Get Fingerprint Affidavit - Ri Dcyf

Filling out the Fingerprint Affidavit is an essential step for individuals seeking to be licensed by the Rhode Island Department of Children, Youth and Families or the Department of Human Services. This guide will provide a clear and supportive overview of how to complete the form online, ensuring that you have the necessary information at your fingertips.

Follow the steps to complete the affidavit efficiently.

1. Press ‘Get Form’ button to acquire the form and open it in your editing tool.
2. Begin by entering your personal details in the 'Applicant Information' section. This includes your full name, date of birth, street address, city or town, state, and zip code.
3. List all states you have lived in during the past five years, not including Rhode Island. This information is important for background checks.
4. Select your provider type from the designated options, ensuring to choose the category that applies to you, such as 'Family Child Care Homes' or 'Foster Care or Adoption.'
5. Indicate where the results of your background check should be sent. You can provide either the DHS or DCYF email addresses based on your provider type.
6. Complete the section for your organization details, if applicable. This includes the name or facility's information where the background check results should be directed.
7. Review the certification statement, which confirms that all provided information is accurate and complete. This is crucial as it must be signed under penalty of perjury.
8. Sign and date the form in the designated areas for both the applicant and the employer, if necessary.
9. Finally, save your changes, and you can download, print, or share the completed form according to your needs.

Complete your Fingerprint Affidavit online today and ensure you meet the necessary licensing requirements.