Form 3000-240-062 "New User Application (Non-profit Account)" - Washington

What Is Form 3000-240-062?

This is a legal form that was released by the Washington State Patrol - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Washington State Patrol;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3000-240-062 by clicking the link below or browse more documents and templates provided by the Washington State Patrol.

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Download Form 3000-240-062 "New User Application (Non-profit Account)" - Washington

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WASHINGTON STATE PATROL
Criminal Records
Washington Access to Criminal History (WATCH)
Division
New User Application (Non-Profit Account)
E-Mail:
watch.help@wsp.wa.gov
Mail to: WATCH
Identification & Background Check Section
PO Box 42633
Questions: Call (360) 534-2000 option #2
Olympia, WA 98504-2633
The WSP will e-mail your assigned account number, user name, and password within 7-14 business days.
Please retain a copy for your records. You may enter electronically or print.
AGENCY INFORMATION
Organization Name
Account Number
Administrator on the Account
Print Name
Sign Name
I am the existing administrator.
I am the new account administrator.
WATCH – NEW USER (Print Clearly)
(
)
User Name
Office Phone
E-Mail
Organization’s Address
Street
Apt./Suite
City
State
ZIP
CERTIFICATION
I certify that the information I have provided on this form is true and complete. I understand that this background check
fee will be waived for non-profit organizations licensed in Washington State, pursuant to the Child/Adult Abuse
Information Act
(RCW 43.43.830 through
43.43.845).
User Authorized Signature
Date
User Printed Name
3000-240-062 (R 8/18)
WASHINGTON STATE PATROL
Criminal Records
Washington Access to Criminal History (WATCH)
Division
New User Application (Non-Profit Account)
E-Mail:
watch.help@wsp.wa.gov
Mail to: WATCH
Identification & Background Check Section
PO Box 42633
Questions: Call (360) 534-2000 option #2
Olympia, WA 98504-2633
The WSP will e-mail your assigned account number, user name, and password within 7-14 business days.
Please retain a copy for your records. You may enter electronically or print.
AGENCY INFORMATION
Organization Name
Account Number
Administrator on the Account
Print Name
Sign Name
I am the existing administrator.
I am the new account administrator.
WATCH – NEW USER (Print Clearly)
(
)
User Name
Office Phone
E-Mail
Organization’s Address
Street
Apt./Suite
City
State
ZIP
CERTIFICATION
I certify that the information I have provided on this form is true and complete. I understand that this background check
fee will be waived for non-profit organizations licensed in Washington State, pursuant to the Child/Adult Abuse
Information Act
(RCW 43.43.830 through
43.43.845).
User Authorized Signature
Date
User Printed Name
3000-240-062 (R 8/18)
CHILD/ADULT ABUSE RECORD SEARCH GUIDELINES
Return completed form by e-mail to:
WATCH.Help@wsp.wa.gov
Refer to Revised Code of Washington
(RCW) 43.43.830-43.43.845
for complete information. Child/Adult
Abuse Information Act background checks may be conducted by Washington State businesses or
organizations. Other states must conduct searches under the Criminal Records Privacy Act,
RCW
10.97.
1. Searches may be conducted only on prospective employees, volunteers, adoptive parents,
prospective clients, or resident. Background checks may be conducted on prospective employees,
volunteers, or adoptive parents who will be or may have unsupervised access to children less than sixteen
years of age, developmentally disabled persons, or vulnerable adults. The background check is for initial
employment decisions only. A prospective client’s or resident’s conviction record—upon the request of a
business or organization that qualifies for exemption under section 501(c)(3) of the internal revenue code
of 1986 (26 U.S.C. Sec. 501(c)(3) and that provides emergency shelter or transitional housing for children,
persons with developmental disabilities, or vulnerable adults.
2. Applicants must be notified an inquiry may be made.
A business or organization shall not make an inquiry to the Washington State Patrol unless the business or
organization has notified the applicant, who may be offered a position as an employee or volunteer, that an
inquiry may be made.
3. A business or organization must prepare a disclosure statement to be signed by the applicant
before a background check may be conducted. (See required disclosure items:
RCW
43.43.834)
4. Applicants must be notified of the response.
The requesting agency shall notify the applicant of the Washington State Patrol’s response within ten days
after receipt. The employer shall provide a copy of the response to the applicant and shall notify the
applicant of such availability.
Notes:
The business or organization shall use this record only in making the initial employment or engagement
decision. Further dissemination or use of the record is prohibited. A business or organization violating
this subsection is subject to civil action for damages.
Responses are limited to Washington State records only.
The requested record information is furnished solely on the basis of name and/or description similarity
with the subject of your inquiry. Positive identification or non-identification can only be effected upon
receipt of fingerprints.
"Business or organization" means a person, business, or organization licensed in this state, any agency
of the state, or other governmental entity, that educates, trains, treats, supervises, houses, or provides
recreation to developmentally disabled persons, vulnerable adults, or children under sixteen years of
age, or that provides child day care, early learning, or early learning childhood education services,
including but not limited to public housing authorities, school districts, and educational service districts.
“Client” or “resident” means a child, person with developmental disabilities, or vulnerable adult applying
for housing assistance from a business or organization.
ALL USERS – SYSTEM SAFEGUARDS
Passwords are a unique identifier and should NEVER be shared with unauthorized users/personnel.
Record information received as a result of a WATCH inquiry should only be used for the purpose for
which it was intended.
I understand that audits will be conducted on each account every 2 years or as needed.
Violations of these WATCH system safeguards could result in the user being inactivated or the agency
being denied access until the violation has been corrected.
I have read and understand the above CHILD/ADULT ABUSE RECORD SEARCH GUIDELINES pursuant to
Revised Code of Washington
(RCW)
43.43.830-43.43.845.
User Name
Account #
User Signature
Date
3000-240-036 (R 1/16)
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