The Criminal Records Bureau 'CRB'

Disclosure Application Form

This must be completed by all adults (over 18s) who are likely to have unsupervised access to our young members. This includes those attending camps, regular helpers on meeting nights in the halls or activities away from St. Michael's and of course our leaders and group officers.

We cannot accept disclosures from any other organisation.

Once a disclosure is received via the Scout Association it will not need to be renewed for five years.

Our Group Scout Leader, Conway Tearle has a supply of forms and can help you to complete one. Please speak to him if you want to be CRB checked or you have any other queries.

Completing the form

  • Use black ink
  • Section A - complete
  • Section B - leave as is
  • Section C - complete
  • Section D - complete if you moved home in last five years
                        (put extra addresses on a separate sheet)
  • Section E, F & G - leave blank
  • Section H - complete all except the second signature at '69'
  • Section X - to be completed by Conway from the documents provided, see below -

Your identity will need to be confirmed by providing original documentation to Conway. They will need to be from the lists below.

Can you produce any documents from Group 1
YES
3 documents must be seen
with at least one from Group 1
NO
5 documents must be seen
from Group 2
Group 1

Passport any nationality

UK Birth Certificate issued within 12 months of date of birth - full or short form

UK issued Driving Licence either old style paper or new photocard (both Photo card and counterpart licence must be shown)

EU Photo Identity Card EU countries only

HM Forces ID Card

UK Firearms Licence

Group 2

Marriage Certificate

Financial Statement** e.g. pension, endowment, ISA

Birth Certificate

Vehicle Registration Document

UK P45/P60 Statement**

Mail Order Catalogue Statement*

Bank/Building Society Statement*

Court Claim Form** documentation issued by Court Services

Utiliy Bill* electricity, gas, water, telephone (incl. mobile phone contract/bill)

Exam Certifcate e.g. GCSE, NVQ

TV Licence**

Addressed Payslip*

Credit Card Statement*

National Insurance Card

Store Card Statement*

UK NHS Card

Mortgage Statement**

Benefit Book Child Allowance/ Pension

Letter from Head Teacher

Motor Insurance Certificate**

Certificate of British Nationality

Council Tax Statement**

Work Permit/Visa**

CRB disclosure certificate

A document from UK Central/ Local Government/Gov't Agency/ Local Authority giving entitlement* e.g. Benefits Agency, Employment Service or Inland Revenue

Connextions Card
* should be less than 3 months old
** issued in the last 12 months

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