Get Ut Dhs-dcfs Informed Consent And Release Of Liability 2016-2025

Filling out the UT DHS-DCFS Informed Consent And Release Of Liability form is a crucial step in the background screening process. This guide will walk you through each section, ensuring that you provide all necessary information clearly and accurately.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Print legibly or type all requested information. Start by filling in your last name, first name, and middle name (initials or n/a if not applicable).
3. Provide any former names you may have, including married, maiden, aliases, or nicknames. Enter your date of birth and social security number.
4. Fill in your phone number and email address, followed by your current address, city, state, and zip code.
5. Indicate the reason for requesting a background screening by selecting one of the options available: private adoption, volunteer/employment, step-parent adoption, foster/adoptive parent requirement, or other. If applicable, provide the name of the agency and any additional explanation.
6. Complete the section for returning results of the background screening. Include the agency name, representative name, mailing address, city, state, ZIP code, and email.
7. Read the certification statement carefully. By signing, you confirm that you have understood the form and that all provided information is accurate. Do not forget to date your signature.
8. Prepare to submit your completed form along with a legible copy of one of the accepted photo identifications, such as a valid driver license, state identification card, or passport.
9. Finally, send the completed form and photo ID via email to dcfscentralregistry@utah.gov, fax to 801-538-3993, or mail to Division of Child & Family Services, Attention: Child Abuse Background Screening, 195 North 1950 West, Salt Lake City, UT 84116.

Start filling out the UT DHS-DCFS Informed Consent And Release Of Liability form online today!