Background Check Status Tracking Form

Tracks background check progress, results, consent, adjudication, and follow-up actions for pending hires.

Candidate Identification

• Candidate Full Name
• Candidate Email
• Position Title
• Department
• Candidate ID or Requisition Number
  Use an internal identifier if available. Do not collect SSN or other sensitive identifiers unless strictly necessary.

Consent and Screening Authorization

• Consent Confirmed
  Confirm that the candidate has provided required consent and disclosure authorization for the background check.
• Consent Date
• Authorization Reference
  Optional reference to the signed disclosure/authorization record or system record number.
• Screening Scope

Vendor and Order Details

• Screening Vendor
• Vendor Order Number
• Order Submitted Date
• Current Status
• Expected Completion Date

Results and Adjudication

• Result Summary
• Result Received Date
• Adjudication Required
• Adjudication Outcome
• Adverse Action Notice Sent

Follow-Up Actions and Audit Notes

• Follow-Up Owner
• Next Action
• Follow-Up Due Date
• Audit Notes
  Record objective notes only. Do not include unnecessary PII or medical information.