Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to access the Child Abuse Clearance application.
2. In Section I, fill out your full legal name and current address, ensuring no initials are used. This information is necessary as it will be the address where your clearance results are mailed.
3. Provide your Social Security number in the space provided, keeping in mind that this is voluntary. If you choose to include it, ensure it is the complete number.
4. Enter your current age and date of birth in the specified formats. Make sure these details are accurate.
5. Fill in your daytime phone number so that you can be contacted if there are questions regarding your application.
6. Indicate your sex by checking the appropriate box.
7. Specify the county where you reside, ensuring it matches your listed address.
8. Select the purpose of your clearance by checking one box only that best describes your reason for applying. Ensure that you adhere to the outlined conditions for each option.
9. List any previous names you have used since 1975 and all addresses where you have resided since then. Additional pages can be attached if necessary.
10. Identify all household members who have lived with you since 1975, providing their names, relationships, ages, and sexes as required.
11. Sign and date your application at the end. Note that applications lacking a signature will be returned.
12. Enclose a $10.00 money order made out to the Department of Public Welfare with your application. Ensure that no cash or personal checks are included.
13. Submit your completed application to the specified address and allow up to 14 days for processing to receive your clearance results.

Complete your application online today to ensure timely processing of your Child Abuse Clearance.