Alabama Central Registry Clearance PDF Details

In ensuring the safety and welfare of children, various measures and procedures have been implemented by states across the U.S. Among these, the Alabama Department of Human Resources provides a crucial tool in the form of the Child Abuse/Neglect (CA/N) Central Registry Clearance form. Aimed at preventing child abuse and neglect, this form is a mandatory step for individuals seeking to work in positions that involve the unsupervised care and supervision of children, whether as employees or volunteers. The form requires detailed personal information from the applicant, including their name, sex, date of birth, mailing address, and any alias or maiden names, as well as information about family members. It also requires the disclosure of any counties in Alabama where the applicant has lived or worked, ensuring a thorough background check can be conducted. Applicants must authorize the Alabama Department of Human Resources to release any information contained in the Child Abuse/Neglect Central Registry that pertains to them, waiving their right to any review or hearing related to the release of this information. This clearance process is not only a prerequisite for working in various child-related settings such as child placing agencies, residential child care facilities, and day/nightcare centers but also serves as a protective barrier, aiming to ensure that children are placed in safe environments, free from individuals with a history of child abuse or neglect.

QuestionAnswer
Form NameAlabama Central Registry Clearance
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesca n central registry clearance alabama, dhr can report, Stepchildren, alabama child abuse registry

How to Fill Out Form DHR-FCS-1598

Form DHR-FCS-1598 at a glance

What it is: CENTRAL REGISTRY CLEARANCE: a search to determine if the person identified has been named as being responsible for child abuse or neglect in Alabama; DHR releases only information necessary to discover or prevent it.

Who signs: To be completed by person being cleared: Signature with a Date and Signature of Witness with a Date. The requestor also signs: the Requestor Signature and the Witness Signature each have a Date.

A filled-in Form DHR-FCS-1598 example: a day care center clears a new employee

Form DHR-FCS-1598 example filled out, example: a day care center clears a new employee
A day care center fills out Form DHR-FCS-1598 for a new employee. The center asks for the clearance before the employee starts as a teacher's aide. The picture shows the filled form, and none of its entries is real. Only Child Day / Night Care Center is ticked in Requesting Person or Agency/Organization, so the other boxes there stay empty. The new hire is an employee, so volunteer and other stay empty in The person who will provide care. Other (Please Specify) is left blank because the center is not another kind of requester.

How to fill out Form DHR-FCS-1598, box by box

Requesting Person or Agency/Organization

Form DHR-FCS-1598 example filled out, requesting Person or Agency/Organization

Under Requesting Person or Agency/Organization, check all that apply.

Check from Child Placing Agency, Residential Child Care Facility, Child Day / Night Care Center, Family Day / Night Care Home, Exempt Child Day Care Center, Medicaid Rehab. Provider, DHR Vendor and Other (Please Specify).

Enter the Mailing Address, the Telephone Number and the Email.

PRINT the Requestor's Name; the Requestor Signature and the Witness Signature each have a Date.

The person who will provide care

Form DHR-FCS-1598 example filled out, the person who will provide care

Name and identifying information of the person who will provide unsupervised care and supervision of children as an employee, volunteer or other (check it), printed or typed; write this person's specific job/role.

Enter the Name (Last, First, Middle), Sex (Male or Female), Race and DOB.

Enter the Current Mailing Address, the Alias, Maiden & Prior Married Name(s), the Name & DOB of Spouse & Former Spouse(s), the Name & DOB of Children / Stepchildren and the Alabama counties where the person has lived and/or worked.

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

To be completed by person being cleared

Form DHR-FCS-1598 example filled out, to be completed by person being cleared

To be completed by person being cleared: authorize the Alabama Department of Human Resources to release information contained in the Child Abuse / Neglect Central Registry about the person to the named person/agency/organization. Also waive any right to any review or hearing, and release the Department of Human Resources, its officers and employees from any and all claims arising out of or connected to the release. Then sign with a Date and a Signature of Witness with a Date.

More rules for Form DHR-FCS-1598

A search of the Alabama Child Abuse / Neglect Central Registry has been completed with the information provided to determine if the person identified 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.

To be completed by DHR: Substantiated report (i.e., indicated) located. See attached information. Type Report: Physical Abuse, Neglect, Sexual Abuse, Mental Abuse / Neglect. No report located. Request Denied. Other. Office of Child Protective Services, Date Completed.

Sources

[1] Form DHR-FCS-1598 (Revised December 2009), Child Abuse / Neglect Central Registry Clearance, Alabama Department of Human Resources (the Official source link on this page).

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