🔒Enhanced DBS Application Form

As part of our safer recruitment process, we require an Enhanced Disclosure and Barring Service (DBS) check, including the barred list if applicable. Please complete the form below so we can begin the process, or provide details if you’re on the DBS Update Service.

👤Applicant Information

Full Name (as shown on ID)

Previous Names (if applicable)

Date of birth

Phone

National Insurance Number (NIN)

Address

Street Address

City

State

Country

Postal code

📄DBS Application Type

Please select one

📜If you Need a New DBS Check

If you require a new Enhanced DBS check, please complete the fields below and upload your documentation as part of this form. Please upload three valid identity documents. These must meet DBS identity checking guidelines and include at least one document from Group 1 (e.g. passport, driving licence), plus two others (e.g. utility bill, birth certificate).

Document 1 (e.g. passport or driving licence):

Document 2 (e.g. utility bill or bank statement):

Document 3 (e.g. birth certificate, NI letter, council tax letter):

Do you require your check to include the Adults' Barred List and/or Children’s Barred List?

✍️Declaration

I confirm that the information provided is true and complete. I consent to BrightPath Neuro completing a DBS check.

Yes

Signature

Clear

Date