A guide to completing the form

“Existing PVG Scheme Member Application”

Designed for

organisations

enrolled with CRBS

Blank form

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 250Glasgow, G51 1YU

info@disclosurescotland.co.uk

0870 609 6006

Use BLUE or BLACK ink

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

Guidance on completing form

X

X

X

X

X

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Applicant 9 9 9 9 9 9 9 9

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

For a free disclosure application

X

X

X

For a free disclosure application

X

? ? ? ?? ? ? ? ?

For a paid disclosure application

A G R E E D P O S I T I O N

O R G A N I S A T I O N N A M E

Do NOT sign at F1/F2

Leave page 4 blank

The endinfo@crbs.org.uk

01786 849777