Background Investigation Services for Applicants

Facility Name:
# of Beds:
Person Completing Survey:
Phone:

Do you use the statewide Washington State Patrol Check for background investigations?	Yes No
Do you also use the services of a background investigation company?  Yes  No If no, are you interested in purchasing comprehensive background investigation services? Final question.Yes If yes, which one?	Yes No
How many background investigations do you conduct each month?	Less than 10? 10-20? 20-30? 30-40? More than 40?
Which basic services do you currently use in conducting background investigations? Check all that apply.	Statewide Washington Criminal Check Nationwide Criminal Check Criminal Federal Court Search Social Security Verification National Sex Offender Search Office of Inspector General (OIG)—Healthcare Exclusion List Medical Fraud and Abuse Check Education Verification Employment Verification Consumer Credit Check Worker’s Compensation Inquiry
Which basic services would you like to see offered in a package through the Association?	None Statewide Washington Criminal Check Nationwide Criminal Check Criminal Federal Court Search Social Security Verification National Sex Offender Search Office of Inspector General (OIG)—Healthcare Exclusion List Medical Fraud and Abuse Check Education Verification Employment Verification Consumer Credit Check Worker’s Compensation Inquiry
How much do you currently pay for services per employee background investigation?	$10 or less $10-$15 $15-$20 $20-$25 More than $25
Who pays for the background investigation?	Employer Employee
How quickly do you typically receive your background investigation report?	24 hours or less 24-48 hours More than 48 hours
Do you screen residents before admission?	Yes No
If no, do you foresee the need for performing a background investigation on potential residents in the future?	Yes No