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Get IL CFS 689 2012

R BACKGROUND CHECK Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS NOTE: Do not use this form if you are an applicant for licensure or an employee/volunteer of a licensed child care facility. Please contact your licensing representative. Name: Last Date of Birth: First -- -- Gender: Current Address: Male Middle Female Race: Street/Apt # City State Zip Code If you currently reside in Illinois, please list all previous addresses for the past five y.

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