Step-by-Step Guide to Completing CRB Application Forms
Following receipt of the first cohort of completed CRB forms, we have noted some common errors and decided to put together this easy to follow guide.
We would ask that you take the time to read this list. If forms are not completed correctly they will be returned to the practice and staff will be required to fill out a new application form.
Please take photocopies of the blank CRB forms and use them as practice papers in the first instance. We would remind you that in the Terms and
Conditions Part 1, PCT Team point 7, it states “The PCT reserves the right to charge your practice for the CRB check if a disclosure request form has to be returned to the practice three times due to errors or being inc omplete.”
Section A
1. Mr/Mrs/Miss/Ms must be completed, even when a title is completed under ‘
Other
’.
2. Surname should be the name the applicant usually uses.
3. All forenames must be completed, in line with the passport or driving licence.
4. First line of address i.e. property name or street
5. Area
6. Town/City
7. County
8. Postcode must be completed with a gap
9. At current address format must be MM/YYYY
10. Date of Birth must match all supporting documents
11. Gender
12. National Insurance Number
Section B
13. Current position, (as this is retrospective)
14. Organisation Name should be the practice name
15. Organisation address as written on post
16. As written on post
17. As written on post
18. As written on post
19. Postcode must have a gap
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Retrospective CRB Project

Section C
20. Surname at birth must be completed if Mrs or Ms is written in A1, even if it is the same
21. Leave blank if still used.
22. Other names used must be completed where any other name is used.
23. Used from must be completed when C22 has been filled in
24. Must be left blank when name continues to be used.
25. As C22
26. As C23
27. As C24
28. Town/City of birth must be completed as written on birth certificate
29. County District must be completed as written on birth certificate
30. Mark relevant box with an X
31. Complete when not born in the UK
32. Nationality as stated on passport/driving licence/Group 1 ID document
33. Home phone number should have no gap
34. Work phone number should have no gap
35. Insert WORK or HOME and a convenient time or insert mobile number and a convenient time if preferred.
Section D
36. Most recent previous address only should be completed here, where current residency has been less than 5 years.
37. Previous address written in post format
38. Previous address written in post format
39. Previous address written in post format
40. Postcode must have a gap
41. Country of previous address
42. Date format MM/YYYY
45. Date format MM/YYYY
Section E
MUST BE LEFT BLANK
Section F
MUST BE LEFT BLANK
Section G
MUST BE LEFT BLANK
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Section H
66. Put an ‘ X ’ in the appropriate box
67. If any extra paperwork is provided including evidence of identity or previous addresse s, put an ‘
X
’ in the box.
68.
Must sign the box
69. Must not sign the box
70. Must enter the date signed in the format DD/MM/YYYY
Section X (completed by Practice Manager or senior member of staff verifying ID documents)
1. Passport number as it appears in passport, with no gaps
2. Date of birth as copied from passport, in format DD/MM/YYYY
3. Nationality as printed in passport
4. Issue date in format DD/MM/YYYY
Driving Licence: PHOTOCARD licences must be accompanied by the paper counterpart
5. Licence number should contain no gaps (this will therefore include the 2 digit issue number at the end, often shown separately)
6. Date of birth as printed on licence in format DD/MM/YYYY
7. Mark ‘paper’ with an ‘ X ’ if an old style licence is being used as ID, mark
‘photocard’ with an ‘
X
’ if a photocard plus counterpart is being used.
8. Valid from as printed on Driving Licence photocard (4a) in format
DD/MM/YYYY .
9. Mark with an ‘ X ’ or complete country of issue, as printed on licence
10. Date of birth as printed on Birth Certificate in format DD/MM/YYYY
11. Issue date as printed in format DD/MM/YY
12. Mark with an ‘ X ’ or complete country of issue, as printed on Birth
Certificate
13. Issue date as printed in format DD/MM/YYYY
14. As printed on document (if being used a ID)
15. Must be marked with an ‘
X
’
16. Must be completed with the name of the person checking documents
Section Y
MUST BE LEFT BLANK
Section Z
MUST BE LEFT BLANK
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Address History
Key points when completing this form are:
1. Use black ink
2. Use block capitals
3. Dates must be in format MM/YYYY
4. Work from most recent after the address listed in Section D
5. Customer Reference number must be complete with the Form Ref No, written on the front of the form.
6. Applicant name must be in block capitals
SECTION X; EVIDENCE OF IDENTITY CONTINUATION SHEET
Key points when completing this form are:
1. Use black ink
2. Use block capitals
3. Dates must be in format MM/YYYY
4. Form Reference Number refers to the number located on the top right hand side, front page, of the disclosure form.
5. Applicant name must be in block capitals
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Retrospective CRB Project