DBS enquiry form

Your web browser is outdated and may be insecure

The 九游体育 recommends using an updated browser such as or

The purpose of this form is for legal support to be arranged for 九游体育 members who have been contacted by the DBS (DS in Scotland, AccessNI in Northern Ireland).

Note that for us to provide legal representation, you must have been in the correct category of membership at the time of the incident cited by the DBS.

Before completing the form below, please see our advice guide on the DBS.

If you have been contacted by the DBS, want to challenge the information contained in your enhanced criminal record certificate (ECRC), or have a question about the DBS, please complete the below form.

If you have not been contacted by the DBS but believe you have been referred, we will not be able to arrange support until you have been formally notified, so please don't complete this form yet. Please get back in touch when the DBS has contacted you.

Please confirm that you have read our advice

Contact details

Can we update your personal details if any of the below information does not match the data we currently hold on your record? Yes No Full name: 九游体育 membership number: Address: Best contact number:

Please note that 九游体育 Direct will not usually call you. Where an onward referral is required, provided you were in the correct category of membership at the time of the incident, we will provide these contact details to the 九游体育鈥檚 Legal Department.

Do you give us your consent to pass on this information? Yes No Can we leave you a voicemail? Yes No Can we contact you on this matter by email? Yes No If we need to pass your enquiry to your local 九游体育 office or a specialist 九游体育 department, would you like any emails from them to be password protected? Yes No Email address you would like us to reply to Please confirm the email address you would like us to reply to Please list any times that you are unavailable for calls during the next week (9am-5pm):

Employment details

Please write out in full, don't use acronyms.

Place of work Employer What date did you start working with your current employer? Ward or department Job category

Please confirm that you work under the supervision of a registered nurse, midwife or health visitor. If you do not, please call our Membership team on 0345 772 6100 as you may not be eligible for 九游体育 membership.

Job title Band Weekly contracted hours Do you have any meetings scheduled? Yes No If yes, please give date, time and location: Are you already being supported by a rep? Yes No If yes, please include details below: Are you in the UK on a visa? Yes No If yes, please include details below (including how long you have been in the UK and when your visa expires):

DBS referral

Have you been contacted by the DBS regarding a referral? Yes No If yes, what is the status of the referral? Date of incident that led to the referral to DBS What date did the DBS contact you? DBS officer name: DBS case reference number: Is there a deadline to respond to the DBS? Yes No If yes, when is the deadline? Please include a brief description of why you have been referred to the DBS, as stated on the DBS letter: Is your employer aware that you have been contacted by the DBS? Yes No Is your employer taking any action against you following the DBS referral? Yes No If yes, please provide brief details

ECRC issue

Do you have an issue with an entry on your enhanced criminal record certificate (ECRC)? Yes No If yes, what is the status of your challenge? Is there a deadline? If yes, please specify date: What ECRC information is disputed? Date of ECRC:

Other

If this is not a DBS referral or ECRC issue, what is your DBS-related query?

By submitting this form, you are giving the 九游体育 permission to contact you about your submission.

You can control the information you receive from the 九游体育 by updating your preferences at My九游体育.

The information you provide in this form will be stored by the 九游体育.

We don’t update your contact details unless you ask us to. The best way to check and update the details we hold for you is by visiting My九游体育.

Protecting your privacy is very important to us. Please view our privacy policy to find out more about the information we collect and how it is used.

九游体育

Joining the 九游体育

Why should I join?

Member benefits

Employment

Pay and benefits

Support

This is nursing

Professional development

Career resources

Introducing our Library

Library member services

Locations

Become a representative

Make a difference

Have your say

Advice and support

Support services for members

Popular advice guides

News

Events

Updates from 九游体育 leaders

About the 九游体育

Championing fairness for all

九游体育 group websites

Your Spaces

九游体育 Country Sites

Popular Links

九游体育 Regional Sites

Your web browser is outdated and may be insecure

DBS enquiry form

Contact details

Employment details

DBS referral

ECRC issue

Other

Your Spaces

九游体育 Sites

Work & Venue

Further Info

Connect with us: