Use FormsPal's free PDF editor to complete the Alabama DHR Form 1598 online without installing any software. Follow the steps below to fill out and submit the Child Abuse/Neglect Central Registry Clearance Request correctly.
Step 1: Open the form in your browser
Click the "Fill Online" or "Get Form" button at the top of this page. The DHR-FCS-1598 form opens directly in the FormsPal editor.
Step 2: Enter the requestor information
Complete the requestor section with the full name, address, and phone number of the requesting employer, agency, or organization. Indicate the position the applicant will hold and the purpose of the clearance check.
Step 3: Fill in the applicant's personal details
Provide the applicant's full legal name, all former names and aliases, date of birth, Social Security Number, and a five-year residential address history. This information is used to search the CA/N Central Registry.
Step 4: Select the request category
Check the applicable box for the request type: child care facility employee or volunteer, Medicaid Rehabilitation service provider, Adam Walsh Act request, or another applicable category. Each category has specific submission requirements.
Step 5: Sign and submit the form
Both the requestor and the applicant must provide original signatures. Submit the original form and one copy to your County or State Department of Human Resources within 90 days of signing. Keep a copy for your records.
Also see the PA Child Abuse History Clearance form, the Arkansas Child Abuse form, and the DHR-CHC-2178 form for related child background check forms.
