Act 168 Online Form PDF Details

The Commonwealth of Pennsylvania enacted Act 168 of 2014 to protect students across the state's educational institutions. This law requires a careful vetting process for anyone seeking a position with direct contact with children. It covers both school employees and independent contractors who need background verification before working with students.

The core document under this legislation is the Sexual Misconduct/Abuse Disclosure Release form. This form contains two main parts. The applicant section requires job candidates to acknowledge and consent to a review of their past employment history. The employer section requires current and former employers to verify whether the applicant has any history of abuse or sexual misconduct investigations. Related Pennsylvania educator requirements include the Act 24 PDE 6004 form for professional educators.

Pennsylvania law sets legal consequences for applicants who knowingly provide false information on the Act 168 form. School employers use this form together with other required clearances to make fully informed hiring decisions. This framework builds transparency and accountability into Pennsylvania's school hiring process, with student safety as the central priority. For a full set of hiring-related documents, see our employment forms library.

QuestionAnswer
Form NameAct 168 Online Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesact 168 form, pa act 168 clearance form, pa act 168, act 168 clearance
Applicable toSchool applicants and independent contractors with direct student contact in Pennsylvania
Authorized byPennsylvania Department of Education, Act 168 of 2014
Related clearancesAct 34 criminal background check, Act 151 child abuse history, FBI fingerprint clearance

How to Edit Act 168 Online Form Online for Free

You can fill in the Act 168 form online using our free PDF editor. The editor is updated regularly with new features. Here are the steps to complete the form:

Step 1: Click the "Get Form" button at the top of this page to open the PDF editor. You will find all the tools needed to work with your document in the editor.

Step 2: Once the editor opens, the Act 168 form is ready to complete. You can fill in text fields, add signatures, insert graphics, and make other edits as needed.

Here is a step-by-step guide to filling in each part of the form:

1. While filling in the act 168, be sure to include all necessary blank fields in its relevant part. This will help to speed up the work, making it possible for your information to be handled swiftly and correctly.

Stage no. 1 of filling out commonwealth of pennsylvania sexual misconduct abuse disclosure release

2. After the prior part is done, go on to enter the relevant information in these fields: Applicants Name First Middle Last, Approximate dates of employment, PPID if applicable, Have you Applicant ever Yes No, Yes No Been disciplined discharged, Yes No Had a license professional, and By signing this form I certify.

Step number 2 in filling in commonwealth of pennsylvania sexual misconduct abuse disclosure release

It is simple to make errors when filling in the Approximate dates of employment field, so review it carefully before submitting.

3. The next step covers: Date, required shall subject me to, Yes No Been disciplined discharged, Yes No Had a license professional, and Former Employer Representative. Each of these blanks must be completed here.

Part number 3 for filling in commonwealth of pennsylvania sexual misconduct abuse disclosure release

4. This section covers: Former Employer Representative, School Entity Address Phone, and State Zip Fax.

Filling out part 4 of commonwealth of pennsylvania sexual misconduct abuse disclosure release

Step 3: After reviewing all fields, click "Done" to finish. You can then download the Act 168 form, email it, or save it to your FormsPal account. All information entered in our system is kept secure and private.

Who Needs the Act 168 Form?

All applicants for Pennsylvania school positions involving direct contact with children must complete the Act 168 form. This includes teachers, administrators, coaches, school counselors, and all applicants for employment at a Pennsylvania school entity. Independent contractors working directly with students must also submit this form to the hiring school entity before starting work.

Frequently Asked Questions About Act 168

What is the Act 168 form used for?

The Act 168 form is Pennsylvania's Sexual Misconduct/Abuse Disclosure Release. School employers use it to verify whether a job candidate has any past history of sexual misconduct or abuse investigations at former employers.

Is the Act 168 form the same as a background check?

No. Act 168 is a separate requirement from standard background checks. Most Pennsylvania school applicants must complete multiple clearances, including the background check consent form, the Act 34 criminal history check, the Act 151 child abuse history clearance, and an FBI fingerprint check. Act 168 focuses specifically on misconduct disclosure from former employers.

How long does it take to fill out the Act 168 form?

Most applicants complete the Act 168 form in under two minutes. The form is three pages and asks for your name, employment history, and a signed certification. FormsPal's online editor makes the process fast and easy to complete.

Where can I find the Act 168 form?

You can access and fill out the Act 168 form directly on this page using FormsPal's free online PDF editor. The form is also available from your hiring school entity and from the Pennsylvania Department of Education website.