(b) A provider requesting a criminal history record check pursuant to this Part shall do so by completing and submitting a form developed and provided by the department after consultation with the division and transmitting two sets of fingerprints to the department. An authorized person, and only an authorized person, shall complete such form and shall submit the original with the authorized person's signature (not a facsimile signature) and two sets of fingerprints to the department not more than 10 days (excluding Saturdays, Sundays and legal holidays) after taking the fingerprints of the prospective employee. The department shall maintain such form, in the form and format prescribed by the department, which:

1. (1) identifies the name of each person for whom the provider requests a criminal record check, and attests that each such person is a prospective employee of the provider, and, as such, the person is a subject individual, as defined in this Part;
2. (2) identifies the specific duties of the subject individual which qualify the provider to request a check of the subject individual's criminal history information;
3. (3) attests that the results of the criminal history record check will be used by the provider solely for the purposes authorized by law; and

4. (4) attests that the provider, its agents, and employees are aware of and will abide by the confidentiality requirements and all other provisions of Public Health Law article 28-E and Executive Law section 845-b, as they may from time to time be amended.

   (c)

5. (1) In obtaining fingerprints as required by this Part, the provider shall require that the prospective employee present two forms of identification. One form shall be a government-issued identification containing the prospective employee's signature. Examples of such identification are a valid driver's license or a Department of Motor Vehicle ID, a current passport, valid military identification or valid school identification. At least one of the two forms of identification shall have a photograph of the prospective employee.
6. (2) If an external entity is used by the provider to obtain fingerprints, the provider shall ensure that the external entity shall require two of the forms of identification listed in paragraph (1) of this subdivision and that the external entity completes its part of the department form and returns the fingerprints and the department form required by this section only to the provider.
7. (3) If a fingerprint form is rejected by the division or the FBI the provider shall resubmit new prints within 14 days of notice from the department of the rejection.