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  • #w D U Z ? H !b Ga F V J - Butler County ... - Bcesc

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Tute caregivers and all persons 18 years of age and older who reside in a type B home. This statement must be kept on file at the home or County Department of Job and Family Services (CDJFS). Name (please print or type) I hereby attest that I have never been convicted of or pleaded guilty to crimes set forth in divisions (A)(8) or (A)(9) of section 109.572 or division (A)(1) of 5104.09 of the Revised Code and that no child has been removed from my home as described in section 2151.353 of the Re.

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How to use or fill out the #W D U Z ? H !b Ga F V J - Butler County ... - Bcesc online

This guide provides a clear and supportive approach to filling out the #W D U Z ? H !b Ga F V J - Butler County ... - Bcesc form online. It is essential for individuals involved in providing care in type B homes or as in-home aides to understand the requirements thoroughly.

Follow the steps to fill out the form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Carefully print or type your full name in the designated box.
  3. Attest to your criminal record status by selecting the appropriate declaration regarding any convictions or removals related to child custody.
  4. Sign the form in the section labeled 'Signature of Person Completing Form'.
  5. Fill in the date of your signature in the designated field.
  6. Provide your street address, city, state, and zip code accurately.
  7. Enter your telephone number for contact purposes.
  8. If applicable, indicate your inability to sign based on the specified criteria and provide supporting information.
  9. Ensure the CDJFS worker records their signature and the date, confirming the verification of your criminal records check.
  10. Review all provided information for accuracy before submission.
  11. After completing the form, save your changes, download, print, or share as needed.

Complete your documents online today to ensure compliance and support for your caregiving role.

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Average BUTLER COUNTY EDUCATIONAL SERVICE CENTER hourly pay ranges from approximately $13.75 per hour for Educator to $32.00 per hour for Training Coordinator.

The 10 public school districts in Butler County serve approximately 50,000 students in nearly 80 individual buildings.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232