Get Indiana Request For A Child Protection Services Form

Filling out the Indiana Request For A Child Protection Services Form online is a vital step for organizations seeking a child protection services history check. This guide is designed to assist users through each section of the form with clear and supportive instructions.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, complete all required fields for the requesting organization. This includes providing the legal first name, last name, and if applicable, the legal middle name of the applicant. If there is no middle name, indicate 'no middle'. Specify the reason for the history check by checking all applicable boxes, such as foster care or employment.
3. Proceed to Section B, where the applicant or their representative must provide consent for the release of information. This section requires the applicant’s signature, relationship to the applicant, date signed, gender, and typed or printed name. Additionally, fill out the applicant’s date of birth.
4. If applicable, indicate whether the applicant has ever used an alias. If the answer is yes, fill in the required fields for each alias under this section, labeling as necessary.
5. Section C is to be completed by the Indiana Department of Child Services only. This includes answering questions regarding the applicant's foster parent license status and any substantiated child abuse or neglect records.
6. Once all sections are completed, save changes to the form. Users may also download, print, or share the form as needed.

Complete your Indiana Request For A Child Protection Services Form online today.