EmailMe Form - DBS Order form

First Name *
(enter the name of the applicant - this must match the name on their ID)
Surname *
(enter the name of the applicant - this must match the name on their ID)
Contact Email address *

Confirm Email
Status *
Glossary:

- A Self-Employed person is an individual who works for themselves rather than being employed by an organisation. For example, a private maths tutor who offers one-to-one lessons.

- A Small Business/Recruiting Organisation is employing the individual to carry out the service under their Company Name.

- A Personal Employee is someone employed directly by a private individual to deliver services either to them or a member of their family. For example, someone with a Personal Health Budget may directly employ an individual as a carer - this person would be a personal employee.
Trading Name
If you have a Trading Name and would like it printed on your DBS certificate, enter it here.

This will be printed on your DBS certificate as "Self-employed Your Trading Name", for example, if your Trading Name is First Option Tutoring, it will be printed on your DBS certificate as: "Self-employed First Option Tutoring".

NOTE: If you do not provide a Trading Name, "Self-employed" will be printed on your DBS certificate.
-
Business / Organisation / Company Name *
Enter the Business/Organisation or Company Name.

Note: this will be printed on the DBS certificate under the heading "Employer Name"
-
I am authorised on behalf of the above-named Business / Organisation / Company to obtain a DBS check in their Name *
Yes I am authorised
What is the applicants' occupation/job role ? *
(in relation to the DBS Application)
Level of DBS required? *
Standard Level DBS check
Enhanced Level DBS check
The role is eligible for a DBS because (select all that apply): *
Work with Children: Childcare
Work with Children: Counselling / Psychotherapy
Work with Children: Physiotherapy
Work with Children: Providing Healthcare
Work with Children: Providing Therapy or Treatment
Work with Children: Supervising
Work with Children: Teaching, Training, Instructing
Work with Children: Transporting
Work with Vulnerable Adults: Assistance with Shopping
Work with Adults: Counselling / Psychotherapy
Work with Adults: Physiotherapy
Work with Adults: Providing Health Care
Work with Adults: Providing Personal Care
Teach or Train Elderly, Ill or Disabled Adults
Transport of Patients
Trustee of a Children's Charity
Trustee of a Vulnerable Adults Charity
Contractor working in a school/s
Contractor working in Nursing Home/s
Contractor working in NHS (Standard DBS Check only)
Work in NHS: Not healthcare role *(Standard DBS Check only)
Financial Services Postion regulated by FCA (Standard DBS Check only)
FCA Approved Person application: for offering loans, car finance or consumer credit (Standard DBS check only)
Legal Profession (Standard DBS Check only)
1st ID Document (of the applicant): pdf, jpeg or png *
Upload 1 x ID copy from the list below. If you cannot provide this, we cannot process a DBS application for you.

Note: If you have a current Passport, please upload it. If you have dual nationality, upload a copy of your British Passport.

- Passport *recommended; must be current and valid
- e-Visa share code
- Biometric Residence Permit (BRP) - UK
- Application Registration Card (ARC)
- Photo Driving Licence (UK, Full or Provisional)
- Birth certificate (UK) issued within 12 months of birth
- Adoption Certificate - UK
2nd ID Document (of the applicant): pdf, jpeg or png *
Upload 1 x ID copy from the list below. If you cannot provide this, we cannot process a DBS application for you.

Note: this must be different to an ID document you have already uploaded.

- e-Visa share code
- Biometric Residence Permit (BRP) - UK
- Application Registration Card (ARC)
- Photo Driving Licence (UK, Full or Provisional)
- Birth certificate (UK) issued within 12 months of birth
- Adoption Certificate - UK- Photo Driving Licence (any country)
- Birth certificate (UK) issued more than 12 months after birth.
- Marriage/civil partnership certificate (UK)
- HM Forces ID card or HM Armed Forces Veteran card (UK)
- Firearms licence (UK)
- Mortgage statement (UK) - issued in last 12 months
- Bank or building society statement (UK) - Issued in last 3 months
- Bank or building society account opening confirmation letter (UK) - Issued in last 3 months
- Credit card statement (UK) - Issued in last 3 months
- Financial statement, for example pension or endowment (UK) - issued in last 12 months
- P45 or P60 statement (UK) - issued in last 12 months
- Council Tax statement (UK) - issued in last 12 months
- Utility bill (UK) - not mobile phone bill - issued in last 3 months
- Benefit statement, for example Child Benefit, State Pension (UK) issued in last 12 months
- Central or local government, government agency letter (UK) confirming entitlement to benefits. For example: Personal Independence Payment (PIP), free school meals, universal credit, asylum support etc - issued in last 12 months
- HMRC self-assessment letters or tax demand letter (UK) - issued in last 12 months
- European Health Insurance Card (EHIC) or Global Health Insurance Card (GHIC) *must be valid
- EEA National ID card *must be valid
- Irish Passport Card - cannot be used if you have uploaded an Irish passport *must be valid
3rd ID document (of the applicant): pdf, jpeg or png *
Upload 1 x ID copy from the list below. If you cannot provide this, we cannot process a DBS application for you.

Note: this must be different to an ID document you have already uploaded.

- e-Visa share code
- Biometric Residence Permit (BRP) - UK
- Application Registration Card (ARC)
- Photo Driving Licence (UK, Full or Provisional)
- Birth certificate (UK) issued within 12 months of birth
- Adoption Certificate - UK- Photo Driving Licence (any country)
- Birth certificate (UK) issued more than 12 months after birth.
- Marriage/civil partnership certificate (UK)
- HM Forces ID card or HM Armed Forces Veteran card (UK)
- Firearms licence (UK)
- Mortgage statement (UK) - issued in last 12 months
- Bank or building society statement (UK) - Issued in last 3 months
- Bank or building society account opening confirmation letter (UK) - Issued in last 3 months
- Credit card statement (UK) - Issued in last 3 months
- Financial statement, for example pension or endowment (UK) - issued in last 12 months
- P45 or P60 statement (UK) - issued in last 12 months
- Council Tax statement (UK) - issued in last 12 months
- Utility bill (UK) - not mobile phone bill - issued in last 3 months
- Benefit statement, for example Child Benefit, State Pension (UK) issued in last 12 months
- Central or local government, government agency letter (UK) confirming entitlement to benefits. For example: Personal Independence Payment (PIP), free school meals, universal credit, asylum support etc - issued in last 12 months
- HMRC self-assessment letters or tax demand letter (UK) - issued in last 12 months
- European Health Insurance Card (EHIC) or Global Health Insurance Card (GHIC) *must be valid
- EEA National ID card *must be valid
- Irish Passport Card - cannot be used if you have uploaded an Irish passport *must be valid
My ID documents have been checked by the person named below. *
Yes I confirm my physical ID documents have been checked by the person named below.
*
I confirm that the person who checked my ID is not a relative or a personal friend and does not live in the same household as the me.
ID Checker Name:
**Note: this CANNOT be your own name, or a relative of you, the applicant** *
First and Last Name of the person who checked the applicant's ID.
I confirm I am a UK resident. *
Yes, I live in England, Scotland, Wales, Northern Ireland or the Channel Islands.
Agree to the Terms of Business & Privacy Policy of Mayflower Disclosure Services Ltd? *
Yes, I have read and agree to the Terms of Business & Privacy Policy.
Available to view/download here: Terms of Business & Privacy Policy
*
Yes, I understand that these can be changed at any time and that I should check the Terms of Business available on the website of Mayflower Disclosure Services Ltd periodically for changes.
By using our Services, you agree to accept those changes, whether or not you have reviewed them.
Where did you hear about us? *
Today's Date *
DD / MM / YYYY
Please enter today's date
Additional Information:
Please provide additional if you feel it is relevant.