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Ividual listed in part I). DATE: SIGNATURE: This form must sign in the presence of a Notary Public by the person named in part II. Part IV. CERTIFICATE OF ACKNOWLEDGEMENT OF INDIVIDUAL BEFORE A NOTARY PUBLIC City/County of: _______________________________________________ State of: _______________________________ Acknowledged before me this ____________________________ Day of _______________________ 20____ Notary Public My Commission expires: ______________________ Part V. BACKGROUND CLEARAN.

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How to fill out the MD DHR/SSA 1279 online

The MD DHR/SSA 1279 form is essential for individuals seeking a background clearance related to child protective services in Maryland. This guide provides clear and concise steps to assist users in completing the form online accurately and efficiently.

Follow the steps to successfully fill out the form.

  1. Press the ‘Get Form’ button to access the online version of the MD DHR/SSA 1279 and open it in your web browser.
  2. Begin with Part I, which outlines the purpose of the search. Indicate whether the release is for yourself or an agency/individual. Ensure to fill in the relevant details required for this section.
  3. Proceed to Part II, where you will provide identifying information. Complete all fields including last name, first name, social security number, race, and date of birth.
  4. Fill out your current address and any prior addresses within the past seven years. Accuracy is important to ensure proper identification.
  5. In Part II, include information about your current and previous spouse along with full names of all children living with you. This section requires clarity and completeness.
  6. Move to Part III, where you will give authorization for the release of information. Select the appropriate option based on whether you wish to inform yourself or an agency.
  7. After completing all relevant sections, ensure you sign the form in the presence of a notary public to validate your authorization.
  8. Finally, you can save your changes, download, print, or share the form as needed before submitting it to the appropriate local office or department.

Complete your MD DHR/SSA 1279 form online today for a smooth background clearance process.

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If the case is “screened in” it will be immediately assigned to a Child Protective Service worker who will make contact with the family to assess the needs of the family and to provide appropriate services.

In general, CPS must release requested records if they're subpoenaed or a judge otherwise orders it. Otherwise, you're probably out of luck if you're not directly involved.

To apply for appeal, the individual must complete the appeal form that is provided at the completion of the investigation and return it to the address noted on the form within the required timeframe. For unsubstantiated findings the first level of appeal is a meeting with the local department supervisor.

All Maryland citizens should report suspected abuse or neglect to the local department of social services or to a local law enforcement agency. Ensuring the safety of Maryland's children is an obligation shared by all citizens and organizations.

Information from an inconclusive or unsubstantiated report shall be deleted from the index after 10 years if no subsequent report concerning the same suspected child abuser is received within that time.

If an individual wants to be considered by another state's department of social services to become a foster or adoptive parent in their state and that person has lived in Maryland in the past. This is often referred to as an “Adam Walsh check“.

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