Changes to Background Check Application Procedure

Once you have submitted the Caregiver Application Form or the Background Check Request form, you, the applicant, will receive an email from “” with a link to complete the “Disclosures and Authorization” portion of the Background Check Request. The link will work from any computer, tablet or smartphone that has internet access. 

When you click on this link, be prepared to provide information about the following questions. If you do not provide all relevant information, your Background Check Request may be denied.

  • Have you been outside of Oregon for more than 60 days in a row during the past 5 years? If yes, you will need to provide dates, locations and names used at that location.

  • Have you EVER been charged, arrested, adjudicated or convicted of a crime?  If yes you will need to list all charges, arrests, adjudications or convictions and the outcome, regardless of how long ago. 

  • Have you ever been named as a perpetrator of abuse or had a founded or substantiated report of abuse or neglect of an abuse or an adult? 

Caregiver Applications and Background Check Requests

Please submit all completed  Caregiver Application Forms and Background Check Request Forms by Fax (503.988.5722) or email to Be sure to include a copy of a current government-issued photo ID, both front and back (or showing signature line and expiration date). New applicants need to bring IDs in person to the front desk and be copied by Multnomah county staff. 

Credit Card Payments

ACHP will temporarily accept credit card payments over the phone for all fees and payments. We can accept Visa, Mastercard, Discover, Diners Club International, and JCB cards.  

To make arrangements for an over-the-phone credit card payment, please email or fax your application or background check request, then call 503-988-3000.  Credit cards can only be accepted when used by the named cardholder and ACHP will verify the caller's identity before accepting credit card information.  

After you have submitted forms by fax or email, please call Alex at 503.988.2441 to pay for your fees via credit or debit card. Please have your credit/debit card information ready when you call.

How to Submit Application

You can submit a completed Background Check Request Form or Caregiver Application to our downtown office at :
Five Oak Building
209 SW 4th Ave.
Portland, OR 97204
Monday - Friday 8 a.m. - 5 p.m. Please call our main office line at 503.988.3000 to make an appointment to reduce your wait time.
You must submit the form in person if it is your first time or if you your background check has been expired.
Or you can submit in person to our Gresham office:
Wednesdays ONLY, 8 a.m. - 3:45 p.m. Closed 12 - 12:30 p.m.
East Branch of Aging, Disability and Veterans Services
600 NE 8th Street, Room 110  |  Gresham, OR

How To Reach Us

ACHP Email Address:

ACHP Fax Number:  503-988-5722

We will update this website with any changes. Please call the main phone line at 503.988.3000 with any questions.