Background Check Application Request for IDDSD Service Provider
Multnomah County Intellectual & Developmental Disabilities Services (IDDSD)
Background Check Application Request
For new or renewing Personal Support Worker (PSW), Behavior Consultant, Employment Support Specialist, or Direct Nursing Care Providers serving intellectually and developmentally disabled individuals in Multnomah County, Oregon.

New Personal Support Workers: refer to the New PSW Enrollment Quick Reference for information about the background check and enrollment steps you need to complete.

Renewing Personal Support Workers: refer to the Renewing PSW Quick Reference Guide for information about the renewal requirements.

The information collected on this form is used to start your criminal history background check application in the online application system used by the Background Check Unit (BCU) at the Oregon Department of Human Services.

A valid email address is required for the background check application. After Multnomah County staff start your background check application in the State's system, you will be sent a link by email to the application questionnaire for you to complete online. You must have a valid email address in order to receive the link, your application ID number and any other information and instructions for your application.

Valid government-issued photo ID is required before we can start the background check application for you. Only one piece of ID is needed. Send a copy of both sides of your ID to dd.backgroundchecks@multco.us  (photos or document scans are acceptable). Examples of valid government issued ID include:
  • Unexpired state driver license
  • Unexpired state ID card
  • US Passport
  • US Permanent Resident ID
  • US military ID
ID Verification Meeting by Video Conference Call.
We are required by the State to verify your identity before we can start your background check application in the State's system. We do that by online video conference call over Google Meet so we can see you holding your ID. On this form, you can enter up to 3 different preferred appointment dates and times. Appointments are scheduled during our regular office hours, Monday through Friday from 8:00 am to 5:00 pm.

After we receive your information on this form and copies of your ID, we will send you an email to confirm your appointment and provide a link for your Google Meet video conference appointment.  We will set up the Google Meet for you - you DO NOT need to do this yourself. The confirmation email we send will include any additional information and instructions you will need for the video conference call. For information about using Google Meet on a computer, or on a phone or tablet, see our How to Attend a Meeting with Google Meet information sheet.

Fingerprints
Fingerprints are sometimes required by the State for background check applications. If you need to provide fingerprints, we will send you a notice by email with detailed instructions to have fingerprints taken.

Version 2.  Revised 12/11/2023.
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Your First Name *
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Your Last Name *
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Your Date of Birth *
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