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Attention - New Licensure Information Necessary Effective October 1, 2006

Background Screening

All applicants for licensure must undergo a level 2 background screening pursuant to Chapter 483, Florida Statues. A level 2 screening consists of:

  • Federal Bureau of Investigation (FBI)
  • Florida Department of Law Enforcement (FDLE)

Screening is required for the applicant, if an individual, for the Administrator or similarly titled individual who is responsible for the day-to-day operations of the applicant, and the financial officer or similarly titled individual who is responsible for the financial operation of the applicant. Also, for each officer, board member, partner or person owning 5% or more who has been convicted of an offense prohibited by section 404, F.S., the facility shall submit to the Agency, a description and explanation of the conviction at the time of the license application.

Applicants will need to submit proof that the appropriate individuals have satisfactorily completed the required screening within the last 5 years. If this screening has been completed for another type of license, the Agency may be able to use those screening results, if the proof of screening provides all information needed by AHCA. Submit a copy of your screening results from the Department of Health, Agency for Persons with Disabilities, Department of Children and Families, or Department of Financial Services together with your Affidavit of Compliance.

If the required screening has not been completed and the Agency is to conduct the screening at the time the application is processed, please call (850) 487-3109 now and ask that FBI fingerprinting cards be mailed to you. When you submit your application to the Agency, you should include the completed fingerprint cards and a check or money order to pay for the background screening costs.

The cost for background screening:

  • Level II Request (FDLE screening and FBI fingerprinting) - $42.25

Annual Affidavit of Compliance

Each employer is required by section 435.04(5), Florida Statutes(2006) to annually submit an affidavit of compliance with this section. A recommended form is available for this purpose at the link below.