COMMONWEALTH OF PENNSYLVANIA. SEXUAL MISCONDUCTIABUSEDISCLOSURE RELEASE. (under Act 168 of 2014). (Hiring school entity or independent contractor submits this form to ALL current employer(s) and to.
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How to fill out the Act 168 Sexual Misconduct/Abuse Disclosure Release Form - Acschools online
Filling out the Act 168 Sexual Misconduct/Abuse Disclosure Release Form is a crucial step in the hiring process for positions involving direct contact with children. This guide will walk you through each section of the form, ensuring you provide the necessary information accurately and efficiently.
Follow the steps to complete the form accurately.
- Click 'Get Form' button to obtain the form and open it in the online editor.
- Begin filling out SECTION 1: Applicant Certification and Release. Enter your full name, including any former names, date of birth, last four digits of your Social Security number, and PPID if applicable. Be sure to provide approximate dates of employment and the position(s) held.
- Answer the questions regarding past abuse or sexual misconduct investigations by selecting 'Yes' or 'No.' Ensure all responses are truthful, as providing misleading information may lead to severe consequences.
- Sign the form at the designated signature line and write the date. This certifies that the information provided is true and accurate.
- SECTION 2 will be completed by your current and former employers. Once you have filled out SECTION 1, provide the form to your employer for them to complete this section.
- After your current and former employers have filled out SECTION 2, make sure to gather the completed forms. You may choose to make copies for your records.
- Review the entire form for accuracy. Once satisfied, save any changes, and proceed to download, print, or share the form as necessary.
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What is the Act 168 form of 2014?
Under Act 168, the hiring entity is prohibited from hiring an applicant for a position involving direct contact with children unless the applicant provides the required information on the form and consent.
How long is Act 168 clearance good for?
A hiring entity may hire an applicant on a provisional basis for 90 calendar days pending receipt of the information requested, as long as: (1) the applicant has provided all relevant information on the form(s); (2) the hiring school administrator has no knowledge of information related to the applicant that would ...
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