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Get Kbidcf Registry Form

Ing.dcf.ks.gov CCL 002 Rev. 09/15 REQUEST FOR KBI/DCF CHILD ABUSE REGISTRY CHECK FOR CHILD CARE AND RESIDENTIAL CARE FACILITIES Directions: COMPLETE BOTH SIDES OF THIS FORM. All blank pages must be completed; however, social security number is optional. Incomplete forms will be returned. If a person does not have a Maiden or other name, write N/A. DO NOT include children or youth for whom you provide services. K.A.R. 28-4-125(c) requires the facility to keep a copy of the completed form on fil.

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