Background Study

Department of Human Services (DHS) Background Study

CFC BGS Data Collection Form
AFC/FADS Data Collection Form

Please note that all of the following information (unless otherwise indicated) is required by the Bureau of Criminal Apprehension (BCA) or Federal Bureau of Investigation (FBI). * Indicates that the field is optional.

    Please choose one of the following:

    Applicant/License HolderHousehold MemberOther


    AsianBlackWhiteNative AmericanUnknown



    Have you lived at the above address for over 5 years?


    By checking the box below I acknowledge that I have read this form and that I have been notified of an understand that the Minnesota Department of Human Services needs this information to complete the background study.