Updated BCCU Applicant Affidavit Form (DSHS 27-109) Effective June 1st

Updated BCCU Applicant Affidavit Form (DSHS 27-109) Effective June 1st

The Background Check Central Unit (BCCU) published an updated BCCU Applicant Affidavit Form (DSHS 27-109) in November 2020.  Effective June 1, 2021, BCCU will no longer accept the previous BCCU Applicant Affidavit (REV. 04/2018).

Highlights of the November 2020 updates include the following:

  • Check box for applicants to authorize BCCU to leave a detailed message at the phone number provided.
  • Electronic signatures now allowed with attachment of valid photo identification.
  • Update to the email address.
  • Update to perjury and permission statement.
  • Administrative updates to instructions to assist applicants in completing the form correctly.

Please let us know if you have any questions.

bccuinquiry@dshs.wa.gov

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May 13, 2021