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  &lt;title&gt;Pa Child Abuse History Clearance Forms - Index of /&lt;/title&gt;
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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Instructions. Please read the instructions prior to downloading the form. To request a supply of the forms, &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.CONSENT/RELEASE OF INFORMATION AUTHORIZATION FORM. FOR THE PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. I,. (Applicant&amp;#39;s Name), hereby authorize &lt;br /&gt;&lt;br /&gt;

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In addition to the Criminal Record Check, all applicants must obtain a Pennsylvania Child Abuse History Clearance. You may obtain this form from the &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - View as HTMLYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. COMPLETE SECTION 1 ONLY.  for Criminal Record&amp;quot; (Form SP4-164) must be Participant) attached. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. All applicants must obtain a Pennsylvania Child Abuse History Clearance. You may obtain forms from schools &lt;br /&gt;&lt;br /&gt;

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Pennsylvania Child Abuse History Clearance - Form is online to be printed out, completed,  and mailed. See additional instructions below. &lt;br /&gt;&lt;br /&gt;

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PA Child Abuse History Clearance Form Overview: Orphans&amp;#39; Court Form Date: 7/13/ 2009. Petition for Adjudication - Guardian of Estate of Incapacitated Person &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Instructions  (The form asks for all previous names, addresses, and household members since 1975). &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - View as HTMLYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Instructions  copy of their PROCESSED FBI clearance (Form. FID-258). Participant). FOSTER CARE.  ADOPTION &lt;br /&gt;&lt;br /&gt;

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This request is submitted to the Pennsylvania Department of Public Welfare, Child Line. The Pennsylvania Child Abuse History Clearance Form (CY 113) may be &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance. Forms. Pennsylvania Child Abuse History Clearance Instructions. Please read the instructions prior to &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Instructions. Please read the instructions prior to completing the form. Type or print clearly and &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. Complete section 1 only.  A COPY OF YOUR PROCESSED “REQUEST FOR CRIMINAL RECORD” (FORM SP$-164) MUST BE  &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.a current (within 1 year) PA Child Abuse History Clearance Form;. • a PA State Police Criminal Record check; and. •. FBI clearances (if Volunteer is new to &lt;br /&gt;&lt;br /&gt;

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Jan 31, 2007  “Pennsylvania Child Abuse History Clearance” form (2 pages) CY 113. “PA Request for Criminal Record Check” form SP4-164 &lt;br /&gt;&lt;br /&gt;

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This request is submitted to the Pennsylvania Department of Public Welfare, Child Line. The Pennsylvania Child Abuse History Clearance Form (CY 113) may be &lt;br /&gt;&lt;br /&gt;

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Pennsylvania family law attorneys with significant experience in PA . Volunteers must agree to a State Police Criminal Check, and a PA Child Abuse History Clearance.  A Guide to the Law, with Forms For Filing Your Own Divorce, &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Click on “Pennsylvania Child Abuse History Clearance Form”;. Click on “……… Clearance Form CY-113.” Candidates must complete the form and submit it with a &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Download the Pennsylvania Child Abuse History Clearance Form. (CY-113) and follow the instructions for completion. The form can &lt;br /&gt;&lt;br /&gt;

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Aug 27, 2009  Fee: $10 - Applicant can apply online, or via postal mail (form available below) ; Pennsylvania Child  Abuse History Clearance &lt;br /&gt;&lt;br /&gt;

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Complete the PA Child Abuse History Clearance form (download PDF on the right side of this page). 3. Mail with a copy of the PA Criminal Records Check and a &lt;br /&gt;&lt;br /&gt;

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As a requirement of employment at LCHS, all employees must provide an original, unaltered &amp;quot;PA Child Abuse History Clearance&amp;quot; certification form (current, &lt;br /&gt;&lt;br /&gt;

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26 Mei 2010  Pennsylvania Child Abuse History Clearance Instructions. Please read the instructions prior to downloading the form. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Forms. Pennsylvania Child Abuse History Clearance Instructions. 1. Type or print clearly and neatly in ink &lt;br /&gt;&lt;br /&gt;

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Pennsylvania Child Abuse History Clearance Forms &amp;#312;ffff96 Instructions Pennsylvania State Police Request for Criminal Record Check Form (SP 4-184) . &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Click on PA Child Abuse History Clearance Form –Print Form - must complete hard copy application &amp;amp; mail. Please print all information as requested. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance application.  I have read this Consent/Release of Information Authorization form and &lt;br /&gt;&lt;br /&gt;

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File Format: Microsoft Word - View as HTMLThe PA Criminal History can be obtained over the internet at:  Another option is to complete a hardcopy form and submit with a money order or certified check for the  Information on the PA Child Abuse Clearance can be found at &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Form (CY-113). Pennsylvania State Police Request for Criminal Record Check Form (SP4-164) &lt;br /&gt;&lt;br /&gt;

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Mar 24, 2010  Pennsylvania State Police Request for Record Check (SP4-164) Jump to Step 2 Child Abuse Clearance Form&amp;#8206;: Pennsylvania Child Abuse History &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.To obtain copies of the PA Child Abuse History Clearance form and the PA State Criminal History Background Check: call Marcia Epstein, Education Curriculum &lt;br /&gt;&lt;br /&gt;

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Pennsylvania Child Abuse History Clearance (Act 33). Takes approx. 3 weeks. Download the Pennsylvania Child Abuse History Clearance form (CY-113) (Adobe &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.This request is submitted to the Pennsylvania Department of. Public Welfare, Child Line. The Pennsylvania Child Abuse History Clearance Form (CY-113) may be &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Jan 2, 2008  ACT 151 PA Child Abuse History Clearance Form. 2. ACT 34 PA Criminal History Record Check. 3. FBI Criminal History (Fingerprint) &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.processed forms when you receive them from the state. Thanks. Pennsylvania Child Abuse History Clearance. Section 1- Applicant Identification &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.A current Child Abuse Clearance report – You can request this report using the. Pennsylvania Child Abuse History Clearance Form (CY 113). &lt;br /&gt;&lt;br /&gt;

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 Act 151 - Pennsylvania Child Abuse History Clearance, and Act 114 of 2006 - FBI  The Reference form can be printed from the Pittsburgh Public Schools &lt;br /&gt;&lt;br /&gt;

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Jun 8, 2010  All coaches are required to obtain PA Child Abuse History Clearance (Act 34). This requires completion of Form SP4-164. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.instructions are two links: click on the PA Child Abuse History Clearance form. (CY-113). This form must be downloaded, completed and mailed in. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.You can obtain a child abuse history check by submitting the Pennsylvania Child Abuse History Clearance form (CY 113) and application fee to the Department &lt;br /&gt;&lt;br /&gt;

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Send one with the PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE form, with the second $10.00 Money Order to the address on the form. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. COMPLETE SECTION 1 ONLY. PRINT CLEARLY IN INK.  copy of their PROCESSED FBI clearance (Form. FD-258). &lt;br /&gt;&lt;br /&gt;

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Apr 1, 2007  This request is submitted to the Pennsylvania Department of Public Welfare, Child Line. The Pennsylvania Child Abuse History Clearance Form &lt;br /&gt;&lt;br /&gt;

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File Format: Microsoft Word - Quick ViewThese forms can be obtained from the Nursing Department, Health Services or  Please follow the  Pennsylvania Child Abuse History Clearance procedure for &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. COMPLETE SECTION I ONLY. PRINT CLEARLY IN INK.  copy of their PROCESSED FBI clearance (Form. FID-258). &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Child Abuse History Clearance from Girl Scouts in the Heart of PA upon written request. I have read this Consent/Release of Information Authorization form &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance Instructions (Act 151)  (The form asks for all previous names, addresses, and household members since 1975). &lt;br /&gt;&lt;br /&gt;

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FILING PROCEDURE FOR PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE: 1. Applicant must secure Form CY 113 from the school districts or by downloading from the &lt;br /&gt;&lt;br /&gt;

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FILING PROCEDURE FOR PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE: 1. Applicant must secure Form CY 113 from the school district or by downloading from the &lt;br /&gt;&lt;br /&gt;

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Select Publications, Forms &amp;amp; Reports from left side menu. Under DPW Forms, select PA Child Abuse History Clearance Form. Print instructions, then click on &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. CHILDLINE USE ONLY  copy of their PROCESSED FBI clearance (Form. FID-258). Participant). FOSTER CARE &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Aug 24, 2009  Click on the “Child Abuse. Prevention” block in center of page, then click “PA Child Abuse History Clearance Forms” on left, next click “PA &lt;br /&gt;&lt;br /&gt;

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Pennsylvania Child Abuse History Clearance Forms  for applicable criminal history requests: PA Criminal Record Checks (SP4 164): (717) 783-9973 &lt;br /&gt;&lt;br /&gt;

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File Format: Microsoft Word - View as HTMLForm: CY 113 Pennsylvania Child Abuse History Clearance Form. Go to: PA Form. Form Required? Yes. Signed release required? No &lt;br /&gt;&lt;br /&gt;

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File Format: Microsoft Word - View as HTMLPa. Child abuse history clearance form: www.dpw.state.pa.us/ocyf/pdf/ DPWchildabuse.pdf. Delaware Criminal History and Child Protection Registry &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.(The form asks for all previous names, addresses, and household  PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. COMPLETE SECTION 1 ONLY. &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Clearance Forms. Pennsylvania Child Abuse History Clearance Instructions. Note: See new requirements for Federal Bureau of Investigation clearance at the &lt;br /&gt;&lt;br /&gt;

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Please click on the link below to upload a copy of the PA Child Abuse Clearance: Pennsylvania Child Abuse History Clearance Form (CY-113) &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Page 1. Pennsylvania Child Abuse History Clearance. Original form required, please see Cathy Tolkacz for original form.&lt;br /&gt;&lt;br /&gt;

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Click on “Pennsylvania Child Abuse History Clearance Form” (CY-113); Print the form; Print clearly and neatly in ink or type section I only. &lt;br /&gt;&lt;br /&gt;

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A copy of the Criminal Record Report (Act 34) needs to be sent with the completed PA Child Abuse Form (Act 151). Pennsylvania Child Abuse History Clearance &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.PENNSYLVANIA CHILD ABUSE. HISTORY CLEARANCE. MARIA H CANTARERO  THIS INFORMATION ON THIS CERTIFICATION FORM CAN BE VAUDATEO BY ACCESSING THE PENNSYLVANIA &lt;br /&gt;&lt;br /&gt;

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Mar 16, 2010  You can also call (717) 783-6211 for clearance requests. Pennsylvania Child Abuse History Clearance Form (CY-113) &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - View as HTMLYour browser may not have a PDF reader available. Google recommends visiting our text version of this document.Pennsylvania Child Abuse History Clearance from Our Lady of Grace Catholic  I have read this Consent/Release of Information Authorization form and &lt;br /&gt;&lt;br /&gt;

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File Format: PDF/Adobe Acrobat - Quick ViewYour browser may not have a PDF reader available. Google recommends visiting our text version of this document._____ completed Pennsylvania Child Abuse History Clearance Form (this form is attached) note: per the instructions at the top of this form &lt;br /&gt;&lt;br /&gt;

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