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                Get Wa Dcyf 23-041 2020-2025
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How to fill out the WA DCYF 23-041 online
The WA DCYF 23-041 form is essential for requesting information on founded findings of child abuse and neglect in Washington State. This guide provides clear instructions for completing the form electronically to ensure a smooth submission process.
Follow the steps to successfully fill out the WA DCYF 23-041 form online.
- Click ‘Get Form’ button to obtain the form and access it in your preferred editor.
- Begin filling out Section A - Requestor Information. Provide your last name, first name, title, and the agency or business name. Ensure your mailing address, city, state, ZIP code, telephone number (with area code), fax number (with area code), and email address are accurately entered.
- In Section B - Signature of Requestor, sign the document in the space provided and indicate the date signed.
- Proceed to Section C - Subject of Records Requested. Enter the last name, first name, and middle name of the individual whose records you are inquiring about. Include any previous names used, the last Washington state mailing address, gender, date of birth, and social security number (optional).
- Complete Section D - Authorization by Subject of Records Requested. The individual whose records are being requested must sign in the designated area and include the date signed.
- Review the entire form for completeness and accuracy. Any omitted information or handwritten notes may result in the form being returned.
- Prepare your payment of $20.00 per individual inquiry, making the check or money order payable to DCYF.
- Submit your completed form, payment, and any necessary documents to the Department of Children, Youth, and Families at the specified mailing address.
- After submission, you can save changes, download, print, or share the form for your records.
Complete your documents online today to ensure accurate processing!
For additional questions, please email the CAN Unit at CANhistorychecks@dcyf.wa.gov or call us at 1-800-998-3898, option 1. For public child welfare agencies seeking CAN information as part of an open CPS or child welfare investigation on the parent(s) or caregiver(s) who previously resided in Washington State.
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