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INSTRUCTIONS - Virginia

032-02-0151-12-eng (08/15) VA Department of Social Services Central Registry Release of Infor mat ion Form Off ice o f B ackgroun d Inve stigati ons S ear ch Un it 801 East Ma in Street, 6th Fl oor, Ric hm ond, VA 23219-2901 Search Fee $ INSTRUCTIONS Purpose The Virginia C hild A bus e and Negle ct Central Regist ry is mandated by the Virginia Ch ild Protecti ve La w and contains th e names of i ndivid uals id entifie d as an abuser or neglector in founded ch ild abuse and/or negle ct inve sti ga tions conducted in th e stat e of Virginia .

Forms that contain strike outs, correction tape or white-out will be returned. 4. If the answer to any question is none, write “N/A“. 5. Sign the Central Registry Release of Information Form in the presence of an official Notary Public. Each request form must be notarized. Only original signatures will be accepted.

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