Who completes the Background Study Data Collection Form?

The form lists child care providers, household members, caregivers, helpers, volunteers, substitutes, and other background study subjects. A parent or guardian signs for a minor.

What information does the background study form request?

It requests identifying and contact details, the person's role, and any other states and cities where they lived during the past five years. Some fields are marked optional.

Do I need a notary for the Background Study Data Collection Form?

No. The document has an acknowledgment for the subject to sign and date, and requires a parent or guardian's signature for minors; it does not state a notarized or sworn step.

How do I submit the Background Study Data Collection Form?

The form does not specify a submission method or destination. Submit it to the county department named on the form; check the county website for current contact details.

Mower County, MN · Mower County

No notary required

Background Study Data Collection Form

This form collects information for background studies of people connected with licensed family child care or legal nonlicensed child care.

At a glance

Issued by: City of Mower County · Mower County, Mower County, Minnesota
Notarization: Not required: file this form without a notary.
Official source: co.mower.mn.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The form collects identifying and contact information, household or child care role, and prior residence details for a background study. It states that the information is required by the Bureau of Criminal Apprehension or Federal Bureau of Investigations unless marked optional, and includes an acknowledgment for the person studied to sign and date. A parent or guardian must also sign for a minor.

Who needs it

People listed on the form as child care providers, household members, caregivers, helpers, volunteers, substitutes, or other study subjects provide the requested information.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details. The form does not list a submission method.

About notarization

This form is signed and dated without a notary; it lists the Background Study Notice of Privacy Practices as an attachment, with no sworn or notarized step stated.

How to submit this form

1
Download the Form
Download the Background Study Data Collection Form and its listed Background Study Notice of Privacy Practices attachment.
2
Complete the Requested Information
Fill in the applicable identifying, contact, role, and residence information; fields marked with an asterisk are optional.
3
Sign and Date the Form
The study subject signs and dates the acknowledgment. A parent or guardian signs for a minor.
4
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.

Frequently asked questions

Who completes the Background Study Data Collection Form?: The form lists child care providers, household members, caregivers, helpers, volunteers, substitutes, and other background study subjects. A parent or guardian signs for a minor.
What information does the background study form request?: It requests identifying and contact details, the person's role, and any other states and cities where they lived during the past five years. Some fields are marked optional.
Do I need a notary for the Background Study Data Collection Form?: No. The document has an acknowledgment for the subject to sign and date, and requires a parent or guardian's signature for minors; it does not state a notarized or sworn step.
How do I submit the Background Study Data Collection Form?: The form does not specify a submission method or destination. Submit it to the county department named on the form; check the county website for current contact details.

Need something notarized?

This Background Study Data Collection Form doesn’t need a notary, but if you have another Mower County form that does, a commissioned online notary can help.