Ensure all information on the form is accurate and complete. Sign and date the form where required. Submit the form via email to humanresources@fljud13.org. For additional submission methods, contact the Administrative Office of the Courts at the Thirteenth Judicial Circuit directly.

The purpose of this form is to facilitate background checks for individuals applying for various positions within the Thirteenth Judicial Circuit of Florida. This includes employment, contractor roles, volunteer positions, internships, and process servers. By providing accurate personal and residential information, applicants help ensure a thorough and accurate background check process. This form is essential for maintaining the integrity and safety of the judicial system. It ensures that all applicants undergo a comprehensive background screening to determine their suitability for the respective positions. The form collects critical information, including social security numbers, previous addresses, and authorizations, to enable thorough investigations. Accurate completion of this form is crucial for applicants as it directly impacts their eligibility for the desired position. Any falsification or omission of information can lead to disqualification or dismissal. Therefore, it is important to carefully review and provide precise details before submitting the form.

• 1. Background Check Type: Select the appropriate background check type from options like Employment, Contractor, Volunteer, etc.
• 2. First Name: Enter your legal first name.
• 3. Middle: Enter your middle name if applicable.
• 4. Last Name: Enter your legal last name.
• 5. Other Name Used: Provide any other names you have used in the past.
• 6. Additional Name Used: Enter any additional names if necessary.
• 7. Phone Number: Provide your current contact phone number.
• 8. Current Address: Enter your current residential address.
• 9. State: Enter the state of your current address.
• 10. Zip Code: Enter the zip code of your current address.
• 11. Social Security Number: Provide your Social Security Number for background check purposes.
• 12. Gender: Select your gender.
• 13. Race: Select your race from the provided options.
• 14. Driver's License Number: Enter your driver's license number.
• 15. State: Enter the state where your driver's license was issued.
• 16. Exp. Date: Enter the expiration date of your driver's license.
• 17. Previous Residence: Provide details for your past three home addresses, including approximate dates lived at each.
• 18. Date of Birth: Enter your date of birth for verification purposes.
• 19. Place of Birth: Provide your place of birth.
• 20. Authorization: Sign and date the form to authorize the release of information for your background check.
• 21. Applicant Signature: Your signature to certify the accuracy of provided information.
• 22. Date: Enter the date you signed the form.
• 23. Requestor Name (Print): Print the name of the person requesting the background check.
• 24. Date: Enter the date the requestor filled out the form.
• 25. Verification: Ensure the form is complete, signed, and dated before submission.

Failing to submit this form may result in disqualification or delay of your application process. The background check is essential for verifying the suitability of candidates.

• Disqualification: Not submitting the form can lead to immediate disqualification of your application.
• Application Delay: Incomplete submission can cause delays in the processing of your background check.
• Verification Issues: Failure to provide accurate information may cause problems in verifying your background.

• 1. Employment Application: When applying for a job within the Thirteenth Judicial Circuit.
• 2. Contractor Submission: For contractors seeking to work with the Thirteenth Judicial Circuit.
• 3. Volunteer Application: If you are applying to volunteer within the Thirteenth Judicial Circuit.
• 4. Internship Application: When applying for an internship position within the Thirteenth Judicial Circuit.
• 5. Process Server Application: For individuals applying to serve legal documents within the Thirteenth Judicial Circuit.