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  • Ar Aps-0001 2009

Get Ar Aps-0001 2009-2026

Mber Current Address (Street, City, State, Zip) List all previous addresses for the past five years Dates (From/To) I authorize Department of Human Services/Adult Protective Services to release information from the Adult Maltreatment Central Registry in accordance with Arkansas Code ACA 12-121717 to: Agency type: Name Volunteer (no charge) Non-Profit (no charge) State Agency (no charge) Mailing Address (Street or PO Box,City, State, Zip) All Others ($10.00 Fee) I further certify that.

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This guide provides clear instructions on filling out the AR APS-0001 form online, ensuring that users understand each component involved in the process. Whether you are familiar with digital document management or tackling this form for the first time, our support will help you navigate it effectively.

Follow the steps to complete the AR APS-0001 form online.

  1. Click the ‘Get Form’ button to obtain the AR APS-0001 form and open it within the digital editor.
  2. Begin filling out the form by entering your full name in the designated field. Ensure that all details are spelled correctly.
  3. Input your date of birth in the specified format. This information helps verify your identity.
  4. List your maiden name and any other names you have previously used. This section is important for accurate recordkeeping.
  5. Provide your Social Security number, ensuring that it is entered without errors for confidentiality and verification purposes.
  6. Enter your current address, including street, city, state, and zip code. It is vital to use your current residence.
  7. Detail all previous addresses where you have lived over the past five years. Include the dates of residence to ensure accuracy.
  8. Authorize the Department of Human Services/Adult Protective Services to release information from the Adult Maltreatment Central Registry by filling out the necessary checking option.
  9. Indicate the type of agency you are allowing to access your information by selecting between options such as volunteer, non-profit, or state agency, noting any applicable fees.
  10. Provide the mailing address of the agency you have selected, ensuring it is complete with street or PO Box, city, state, and zip code.
  11. Verify that all information you have entered is true and correct. Sign the form in the designated area, followed by the date of your signature.
  12. If notarization is required, ensure that a notary public acknowledges your signature by filling out the appropriate section, including the county and state.
  13. After reviewing all information for accuracy, save your changes. You can then download, print, or share the form as needed.

Complete your AR APS-0001 form online today for a streamlined experience.

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