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Get Criminal Record / Abuse History Verification I , Hereby Swear Or Affirm, Subject To Penalties Of
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How to fill out the CRIMINAL RECORD / ABUSE HISTORY VERIFICATION I, Hereby Swear Or Affirm, Subject To Penalties Of online
This guide provides clear and comprehensive instructions for completing the CRIMINAL RECORD / ABUSE HISTORY VERIFICATION form online. This document is crucial for verifying any past criminal or abuse history and ensuring compliance with legal requirements.
Follow the steps to successfully complete the form:
- Click 'Get Form' button to access the document and open it for filling out.
- Begin by entering your full name at the top of the form. This identifies you as the individual swearing or affirming this declaration.
- In the first section, check the boxes next to any crimes that you, or any other member of your household, have been convicted of, pled guilty to, or have pending charges. Make sure to include the date of conviction for each listed item.
- In the second section, indicate any history of violent or abusive conduct in your household by checking the appropriate boxes. If there are additional details you need to provide, use the space available.
- List any evaluations, counseling, or treatment received following a conviction or finding of abuse in the space provided.
- If there is a household member with a conviction affecting this form, state their name, date of birth, and relationship to the child in the area specified.
- Explain any awareness of a member of the other party's household having a criminal or abuse history in the provided section.
- Finally, review all the information you have entered to ensure accuracy. Confirm that the information is correct to the best of your knowledge before signing the document.
- Submit the completed form online as directed. You may also have options to save the form, download it for your records, print a copy, or share it.
Take action now and fill out your documents online to ensure your compliance and peace of mind.
The screening includes a Pennsylvania State Police background check, FBI background check, and Pennsylvania Childline background check. These checks must be updated every 5 years and applications can be submitted on the Department of Human Services' Child Welfare Portal or through the mail.
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