Form OCFS-3909 PDF Details

Inquiry: whether the proposed guardian or any individual eighteen years of age or over who resides in the home of the proposed guardian is a subject of an indicated child abuse or maltreatment report.

Court use: For court use only.

Addresses: Provide the current address and any previous addresses over the last 28 years for each individual being cleared.

Guardian: At least one person must be designated.

Maiden name or alias: Must be completed for every guardian. If there is none for that individual, write NONE in the row underneath the individual's name.

Additional pages: Attach additional pages if necessary.

QuestionAnswer
Form NameForm OCFS-3909
Form Length3 pages
Fillable?Yes
Fillable fields503
Avg. time to fill out60+ min
Edition10/2016
Issuing agencyNew York State Office of Children and Family Services
Where to sendNew York Statewide Central Register of Child Abuse and Maltreatment, Service Center Unit
Other namesOCFS-3909, OCFS3909, OCFS 3909, Form OCFS-3909, OCFS-3909 form, OCFS form 3909, Form 3909, Request for Information Guardianship Form
Official sourceForm OCFS-3909 (Rev 10/2016), New York State Office of Children and Family Services

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