
OBI 1011 9/2018 Page 1 OF 1KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Child Abuse and Neglect Central Registry P.O. Box 2637 Topeka, KS 66601 DCF.CentralRegistry ks.gov Release of Information Complete.
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How to fill out the OBI 1011 online
The OBI 1011 is a Release of Information form utilized by the Kansas Department for Children and Families. This guide offers clear, step-by-step instructions to ensure that users can successfully complete and submit the form online.
Follow the steps to accurately complete the OBI 1011 online
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Begin by filling out the applicant section. Provide your first, middle, and last name clearly. This information is essential for the processing of your request.
- Indicate other names you have used, including any aliases, married names, maiden names, or nicknames. If none, write ‘N/A’.
- Enter your date of birth, race, and social security number. Ensure all these fields are filled out accurately to avoid processing delays.
- Select your gender by checking the appropriate box, either 'Male' or 'Female'.
- Provide your current address, including your city, state, and zip code, followed by your phone number and email address.
- Sign and date the form, confirming that you give permission for the release of your information to the specified contact person.
- Choose the payment/account information applicable to your situation and check the appropriate box. Ensure you are aware of the fees if any.
- Once you have completed all sections, review your form for accuracy and legibility. If everything is correct, save your changes.
- You can now download, print, or share the completed form according to your preference.
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