This blog post will be discussing the Form 470 and how to fill it out correctly. The Form 470 is aRequest for Proposal (RFP) and is used to solicit bids from potential vendors. It is important to fill out the form correctly in order to ensure that you receive the best proposals from qualified vendors. In this blog post, we will go over each section of the Form 470 and provide tips on how to complete it. We will also discuss some common mistakes that individuals make when filling out this form. So, if you are planning to submit a bid for your organization, be sure to read this blog post!
| Question | Answer |
|---|---|
| Form Name | 470 2310 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | iowa dhs record, record check evaluation iowa dhs, iowa zip rce, iowa dhs 470 |
Record Check Evaluation
A. Agency/Provider/Person Requesting Evaluation
Entity Requesting Evaluation
Requestor’s Name
Phone
Fax
Street
City
State
Zip Code
The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal conviction (or deferred judgment), founded abuse (child or dependent adult), or a combination thereof. In order to complete the evaluation, we need to have all information, including form
B. Person Being Evaluated
Last Name, First Name, Middle Initial |
Maiden/Previous Names |
Role/Position Applying For |
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|
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The individual listed above requests an evaluation to determine whether they can be permitted to perform duties under the section “Role/Position Applying For.”
I realize that the information I provide in Section D. may be verified with local law enforcement agencies, the district court, Iowa Department of Human Services, or other persons having knowledge of the incident.
Signature of Person Being Evaluated
Telephone
Date
Street Address
City
State
Zip Code
C. Evaluation Determination/Notice of Decision
FOR DHS USE ONLY
D.
Explain, in detail, each crime or abuse (completed by applicant). Include date, location, others involved, relationship of the victim to you, age of the victim, and your actions for each abuse or criminal history (additional sheets may be used).
What changes have you made to make you safe to work around or care for others? Explain your accomplishments; work history; caretaker history; counseling, therapy, parenting classes; etc. Supporting documents such as treatment certificates, reference letters from previous/current employers or probation officers should be included.
Has DHS evaluated you in the past? Explain when the previous evaluation occurred, what position you were applying for, and whether you received the job/position.