certification verification, and clinical reference checks.](/templates/behavioral-intervention-specialist-background-check-authorization/)
[![Healthcare Employee Background Check Authorization Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/healthcare-employee-background-check-authorization-form.png)

### Healthcare Employee Background Check Authorization Form

A comprehensive authorization form for healthcare facilities to conduct background checks, fingerprinting, drug screening, and verify HIPAA training compliance for new and existing employees.](/templates/healthcare-employee-background-check-authorization-form/)
[![Home Health Aide Reference Check Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/home-health-aide-reference-check-form.png)

### Home Health Aide Reference Check Form

A comprehensive reference check form for home health aide candidates, evaluating personal care skills, medication management, mobility assistance, and family communication abilities.](/templates/home-health-aide-reference-check-form/)
[![Home Healthcare Caregiver Onboarding Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/home-healthcare-caregiver-onboarding-form.png)

### Home Healthcare Caregiver Onboarding Form

Comprehensive caregiver onboarding form for home healthcare agencies covering certifications, background checks, transportation, service areas, and availability.](/templates/home-healthcare-caregiver-onboarding-form/)
[![Medication Aide Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medication-aide-application-form.png)

### Medication Aide Application Form

Streamline your assisted living facility hiring with a comprehensive medication aide application form that verifies certifications, training, and dementia care experience.](/templates/medication-aide-application-form/)
[![Professional License Verification Document Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/professional-license-verification-document-request-form.png)

### Professional License Verification Document Request Form

Request verification documents and good standing certificates for professional licenses from state licensing boards with streamlined tracking and processing.](/templates/professional-license-verification-document-request-form/)
[![Adult Education Instructor Background Check Authorization](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adult-education-instructor-background-check-authorization.png)

### Adult Education Instructor Background Check Authorization

A comprehensive authorization form for adult education institutions to conduct background checks, verify teaching credentials, and contact previous employment references for instructor candidates.](/templates/adult-education-instructor-background-check-authorization/)
[![Auction House Employee Background Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/auction-house-employee-background-verification-form.png)

### Auction House Employee Background Verification Form

A comprehensive background verification form for auction house employees, covering criminal history checks, financial background authorization, and professional reference consent for high-trust positions.](/templates/auction-house-employee-background-verification-form/)
[![Audiologist Interview Coordinator](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/audiologist-interview-coordinator.png)

### Audiologist Interview Coordinator

Streamline your audiology hiring process with this interview scheduling form that captures candidate availability, clinical experience, and specialization preferences.](/templates/audiologist-interview-coordinator/)
[![Community Corrections Officer Background Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/community-corrections-officer-background-verification-form.png)

### Community Corrections Officer Background Verification Form

A comprehensive background verification and consent form for community corrections officer applicants, covering criminal justice credentials, driving records, and psychological evaluation authorization.](/templates/community-corrections-officer-background-verification-form/)
[![Educational Continuity Specialist Background Screening & Authorization](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/educational-continuity-specialist-background-screening-authorization.png)

### Educational Continuity Specialist Background Screening & Authorization

A comprehensive background check and authorization form for educational continuity specialists working with placement changes and school liaison roles.](/templates/educational-continuity-specialist-background-screening-authorization/)