Pennsylvania Child Abuse History Clearance - witf.org
Pennsylvania Child Abuse History CLEARANCECOMPLETE SECTION 1 ONLY. Print clearly in ink. Enclose $ money order ONLY, payable to DEPARTMENT OF PUBLIC WELFARE. DO NOT send cash or personal to CHILDLINE AND Abuse REGISTRY, DEPARTMENT OF PUBLIC WELFARE, BOX 8170 HARRISBURG, PA 17105-8170APPLICATIONS THAT ARE INCOMPLETE, ILLEGIBLE OR RECEIVED WITHOUT FEE WILL BE RETURNED UNPROCESSED. IF YOU HAVE QUESTIONS CALL 717-783-6211, OR (TOLL FREE) USE ONLYDATE RECEIVED BY CHILDLINESECTION IAPPLICANT IDENTIFICATIONIN THIS SPACE PRINT APPLICANT S FULL NAME AND ADDRESS (DO NOT USE INITIALS)NAMESTREETCITY, STATEZIP CODESOCIAL SECURITY NUMBERAGEDATE OF BIRTHDAYTIME PHONE M p FCOUNTY YOU LIVE INDisclosure of your Social Security number is voluntary.
PENNSYLVANIA CHILD ABUSE HISTORY CLEARANCE. COMPLETE SECTION 1 ONLY. Print clearly in ink. Enclose $10.00 money order ONLY, payable to DEPARTMENT OF PUBLIC WELFARE.
Download Pennsylvania Child Abuse History Clearance - witf.org
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Walsh State Contacts and Procedures for, Registry, ATLANTIC TREATY ORGANIZATION (NATO), ATLANTIC TREATY ORGANIZATION (NATO) SECURITY BRIEFING, Louisiana DCFS, Central registry, NATO refresher briefing, Northrop Grumman, NATO CLASSIFIED, Central, NATO classified information, Central Registry Clearance