Guardianship

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Three forms are required for fingerprint-based criminal background checks for individuals seeking to be appointed a legal guardian of children/youth.

NOTE: Not all forms are compatible with Mac programs.

Instructions: 
How to Complete Forms and Submit a Fingerprint-based Criminal Background Check

NOTE: There is a different process for background checks of Guardians of Adults. 

Form 1 
Personal Authorization for Criminal History Record Information Inquiry (SFN 829) 
(This form must be typed)

Additional Address History 
(Use as needed and attach along with SFN 829)

Form 2 
Criminal History Record Check Request Form (SFN 60688) 
(This form must be typed)

Form 3 
Fingerprint Identity Verification (SFN 836) 
(Print a blank copy of this form)

All fees for private guardianship background checks must be paid by the applicant. This includes fees assessed by other states or tribal court/child welfare agencies.

All fees must be paid with a check or money order payable to ND Department of Health and Human Services. Current background check fee is $40.00.  

Tribal record fees are Spirit Lake Nation - $30, Standing Rock Sioux - $30, Three Affiliated Tribes $10, Turtle Mountain Band Chippewa - $10, Sisseton-Wahpeton - $20.  Additional fees for other states may be required.  

If you have lived outside of North Dakota during the past five years, click on each state you have lived in (below) to see if you need to:

  • Complete additional out-of-state authorization forms for each state you have lived in,
  • Provide a copy of a valid photo ID or a copy of your social security card, and/or
  • Provide an extra set of fingerprint cards (must obtained from a law enforcement agency or an authorized third-party fingerprinting agency)
  • Submit payment for additional fees.

(If any of the above additional items are required, they must be mailed to the Bismarck office.  Please DO NOT send anything directly to other states.)

Individual State Background Check Forms

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Individual State Background Check Forms

Select from the list below. PLEASE READ ALL INSTRUCTIONS CAREFULLY!

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Alabama

The signature on the form below must be witnessed.

Child Protective Services form  

Alaska

Child Protective Services form  

Arizona

Child Protective Services form  

Arkansas

  • Complete the form below - notary not necessary.
  • Due to their requirements, a second form will be generated by the CBCU and it will be emailed directly to you.
  • The online-generated form DOES require a notary.
  • Mail the completed form to the CBCU.
  • Please Do NOT mail it to Arkansas.

Child Protective Services form  

California

  • $15 processing fee (make payable to ND DHHS)
  • No forms are required.

Colorado

  • You will receive email instructions after the department receives your background check request.
  • $35 processing fee (make payable to ND DHHS)

Connecticut

Child Protective Services form  

Delaware

  • Complete Part 1 before printing the form for signature and date. 
  • $14 processing fee (make payable to ND DHHS)

Child Protective Services form  

Florida

Child Protective Services form 

Georgia

Child Protection Services form  

Hawaii

Child Protective Services form  

Idaho

  • Signature must be notarized.
  • $20 processing fee (make payable to ND DHHS) - PRIVATE GUARDIANSHIP ONLY

Child Protective Services form  

Illinois

Child Protective Services form  

Indiana

  • Online form required.
  • You will receive email instructions upon the department initiating a registry search.

Iowa

No forms are required.

Kansas

Child Protective Services form 

Kentucky

A witness signature is required.

Child Protective Services form 

Louisiana

The form below requires a photo ID.

Child Protective Services form 

Maine

  • Complete only if you are 18 yrs old or older
  • This form CANNOT BE TYPED
  • $15 processing fee (make checks payable to ND DHHS)

Child Protective Services form  

Maryland

The form below must be typed. The signature must be notarized.

Child Protective Services form  

Massachusetts

Child Protective Services form  

Michigan

You will receive an email with the form and instructions.

 

Minnesota

  • You will receive email instructions after the department receives your background check request.
  • $20 processing fee (make payable to ND DHHS)

Mississippi

  • Online form required.
  • You will receive email instructions upon the department initiating a registry search.

Missouri

No additional form is required.

Montana

The signature on the form below must be notarized.

Child Protective Services form  

Nebraska

  • The signature on the form below must be notarized.
  • If the applicant is not 19 years old or older, the applicant's parent or guardian must sign the form.
  • $2.50 processing fee (make payable to ND DHHS)

Child Protective Services form 

Nevada

The form below requires a photo ID, DO NOT NOTARIZE.

Child Protective Services form 

New Hampshire

The signature on the form below must be notarized.

Child Protective Services form 

New Jersey

Child Protective Services form 

New Mexico

The form below must be typed.

Child Protective Services form  

New York

The signature on the form below must be notarized.

Child Protective Services form  

North Carolina

The form below must be typed and requires a copy of a valid photo ID.

Child Protective Services form  

Ohio

  • Form below must be typed.
  • Requires a copy of a valid photo ID and a copy of the applicant's social security card.
  • Results will be mailed to the applicant.
  • Applicant must forward them to the Criminal Background Check Unit in Bismarck.

Child Protective Services form  

Oklahoma

Does not maintain a public registry.

Oregon

The form below must be typed.

Child Protective Services form  

Pennsylvania

$13 processing fee (make payable to ND DHHS)

Child Protective Services form

Rhode Island

No forms are required.

South Carolina

You will receive email instructions after the department receives your background check request.

South Dakota

The signature on the form below must be notarized.

Child Protective Services form  

Tennessee

No forms are required.

Texas

You will receive email instructions after the department receives your background check request.

Utah

The form below requires a photo ID.

Child Protective Services form  

Vermont

No forms are required.

Virginia

  • You will receive email instructions after the department receives your background check request.
  • $10 processing fee (make payable to ND DHHS)

 

Washington

$20 processing fee (make payable to ND DHHS).

Child Protective Services form  

Washington, D.C.

Full 18 years of address history and photo ID are required.

Child Protective Services form  

West Virginia

Child Protective Services form

Wisconsin

No forms are required.

Wyoming

Instructions will be emailed to the applicant.

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Contact Information

Criminal Background Check Unit
600 E. Boulevard Avenue, Department 325
Bismarck, ND 58505-0250
Phone: (701) 328-7575
Toll-Free: (800) 472-2622, 711 (TTY)
Fax: (701) 328-0358
Email: dhscfscbc@nd.gov