PVG - Existing member form

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A guide to completing the form

“Existing PVG Scheme Member
Application”

Designed for

organisations

enrolled with CRBS

Do you know -

1. Your PVG Scheme membership number?

2. What kind of Scheme membership you already
hold?
(adults / children / both)

3. Whether Disclosure Scotland has up-to-date
contact details for you?

Refer to your
Statement of Scheme Membership

If not, contact
Disclosure Scotland
PO Box 250
Glasgow, G51 1YU
info@disclosurescotland.co.uk
0870 609 6006

Use BLUE or BLACK ink

Stay within the boxes

Use BLUE or BLACK ink

Stay within the boxes

Do not use any stamps or stickers

SCWIS (Care Inspectorate) 101

General Chiropractic Council 102

General Dental Council 103

General Medical Council 104

General Optical Council 105

General Osteopathic Council 106

General Teaching Council for Scotland 107

Health Professions Council 108

Nursing and Midwifery Council 109

General Pharmaceutical Council 110

Scottish Social Services Council 111

X
X

X

For a free disclosure application

X

? ? ? ?
? ? ? ? ?

For a paid disclosure application

ORG A N I S A T I ON N A ME

AG R EED P OS I T I O N

Do NOT sign at F1/F2

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PVG - Existing member form

1. A guide to completing the form “Existing PVG Scheme Member Application”

2. Designed for organisations enrolled with CRBS

3. Blank form

4. Do you know - 1. Your PVG Scheme membership number? 2. What kind of Scheme membership you already hold? (adults / children / both) 3. Whether Disclosure Scotland has up-to-date contact details for you? Refer to your Statement of Scheme Membership

5. If not, contact Disclosure Scotland PO Box 250 Glasgow, G51 1YU info@disclosurescotland.co.uk 0870 609 6006

7. Use BLUE or BLACK ink

8. Use BLUE or BLACK ink Stay within the boxes

9. Use BLUE or BLACK ink Stay within the boxes Do not use any stamps or stickers

10. Guidance on completing form

11.

12.

13.

14.

15. X X

16. X X

17. X

18. 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9

19. t Ap plican 99 99 9 999

20. SCWIS (Care Inspectorate) 101 General Chiropractic Council 102 General Dental Council 103 General Medical Council 104 General Optical Council 105 General Osteopathic Council 106 General Teaching Council for Scotland 107 Health Professions Council 108 Nursing and Midwifery Council 109 General Pharmaceutical Council 110 Scottish Social Services Council 111

21. For a free disclosure application

22. X X X For a free disclosure application

23. X ? ? ? ? ? ? ? ? ? For a paid disclosure application

24. ORG A N I S A T I ON N A ME AG R EED P OS I T I O N

25. Do NOT sign at F1/F2 Leave page 4 blank

26. The end info@crbs.org.uk 01786 849777

PVG - Existing member form

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PVG - Existing member form