About this template
Streamline your pre-employment screening process with this Background Check Request Form. Designed specifically for human resources professionals, recruiters, and hiring managers, this form collects essential information required to initiate candidate screenings, employment verifications, and credential checks efficiently.
The template guides users through capturing comprehensive data, including employee personal details, target job positions, departments, and the specific types of background screening services needed. It also features sections for requester contact information, processing purposes, and service payment details, ensuring all necessary administrative data is gathered in a single submission.
Whether you are processing new hires, vetting candidates for sensitive roles, or fulfilling compliance requirements, this digital template eliminates scattered email threads and manual paperwork. By utilizing Doc2Form to deploy this as a Google Form, your hiring team can instantly receive, organize, and track background check requests directly in your Google Workspace.
Key features
- Capture complete candidate and employee details for accurate screening.
- Select specific background check packages and services in one place.
- Collect billing and payment details seamlessly.
- Organize requests by department, job title, and purpose.
- Centralize all submissions directly in Google Sheets for easy tracking.
Use cases
- Pre-employment background screenings for new hires
- Periodic compliance and safety re-checks for current employees
- Third-party vendor and contractor credential verification
- Executive onboarding and security clearance requests
What this form collects
- Request Date (Date)Select today's date.
- Purpose of Background Check (Dropdown)Select the primary reason for requesting this screening.
- Requester Full Name (Short answer)Enter your first and last name.
- Requester Email (Short answer)Enter your work email address for status updates.
- Requester Phone Number (Short answer)Enter your direct phone number.
- Employee Full Name (Short answer)Enter the full legal name of the individual being checked.
- Gender (Dropdown)Select the gender as listed on official identification.
- Department (Short answer)Enter the department the employee will be working in.
- Job Position/Title (Short answer)Enter the exact job title for the position.
- Selected Background Check Service(s) (Checkboxes)Select all screening packages required for this request.
- Payment Method (Multiple choice)Choose your preferred method of payment for the screening services.
- Recipient Delivery Status (Multiple choice)Should the final report be delivered to an additional recipient?
- Recipient Full Name (Short answer)If applicable, enter the full name of the secondary report recipient.
- Recipient Email (Short answer)Enter the email address for the secondary report recipient.
- Recipient Phone Number (Short answer)Enter the phone number for the secondary recipient.
- Recipient Address (Paragraph)Enter the complete mailing address for the secondary recipient if physical delivery is required.
FAQ
How do I use this background check request template?
Simply use Doc2Form to instantly convert this template into your own Google Form. You can then customize the questions, adjust screening packages, and share the link with your hiring team or applicants.
Can I customize the screening services and pricing?
Yes. Once the template is in your Google Forms account, you can freely edit, add, or remove options to match your exact background check offerings and fee structure.
Where does the form data go when submitted?
All responses are automatically routed to a Google Sheet linked directly to your form, allowing your HR team to review, sort, and manage requests in real time.
Is this form mobile-friendly for applicants and managers?
Yes. Because it runs natively on Google Forms, users can easily access, complete, and submit the form from any smartphone, tablet, or desktop computer.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.