DBS Manual Declaration Form
DBS Manual Declaration Form
Information Notice
Please read carefully the Information Notice below. It provides important information to you regarding the
collection, use, transfer and storage of your Personal Data for purposes of verifying your background in
connection with your role within the organisation identified in your candidate invite (the ”Requestor”).
Notification:
You have been selected by Requestor via the candidate invite to undergo certain background checks in support of
undertaking a role with Requestor and hereby authorise Requestor and its subsidiaries and/or its third party
provider HireRight Limited (“HireRight”) and their representatives to: perform reference checks on my
employment; verify any information provided through the on boarding process; conduct comprehensive
background enquiries including criminal checks and credit checking (if required); and take up personal, academic
and employer references (“Screening”). HireRight representatives include (a) subcontractors appointed to support
processing of data base checks, academic qualifications and references in particular where only local language
sources are available; and (b) vendors appointed to support in country credit and criminal checks, where relevant.
In some circumstances the Screening may continue to be made during the course of your employment and the
processing and release of any Personal Data obtained as a result of the Screening may be required to be sent to
referees, credit agencies, government bodies and other such third parties as may be reasonably necessary in the
course of such Screening and my employment.
Requestor will then instruct HireRight to collect, research and verify on behalf of my Requestor certain
information which will depend on the seniority of the position for which you have applied and on national laws.
All personal information provided will be treated with the strictest of confidence and in accordance with relevant
privacy legislation, including the General Data Protection Regulation (“GDPR”). Personal data will only be
processed with the consent of the individual for the purpose of administering a Disclosure application. Any
information provided will be securely held on a password-protected database with access restricted to named
individuals who require access as part of their normal duties. Information will not be shared with any other third
parties outside of the Disclosure process, except where required by Law, without the express consent of the
individual. All information held following a Disclosure application will be securely destroyed when no longer
required. For your rights in respect to your information please see the section entitled “Candidate Rights”.
A copy of the DBS guidance may be accessed here https://www.gov.uk/government/publications/basic-checks.
HireRight also utilises Representatives located in the Philippines and India. The Representatives are tasked with
processing verifications, references and databases searches based on where the candidate has lived previously and
to provide support in local geographies and languages by contacting employers, schools and governmental
agencies located in APAC during the course of completing the request for a Report. Representatives work from
the HireRight Portal with access from a Virtual Desktop Infrastructure which sits on the HireRight UK server
network. Representatives are prohibited from copying personal information by any means. This means that all
Personal Data will remain within the UK technical environment.
HireRight may transfer your Personal Data outside of the United Kingdom to such third parties, if required to
complete the verification and that such third parties will provide responses, including Personal Data, requested of
them.
Candidate Rights
You have certain rights arising from privacy legislation in respect to the Personal Data that will be processed in
relation to the Screening. Further information is available in respect to such rights at
https://www.hireright.com/emea/background-check-faq but in summary:
rights of access
rights of rectification
right of erasure
right to object
right to data portability
In each case your rights are exercisable against Requestor and you should direct your requests to the
Requestor/Data Protection Officer responsible for the Requestor’s compliance.
If you have any questions relating to the Screening process you are encouraged to contact Requestor at the
address above prior to completing the screening form.
It is confirmed that the Screening process does not include any automated decision making or profiling.
Declaration
AUTHORISATION:
3. transfer the Personal Data (including sensitive Personal Data) outside of either the United Kingdom, the EEA or my
country of residence to Source(s) and/or Representatives, if required to complete the verifications;
4. store the Personal Data for a period of 6 months on the HireRight Portal;
I further authorise any third party source contacted by HireRight to respond to any enquiries made and to provide
the Personal Data requested of them, where applicable to the background screening. For the avoidance of doubt
this may include:
Current Employer
Previous Employer
Academic Institutions
Professional Bodies
I confirm that I have been notified of my rights in respect to the Personal Data and that I have been provided with
contact details should I wish to exercise those rights.
I confirm that my consent is provided voluntarily and that I understand that I can withdraw my consent at any
time.
I declare to the best of my knowledge that any information that I have provided with my application for
employment is true, complete and correct.
I have read the Basic DBS Check Processing Privacy Policy and I understand how DBS will process my
personal data.
I consent to the DBS providing an electronic result directly to the responsible organisation that has
submitted my application. I understand that an electronic result contains a message that indicates either
the certificate does not contain criminal record information or to await certificate which will indicate that
my certificate contains criminal record information.
I have provided complete and true information in support of the application and I understand that
knowingly making a false statement for this purpose is a criminal offence.
The Disclosure and Barring Service will refer the details provided on this application form to government and
law enforcement bodies in accordance with any relevant legislation. The details provided to these bodies will be
used for identifying possible matches to records held by them. Where such a match is established, data may be
released to the DBS for inclusion on any certificate issued. The details provided on this form may be used to
update the records held by the bodies specified above.
applicant’s signature