Alabama Central Registry Clearance PDF Details

Alabama Central Registry Clearance is required for individuals who want to become foster parents in the state of Alabama. The clearance verifies that the individual does not have a history of child abuse or neglect. This article will provide more information on the clearance process and how to obtain it. If you are interested in becoming a foster parent in Alabama, you must first obtain clearance from the Alabama Central Registry (ACR). The ACR is a statewide registry that maintains information on individuals who have been accused or convicted of child abuse or neglect. The clearance verification confirms that you do not have a history of child abuse or neglect and allows you to proceed with the application process to become a foster parent.

The table provides information regarding the alabama central registry clearance. It could be useful to learn its size, the average time required to fill out the form, the blanks you'll have to fill in, and so forth.

Form NameAlabama Central Registry Clearance
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesca n central registry clearance alabama, dhr can report, Stepchildren, alabama child abuse registry

Form Preview Example



PRINT OR TYPE in black or blue ink. Additional information regarding the CA/N Central Registry is on the back of this form.

** See instructions for the address to use when submitting this form. **

Requesting Person or Agency/Organization



Check All That Apply







Mailing Address





Child Placing Agency












Residential Child Care Facility












Child Day / Night Care Center







Telephone Number (





Family Day / Night Care Home







PRINT Requestor’s Name





Exempt Child Day Care Center












Medicaid Rehab. Provider






DHR Vendor












Other (Please Specify)












The person whose name and identifying information, printed or typed below, will provide unsupervised care and

supervision of children as an



other. This person’s specific job/role is or will be:



Name _____________________________________________ Sex

Last First Middle


Race ___________ DOB ___/___/______



Current Mailing Address


Alias, Maiden & Prior Married Name(s)


Name & DOB of Spouse & Former Spouse(s)


Name & DOB of Children / Stepchildren


Alabama counties where person has lived and/or worked


Attach additional pages as needed to provide all information requested above.

To be completed by person being cleared

I authorize the Alabama Department of Human Resources to release information contained in the Child Abuse / Neglect Central Registry about me to the above named person/agency/organization. I hereby waive any right to any review or hearing to which I may otherwise be entitled. I further release the Department of Human Resources, its officers, and employees from any and all claims arising out of or in any way connected to the release or dissemination of any information concerning me.







Signature of Witness


To be completed by DHR

A search of the Alabama Child Abuse / Neglect Central Registry has been completed with the information provided to determine if the person identified above has been named as being responsible for child abuse or neglect in Alabama. DHR releases only that information which is necessary to discover or prevent child abuse / neglect.

Substantiated report (i.e., indicated) located. See attached information.

Type Report:

Physical Abuse


Sexual Abuse

Mental Abuse / Neglect

No report located.





Request Denied


Other _________________________________________________________________________________________



Office of Child Protective Services



Date Completed

DHR-FCS-1598 (Revised December 2009)

How to Edit Alabama Central Registry Clearance Online for Free

The PDF editor was made with the intention of making it as effortless and easy-to-use as possible. These steps can certainly make completing the ALABAMA fast and simple.

Step 1: Click on the "Get Form Here" button.

Step 2: At the moment you're on the document editing page. You may change and add information to the form, highlight words and phrases, cross or check certain words, include images, put a signature on it, get rid of unneeded areas, or take them out entirely.

To fill out the file, enter the details the platform will request you to for each of the following areas:

alabama child abuse registry spaces to consider

Enter the demanded particulars in the area Name DOB of Children, Alabama counties where person has, Attach additional pages as needed, To be completed by person being, I authorize the Alabama Department, Signature, Date, Signature of Witness, Date, To be completed by DHR, A search of the Alabama Child, Substantiated report ie indicated, Type Report, Physical Abuse, and Neglect.

Finishing alabama child abuse registry part 2

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