DBS Disclosure Statement for External Applicants

Before completing this form please read the attached documentation on disclosure.

Have you been convicted of a criminal offence? YES  NO 

Have you received any cautions, reprimands, or

final warnings from the police? YES  NO 

Are you currently subject to any police investigation or

court proceedings being taken against you? YES  NO 

If the answer to any of these questions is yes, please give details below using an extra sheet if necessary.

Please submit this form with your Application Form Thank You

Signature
Print Name:
Date:
Job Ref:

Disclosure of Criminal Record

Offences Which Must Always Be Disclosed

Attached is a document which shows in alphabetical order the list of offences which must always be disclosed irrespective of the following:

  • When the offence took place
  • Where the offence took place, ie any outside of the United Kingdom
  • Whether or not the conviction resulted in a custodial sentence

For further details of the offences, including which acts of parliament they refer to can be found on this link

In addition to this, regardless of the offence

  • Any conviction that results in a custodial sentence must be disclosed
  • If you have received more than one conviction, even if no custodial sentence was received, then all the convictions must be disclosed.

Offences Where Disclosure is Time Limited

Providing the above criteria does not apply, these offences need only to be disclosed subject to the following time scales

Conviction Received at 18 Years of Age or Over / Less than 11 years have elapsed since the date of conviction
Conviction Received Under 18 Years of Age / Less than 5 years and 6 months have elapsed since the date of conviction
Cautions Received at 18 Years of Age or Over / Less than 6 years have elapsed since the date of issue
Cautions Received Under 18 Years of Age / Less than 2 years have elapsed since the date of issue

Please note that Cautions also include any reprimands or final warnings received from the police.