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The DJ Le 250A form, issued by the Wisconsin Department of Justice, serves a crucial role in facilitating the process of criminal background checks for multiple individuals. This form is essential for those seeking to ensure safety and transparency in various contexts, such as employment, volunteer positions, or other scenarios where trust and integrity are paramount. Designed to streamline requests, the DJ Le 250A allows individuals or entities to concurrently check the criminal history of several people instead of submitting separate inquiries for each. The form requires details such as the names, dates of birth, and other identifying information of the individuals in question, along with the purpose of the request and the type of requestor, which could range from government agencies to nonprofit organizations. Payment details also play a significant role in the submission process, as specific fees are associated with the background checks, including additional charges for caregiver checks mandated under certain regulations. While the DJ Le 250A simplifies the inquiry process, it also necessitates a self-addressed, postage-paid envelope to ensure that responses—whether affirmative or indicating “No Record”—are returned to the requestor in a timely manner. Understanding the importance and functionality of this form not only aids in compliance with state laws but also promotes accountability in various sectors relying on background checks.

Dj Le 250A Example

DJ-LE-250A (Rev. 1/21)

STATE OF WISCONSIN

DEPARTMENT OF JUSTICE



DIVISION OF LAW ENFORCEMENT SERVICES

Crime Information Bureau

Record Check Unit

WISCONSIN CRIMINAL HISTORY

MULTIPLE NAME RECORD REQUEST

PO Box 2688

Madison, WI 53701-2688 608/266-7314

A self-addressed, postage-paid envelope must accompany every inquiry. Ensure sufficient postage is included. See next page for more information/instructions.

Return request

 

 

 

 

 

 

 

To :

__________________________________________ Attn: ____________________________

Phone: _____________________________

Street:

______________________________________________________________________________

FAX:

_____________________________

City, State,

 

 

 

 

 

 

 

Zip:

____________________________________________________________________ E-mail: _______________________________________

Requestor Type Check One

Request Purpose - Check One

Total Number of

 

Payment Type Check One

Government Agency$12.00*

General Information

Requests Submitted

Bill Account

General Public

$12.00*

Public Housing

 

 

 

 

Number #____________

Nonprofit Org.

$12.00*

Caregiver – General (*Add $3 DHS fee)

 

 

 

 

Amount

Public Defender (Fee Exempt)

Child Day Care - Caregiver (*Add $3 DHS fee)

 

 

 

 

Enclosed $____________

 

 

 

 

SPD # _______________________

Provide either Facility # _____________

Multiply the Search Fee (including DHS fee) times

 

 

 

or Certifying Agency # ______________

the Number of Requests to determine the amount to enclose

* Last Name

* First Name

Middle

* Sex * Race

*Date of Birth

(MM/DD/YYYY)

Other Identifying Data

(Soc Sec Num, Maiden name)

**CIB Use Only

(Leave Blank)

*Required Data – Please type or print legibly

**CIB will indicate “No Record” or will record the State Identification Number of the corresponding record in this column. The record(s) will be attached to this form and returned.

General Instructions

Use form DJ-LE-250A to request criminal background checks on more than one individual. Use form DJ-LE-250 to request background checks on a single individual. Wisconsin Statutes 19.35(1) and

165.82provide that any person or entity may request a criminal background check. The subject of the inquiry may be any person. Wisconsin adult criminal history data held by the Crime Information Bureau is public information. Wisconsin does not release juvenile information unless statutorily authorized.

The Wisconsin Criminal History Record Request must provide:

(1)Complete the “Return request to” section.

(2)Requestor Type. Check the box for your requestor type. Nonprofit organizations must include a copy of your 501(c)3 from the IRS.. Public defenders must include your SPD number.

(3)Request Purpose. Check the “General Information” box unless you need the special processing described below. Requests received without a purpose checked will be processed as General. Caregiver Background Check processing should be used by entities or individuals required to do caregiver background checks under s. 50.065, and child care entities under s. 48.685. The caregiver background check includes a Wisconsin criminal background check, a license and registry check from the Wisconsin Department of Health Services (DHS) and a professional credential check from the Wisconsin Department of Regulation and Licensing (DRL). The results of the caregiver background check from DHS/DRL are returned separately from the Wisconsin criminal history results. Child day care providers with day care facility numbers (assigned by the Division of Children and Families (DCF)) or with certifying agency numbers (assigned by the Wisconsin Department of Workforce Development (DWD)) must check the “Child Day Care” box and provide their facility or agency number. All other entities and individuals covered by the Caregiver legislation must check the “Caregiver Background Check – General” box.

(4)Enter the number of requests.

(5)Payment Type. Wisconsin s. 165.82 requires CIB to charge a fee for background checks. If you have an account and wish to be billed, enter your account number. Account customers will be billed monthly. A check or money order must accompany all other requests. Multiply the fee amount times the number of requests to determine the amount to enclose. If appropriate, include DHS Caregiver fee in Amount Enclosed. Make checks payable to the Wisconsin Department of Justice.

(6)Enter the complete name, sex, race, and date of birth for each individual being checked. Entry of social security number is optional, but please be aware that this number is one of the unique identifiers used by the Crime Information Bureau and by the Department of Health Services. Social Security numbers help prevent incorrect matches.

(7)A self-addressed, postage-paid envelope must accompany every inquiry. Ensure sufficient postage is included. This form will be returned and stamped “No Record” if there is no public criminal information on file at CIB. The form will be accompanied by public criminal history information if a record is found. Please allow 10 business days for the CIB record check and reasonable mailing time by the postal service. Do not provide an additional envelope for Caregiver results. General Caregiver results will be returned to the address specified in the “Return request to” section and Child Daycare results will be returned to the address on file at DHS or DWD.

Mail requests to:

Crime Information Bureau, Attn: Record Check Unit, PO Box 2688, Madison, WI 53701-2688

165.82CRIMINAL HISTORY SEARCH FEE. (1) Notwithstanding ss. 19.35(3) the Department of Justice shall impose the following fees, plus any surcharge required under sub. (1m), for criminal history searches for purposes unrelated to criminal justice:

(a)For each record check, except a fingerprint card record check, requested by a nonprofit organization, $7.00.

(ag) For each record check, except a fingerprint card record check, requested by a governmental agency, $7.00. (ar) For each fingerprint card record check requested by a governmental agency, $15.

(b) For each record check by any other requestor, $7.00.

(1m) The Department of Justice shall impose a $5 surcharge if a person requests a paper copy of a criminal history search requested under sub. (1).

(2)The Department of Justice shall not impose fees for criminal history searches for purposes related to criminal justice.

1999 WISCONSIN ACT 9 This act authorizes the Department of Health Services to impose a fee for caregiver checks submitted to that agency. This fee has been set at $3 and is effective April 1, 2000. The Department of Justice has agreed to collect this fee for DHS.

Requestor Type Category Definitions

Nonprofit Organization – An organization in which no part of the income is distributable to its members, directors or officers. Record check requests submitted to the Crime Information Bureau by nonprofit organizations must include a copy of their 501{c}{3} ruling from the Internal Revenue Service.

Governmental Agency – A federal, state, county or municipal governing body created by constitution, state, code, charter, ordinance, rule or order and any formally constituted subunit or agency thereof. This category includes public school districts.

Any Other Requestor – Includes the general public, and individual, agency or organization that does not meet the definition of governmental agency, nonprofit organization or a criminal justice agency involved in the administration of criminal justice.

Form Characteristics

Fact Name Details
Form Purpose The DJ-LE-250A form is used to request criminal background checks for multiple individuals in Wisconsin.
Governing Laws Wisconsin Statutes 19.35(1) and 165.82 allow any person or entity to request a criminal background check.
Fee Structure A fee of $12.00 is required for each background check request. An additional $3 fee applies for caregiver checks.
Required Information Requestors must provide details such as names, dates of birth, and payment information on the form.
Mailing Instructions Requests must be sent to the Crime Information Bureau in Madison, WI. A self-addressed, postage-paid envelope is required.

Guidelines on Utilizing Dj Le 250A

Completing the DJ Le 250A form is a systematic process that requires attention to detail. Gather the necessary information ahead of time to ensure a smooth submission. This form facilitates the request for multiple name criminal history checks in Wisconsin. To effectively fill out the form, follow these steps closely.

  1. Return Request To: Fill in the address where the results should be sent. Include the recipient’s name, phone number, street address, city, state, and zip code.
  2. Requestor Type: Check the appropriate box to indicate whether you are a Government Agency, General Public, Nonprofit Organization, or Public Defender. Note that nonprofits need to attach a copy of their 501(c)(3) documentation.
  3. Request Purpose: Check the box that describes your reason for the request. Most requests will fall under “General Information.” For caregiver-related checks, specify under the caregiver category and provide the required facility or certifying agency number.
  4. Total Number of Requests: Enter the total number of individuals you are requesting background checks for.
  5. Payment Type: Select your payment method. If using an account, include the account number to be billed. For others, calculate the total fee based on the number of requests and enclose a check or money order payable to the Wisconsin Department of Justice, including any additional fees if applicable.
  6. Individual Information: For each individual listed, provide their last name, first name, middle name, sex, race, and date of birth (in MM/DD/YYYY format). Optionally, you may include social security numbers as they can assist in accurate identification.
  7. Enclose Return Envelope: Attach a self-addressed, postage-paid envelope to ensure the return of information. Verify that the envelope has sufficient postage.
  8. Submit the Form: Send your completed form, along with the payment and the return envelope, to the address specified: Crime Information Bureau, Attn: Record Check Unit, PO Box 2688, Madison, WI 53701-2688.

After submitting, allow up to 10 business days for processing. The agency will send back the requested information, which may include a “No Record” stamp if applicable. Always keep track of your submission to ensure timely follow-up as needed.

What You Should Know About This Form

What is the DJ LE 250A form used for?

The DJ LE 250A form is used to request criminal background checks for multiple individuals. This form is specifically designed for those who need to check the criminal history of more than one person in the state of Wisconsin.

Who can request a criminal background check using this form?

Any person or entity can request a criminal background check. This includes government agencies, nonprofit organizations, and the general public, provided the necessary fees and information are submitted with the request.

What types of requests can be made with the DJ LE 250A form?

Requests can be categorized as general information requests or caregiver background checks. The choice depends on the nature of the inquiry and any applicable regulatory requirements.

What information do I need to provide on the form?

You need to complete the “Return request to” section, specify the requestor type, indicate the request purpose, enter the number of requests, and provide the complete name, sex, race, and date of birth for each individual being checked. Social Security numbers are optional but recommended to avoid incorrect matches.

What are the fees associated with using the DJ LE 250A form?

The fee for processing a background check is $12.00 for each individual checked. If requesting caregiver checks, an additional $3 DHS fee applies. Payment can be made through check or money order, and account holders can opt to be billed directly.

How long does it take to receive the results?

Expect to wait about 10 business days for processing. Allow additional time for mailing. Results will be sent to the address provided in the request.

Do I need to include a self-addressed envelope?

Yes, a self-addressed, postage-paid envelope must accompany every request for results. Ensure that you provide sufficient postage for the return of the information.

What happens if no record is found?

If no public criminal information is on file, the form will be returned stamped “No Record.” In such cases, there will be no attachments accompanying the form.

Can I get juvenile records using this form?

No, Wisconsin does not release juvenile information unless specifically authorized by statute. Only adult criminal history data held by the Crime Information Bureau is publicly accessible.

Where should I send the completed DJ LE 250A form?

Mail the completed form to the Crime Information Bureau, Attn: Record Check Unit, PO Box 2688, Madison, WI 53701-2688.

Common mistakes

Filling out the DJ-LE-250A form correctly is crucial for individuals seeking a criminal background check in Wisconsin. However, many people make common mistakes that can hinder their requests. A frequent error occurs when the “Return request to” section is incomplete. It's essential to provide a full name, attention line, and contact information. Omitting any part of this information may result in delays as requests could be returned due to lack of identification.

Another common mistake is in selecting the requestor type. Some individuals fail to check the appropriate box for their category, like nonprofit or governmental agency. This oversight can lead to processing issues or fees being applied incorrectly. Make sure to read the options carefully and select the correct type, as this affects how your request is handled.

The payment type section also presents a trap for the unwary. Many people neglect to specify how they wish to pay. This can result in the request being held up if a check or money order is missing or if it’s unclear whether an account is being used. Always ensure that payment information is explicitly noted to expedite the process.

In addition, entering incomplete or incorrect identifying information for each individual being checked can cause problems. Missing a last name or providing an incorrect date of birth may lead to mismatched records or even a denial of the request. To streamline your request, double-check that all required data is accurately filled out.

Another mistake that often goes unnoticed involves the self-addressed postage-paid envelope. Some applicants forget to include this envelope, which is a mandatory requirement. If the envelope is not attached, your request will not reach the Crime Information Bureau and will be returned to you, thereby increasing waiting times unnecessarily.

Furthermore, failing to include the appropriate DHS fees for caregiver requests can complicate the process. If you're submitting a caregiver background check, ensure that you add the necessary fee alongside the standard charges. Not doing so could result in an incomplete processing of your request.

Another potential pitfall is not allowing sufficient time for the processing of the request. It is advised to plan ahead and allow for a full ten business days, plus mailing time. Some people underestimate how long the postal service might take, especially during busy periods.

Finally, overlooking the need for extra documentation for certain requestor types, particularly nonprofit organizations, is a common mistake. These entities must provide proof of their IRS 501(c)(3) status along with their form. Failure to include this documentation can lead to rejection of the request.

By being aware of these common pitfalls and taking the time to complete the DJ-LE-250A form correctly, individuals can ensure their requests are processed efficiently and without delay.

Documents used along the form

The DJ-LE-250A form serves as a vital tool for requesting criminal background checks on multiple individuals through the Wisconsin Department of Justice. While this form is essential for obtaining such checks, additional documents often complement its usage for a comprehensive approach. Here’s a list of documents you might encounter alongside the DJ-LE-250A form.

  • DJ-LE-250 Form: This form is used for requesting a criminal background check on a single individual, as opposed to multiple names. It is essentially a simplified version of the DJ-LE-250A, tailored for individual inquiries.
  • Self-Addressed Envelope: Every request submitted with the DJ-LE-250A must include a self-addressed, postage-paid envelope. This ensures the timely return of the criminal history results to the requester, facilitating efficient communication.
  • DHS Fee Payment Form: If applicable, a separate form might be required to process the $3 fee associated with caregiver background checks from the Department of Health Services. This fee is added when obtaining records related to childcare provisions.
  • Copy of IRS 501(c)(3) Ruling: Nonprofit organizations must include this document to confirm their status. The IRS ruling substantiates that the requesting entity qualifies for nonprofit status under federal law.
  • Payment Method Document: A record indicating the payment method (check or money order) is essential. Requesters must ensure that payment accompanies the form, detailing the amount enclosed to cover processing fees.
  • Identification Documents: For verification purposes, including copies of identification might be necessary, especially if the requests stem from a governmental agency or non-profit entity, ensuring the legitimacy of the records sought.

Each document plays a crucial role in streamlining the background check process, guaranteeing that the inquiry is completed accurately and efficiently. Understanding these additional forms can help you navigate your requests with confidence.

Similar forms

  • DJ-LE-250: This form is used for requesting a criminal background check on a single individual. Like the DJ-LE-250A form, it requires personal identification details about the individual being checked. Differences lie in the number of individuals involved; while DJ-LE-250A accommodates multiple requests, DJ-LE-250 is limited to one.
  • DJ-LE-252: This form serves as a request for access to criminal history records specifically for individuals seeking employment as caregivers. Similar to the DJ-LE-250A, it also requires detailed personal information and ensures compliance with caregiver background check regulations, emphasizing the need for thorough vetting.
  • DJ-LE-251: The DJ-LE-251 is a form used for standard criminal history checks specifically done for public housing applicants. Much like the DJ-LE-250A, this document collects vital statistics about the individual. Both forms are aimed at maintaining public safety by verifying an applicant's history.
  • DJ-LE-250B: This form is intended for non-profit organizations requesting background checks. Similar to the DJ-LE-250A, it requires organizations to provide proof of their non-profit status and details of the individuals being checked. Both are designed to facilitate record checks while ensuring public entities meet safety requirements.

Dos and Don'ts

When filling out the DJ-LE-250A form, there are important steps to follow. Here’s a helpful list of what to do and what to avoid.

  • Do complete the “Return request to” section clearly.
  • Do check the correct box for your requestor type.
  • Do provide payment by check or money order for the correct amount.
  • Do enter the required personal information for each individual.
  • Don’t forget to include a self-addressed, postage-paid envelope.
  • Don’t leave any required fields blank; incomplete forms can delay processing.
  • Don’t forget to multiply the fee by the number of requests you are making.
  • Don’t use the form for juvenile records unless you are authorized.

Following these guidelines can help ensure your request is processed smoothly and efficiently.

Misconceptions

Misconception 1: The DJ-LE-250A form can be used for background checks on any individual.

This is not entirely accurate. While the form allows for criminal background checks, the inquiry must comply with certain regulations. The subject of the inquiry can be any person, but specific requirements must be met depending on the requestor type and request purpose.

Misconception 2: You do not need to include a self-addressed envelope.

A self-addressed, postage-paid envelope is a requirement for every inquiry. Without it, the request will likely be returned or delayed. It is important to ensure there is enough postage for the response to be sent back.

Misconception 3: The DJ-LE-250A form guarantees the release of juvenile information.

This belief is incorrect. Wisconsin law does not allow the release of juvenile criminal information unless specific statutory authorization is provided. The form is designed for adult criminal history data only.

Misconception 4: Payment is not necessary if the requester is a government agency.

This misconception fails to recognize that even governmental agencies must submit a fee for record checks. The DJ-LE-250A form outlines the necessary fees, and agencies need to follow this procedure just like any other requestor, unless the request is related to criminal justice, in which case fees may not apply.

Key takeaways

Understanding the Dj Le 250A form is essential for conducting criminal background checks efficiently. Here are seven key takeaways regarding its completion and use:

  • Purpose of the Form: Use the Dj Le 250A form when you need to request background checks for multiple individuals. For single requests, the Dj Le 250 form is appropriate.
  • Requestor Category: Check the appropriate box to indicate your requestor type, such as Government Agency, General Public, or Nonprofit Organization. Nonprofits must provide a 501(c)(3) document.
  • Request Purpose: Always specify the purpose of the request by checking the appropriate box. If left blank, it will be processed as a general information request.
  • Required Information: Fill in the names, sex, race, and date of birth for each individual being checked. Including social security numbers is optional but recommended to prevent errors.
  • Payment Requirements: Include the required fee for background checks. Government and nonprofit requests typically incur a fee of $12, which may vary if special processing is needed.
  • Enclosures: Along with the completed form, a self-addressed, postage-paid envelope must be included to ensure the return of results.
  • Processing Time: Expect the processing of requests to take about 10 business days, plus additional mailing time. Results will be sent to the address indicated on the form.

By following these guidelines, you can streamline the process of obtaining criminal background checks in Wisconsin. Accurate completion of the Dj Le 250A form is crucial for timely and effective results.