Pa Child Abuse Clearances Printable Form

Pa Child Abuse Clearances Printable Form About Resources Media Department of Human Services Keep Kids Safe Resources Forms Forms Suspected Child Abuse Forms CY 47 Report of Suspected Child Abuse Pennsylvania Clearance Forms Online Clearance Request Pennsylvania Child Abuse History Clearance CY113 Child Abuse Clearance English CY113 Child Abuse Clearance Spanish

IF YOU HAVE QUESTIONS CALL 717 783 6211 OR TOLL FREE 1 877 371 5422 Type or print clearly in ink If obtaining this certification for non volunteer purposes or if as a volunteer having direct volunteer contact with children you have obtained a certification free of charge within the previous 57 months enclose an 13 00 money order or Out of State Child Abuse clearances with ANY result or record are required to be submitted to ChildLine for interpretation If you have questions regarding this update please contact 1 877 371 5422

Pa Child Abuse Clearances Printable Form

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The Pennsylvania Child Abuse History Clearance can be submitted and paid for online through the Child Welfare Information Solution CWIS self service portal or mailed in If you chose to mail the form please enclose a 13 00 money order or check for each application No cash accepted Personal agency or business checks are acceptable Welcome to the Child Welfare Portal Our service provides a means for individuals to apply for PA Child Abuse History Clearance online and for mandated reporters to report child abuse in Pennsylvania INDIVIDUAL LOGIN CREATE INDIVIDUAL ACCOUNT Organizations can manage PA Child Abuse History Clearances online for their employees and volunteers

PA Child Abuse History Clearance Form and Instructions THIS CLEARANCE CAN NOT BE DONE ONLINE Type or print clearly and neatly in ink only Applicants are to complete Section 1 only The space for the applicant s name must be the applicant s full legal name An initial is not acceptable for a first name This secure website is provided for individuals who want to have their Pennsylvania Child Abuse History Clearance processed online The Pennsylvania Child Abuse History Clearance Check will provide the applicant information as to whether or not they are listed in the Pennsylvania statewide database as a perpetrator of child abuse

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PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE COMPLETE SECTION 1 ONLY Print clearly in ink Enclose 10 00 money order ONLY payable to DEPARTMENT OF PUBLIC WELFARE DO NOT send cash or personal check Send to CHILDLINE AND ABUSE REGISTRY DEPARTMENT OF PUBLIC WELFARE P O BOX 8170 HARRISBURG PA 17105 8170 For a Pennsylvania Child Abuse History Clearance please visit the PA Child Abuse History Clearance website For questions or issues regarding your Pennsylvania Child Abuse Clearance or your Keystone Login please call the Department of Human Services at 877 343 0494 For a Pennsylvania State Police PATCH Criminal Background Check go to

Harrisburg Pa 17105 8170 If you wish to submit a child abuse referral or apply for a PA Child Abuse History Clearance online you are required to first create a Child Welfare Account CWA Creation of an account allows you to access view and print previously saved or submitted referrals clearance applications and clearance outcomes ACT 33 PA Child Abuse Clearance Application Instructions The cost of this clearance is 8 00 and must be paid via credit or debit card through the online application process No cash or personal checks will be accepted Carefully review the following information 1

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FREE 28 Sample Clearance Forms In PDF Ms Word
Forms Department of Human Services

https://www.dhs.pa.gov/KeepKidsSafe/Resources/Pages/Forms.aspx
About Resources Media Department of Human Services Keep Kids Safe Resources Forms Forms Suspected Child Abuse Forms CY 47 Report of Suspected Child Abuse Pennsylvania Clearance Forms Online Clearance Request Pennsylvania Child Abuse History Clearance CY113 Child Abuse Clearance English CY113 Child Abuse Clearance Spanish

Fillable Cy113 Form English Child Abuse Clearance Pennsylvania Child Abuse History
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https://www.dhs.pa.gov/KeepKidsSafe/Clearances/Documents/CY113%20form%20-%20English.pdf
IF YOU HAVE QUESTIONS CALL 717 783 6211 OR TOLL FREE 1 877 371 5422 Type or print clearly in ink If obtaining this certification for non volunteer purposes or if as a volunteer having direct volunteer contact with children you have obtained a certification free of charge within the previous 57 months enclose an 13 00 money order or


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Pennsylvania Child Abuse History Clearance

Pa Child Abuse Clearances Printable Form - This secure website is provided for individuals who want to have their Pennsylvania Child Abuse History Clearance processed online The Pennsylvania Child Abuse History Clearance Check will provide the applicant information as to whether or not they are listed in the Pennsylvania statewide database as a perpetrator of child abuse