Get MD DHR/SSA 1279A 2017
7 edition) (All other versions are obsolete) . PART VI: BACKGROUND CLEARANCE FINDINGS (for Local Department or DHR use only) Applicant’s Name: MD CHESSIE ID#: 1. Active investigation 2. Sent to DHR or Local Department of Social Services: Name: Date: 3. We have determined that responsible for an is listed in the state’s database as being Indicated / investigation conducted in Unsubstantiated disposition of by Investigation #: Abuse / Neglect in reference to an . Child Protective S.
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