In navigating the complex landscape of child welfare and social services, professionals often encounter the need for thorough background checks to ensure the safety and well-being of children. Within this context, the Mississippi Department of Human Services (MDHS) provides a vital tool: the MDHS-SS-482 form. Revised on January 16, 2009, this document facilitates a critical linkage between agencies seeking to verify the suitability of individuals for roles that significantly impact children's lives, including fostering, adoption, and employment within the MDHS itself. Agencies are required to fill out this form with detailed information about the applicant, including their name, address, date of birth, social security number, and contact details, emphasizing the importance of confidentiality and the need for a signed release form from the applicant. Upon submission, the Child Abuse Central Registry Division of Family & Children’s Services Office of Social Services, located in Jackson, Mississippi, conducts an in-depth check to identify any records that might disqualify the applicant from the position in question. This process not only underscores Mississippi's commitment to protecting its most vulnerable citizens but also highlights the procedural rigor involved in selecting individuals who work closely with children, making the MDHS-SS-482 form a cornerstone of preventive measures in the child welfare system.
| Question | Answer |
|---|---|
| Form Name | Form Mdhs Ss 482 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | applicants, Resource, mdhs wage form, regisri |
MISSISSIPPI
FORM
Revised
|
Date |
TO: |
Child Abuse Central Registry |
|
Division ofFamily &Children's Services |
|
Office ofSocial Services |
|
P.O. Box 352 |
|
Jackson,MS 39205 |
FROM: Name
Title
Agency
Address
Please check the central registry for the following applicant for:
•Foster/Adoption:
•MDHS Employee:
•Relative Resource Parent:
•Priority Processing (relative resowce parent only):
•Volunteer Internship:
• Other: |
(please specify) |
PLEASE PRINT
Name
Address
DOB
Social Security Number
Telephone number where applicant can be reached
I understand that this information must be kept confidential with my agency. I have on file a signed release form from the above applicants)for this information.
"fo be completed by MDHS Office ofFamily and Children's Service Staff
Findings:
No information found in the central
The following information was found in the central registry.
Signature |
__ Date |