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The Alabama Central Registry Clearance form plays a crucial role in ensuring the safety and well-being of children in various care settings across the state. This form is primarily used by individuals or organizations seeking to verify whether a person has a history of child abuse or neglect. It requires detailed information about the individual being cleared, including their name, date of birth, and any aliases they may have used. Additionally, the form requests information about the person's past residences and employment in Alabama, ensuring a thorough background check. Requestors, which may include child placing agencies, residential child care facilities, or family day care homes, must fill out their details and indicate their relationship to the individual being cleared. The form also includes a section where the person being cleared must authorize the Alabama Department of Human Resources to release relevant information from the Central Registry. This authorization is essential, as it waives the individual's right to review or contest the findings, thereby streamlining the process. Finally, the Department of Human Resources conducts a search of the registry and provides the results, indicating whether any substantiated reports of abuse or neglect exist. This form is vital for maintaining safe environments for children and ensuring that those who care for them have been thoroughly vetted.

Misconceptions

Here are five common misconceptions about the Alabama Central Registry Clearance form:

  1. Only childcare providers need this clearance. Many believe that only those working in childcare settings require this clearance. In reality, anyone providing unsupervised care for children, including volunteers and employees in various organizations, must complete this form.
  2. The form guarantees approval. Some think that submitting the form will automatically result in a clean record. However, the outcome depends on the information provided and any past reports of abuse or neglect associated with the individual.
  3. Clearance is a one-time requirement. It is a misconception that once a person receives clearance, it remains valid indefinitely. In fact, periodic re-evaluations may be necessary, especially if the individual changes jobs or roles involving child supervision.
  4. Information is kept confidential. While the Alabama Department of Human Resources aims to protect personal information, there are circumstances under which details may be disclosed, especially if they pertain to safety concerns regarding children.
  5. Submitting the form is a quick process. Many assume that the clearance process is swift. However, the timeline can vary significantly based on the complexity of the case and the workload of the Department of Human Resources.

Example - Alabama Central Registry Clearance Form

ALABAMA DEPARTMENT OF HUMAN RESOURCES

CHILD ABUSE / NEGLECT (CA/N) CENTRAL REGISTRY CLEARANCE

PRINT OR TYPE in black or blue ink. Additional information regarding the CA/N Central Registry is on the back of this form.

** See instructions for the address to use when submitting this form. **

Requesting Person or Agency/Organization

 

 

Check All That Apply

 

 

 

 

 

 

Mailing Address

 

 

 

 

Child Placing Agency

 

 

 

 

 

 

 

 

 

 

 

Residential Child Care Facility

 

 

 

 

 

 

 

 

 

 

 

Child Day / Night Care Center

 

 

 

 

 

 

Telephone Number (

)

 

Email:

 

Family Day / Night Care Home

 

 

 

 

 

 

PRINT Requestor’s Name

 

 

 

 

Exempt Child Day Care Center

 

 

 

 

 

 

Requestor

 

 

 

Date

Medicaid Rehab. Provider

Signature

 

 

 

 

DHR Vendor

 

 

 

 

 

 

Witness

 

 

 

Date

Other (Please Specify)

Signature

 

 

 

 

_________________________________

 

 

 

 

 

The person whose name and identifying information, printed or typed below, will provide unsupervised care and

supervision of children as an

employee

volunteer

other. This person’s specific job/role is or will be:

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Name _____________________________________________ Sex

Last First Middle

Male

Race ___________ DOB ___/___/______

Female

 

Current Mailing Address

__________________________________________________________________________

Alias, Maiden & Prior Married Name(s)

______________________________________________________________

Name & DOB of Spouse & Former Spouse(s)

_________________________________________________________

Name & DOB of Children / Stepchildren

______________________________________________________________

Alabama counties where person has lived and/or worked

_________________________________________________

Attach additional pages as needed to provide all information requested above.

To be completed by person being cleared

I authorize the Alabama Department of Human Resources to release information contained in the Child Abuse / Neglect Central Registry about me to the above named person/agency/organization. I hereby waive any right to any review or hearing to which I may otherwise be entitled. I further release the Department of Human Resources, its officers, and employees from any and all claims arising out of or in any way connected to the release or dissemination of any information concerning me.

_________________________________

________________

_________________________________

________________

Signature

Date

Signature of Witness

Date

To be completed by DHR

A search of the Alabama Child Abuse / Neglect Central Registry has been completed with the information provided to determine if the person identified above has been named as being responsible for child abuse or neglect in Alabama. DHR releases only that information which is necessary to discover or prevent child abuse / neglect.

Substantiated report (i.e., indicated) located. See attached information.

Type Report:

Physical Abuse

Neglect

Sexual Abuse

Mental Abuse / Neglect

No report located.

 

 

 

 

Request Denied

______________________________________________________________________________

Other _________________________________________________________________________________________

_________________________________________________________

______________________________________

Office of Child Protective Services

 

 

Date Completed

DHR-FCS-1598 (Revised December 2009)

Similar forms

The Alabama Central Registry Clearance form shares similarities with the Child Protective Services (CPS) Background Check form. Both documents aim to ensure the safety of children by screening individuals who may have contact with them. The CPS Background Check form collects personal information, such as names and addresses, and requires consent for the release of information. This process helps organizations assess whether a person has a history of child abuse or neglect, just like the Alabama Central Registry Clearance form does.

Another document that resembles the Alabama Central Registry Clearance form is the National Sex Offender Registry Check. This form is used to determine if an individual is listed on the National Sex Offender Registry. Similar to the Alabama form, it requires personal details and consent for the background check. Both forms serve to protect children by identifying individuals who may pose a risk due to past offenses.

The FBI Criminal Background Check is also comparable. This document provides a comprehensive background check on an individual, including criminal history. Like the Alabama Central Registry Clearance form, it requires personal information and consent. Both are crucial for organizations that work with children, as they help identify any potential risks associated with hiring or allowing individuals to care for minors.

The Department of Justice (DOJ) Background Check is another similar document. It is often required for those working in sensitive positions, particularly in education and childcare. Both the DOJ and Alabama Central Registry forms require detailed information about the individual and consent for the background check. They are designed to ensure that individuals who have a history of abuse or neglect do not have unsupervised access to children.

The Child Abuse History Check is yet another document that aligns closely with the Alabama Central Registry Clearance form. This check is typically performed by state agencies to determine if an individual has a history of child abuse. Like the Alabama form, it involves collecting personal information and obtaining consent from the individual being checked. Both forms aim to protect children by ensuring that those with a history of abuse are not allowed to work with them.

The Volunteer Background Check form also shares similarities. This form is often required for individuals seeking to volunteer in organizations that work with children. It collects personal information and requires consent for a background check. Both the Volunteer Background Check and the Alabama Central Registry Clearance form serve the same purpose: to ensure the safety of children by screening those who may have unsupervised access to them.

For individuals looking to establish their LLCs with clear guidelines on member responsibilities, the important Operating Agreement considerations are essential. This document enhances organizational clarity and sets forth the financial arrangements among members, contributing to a well-structured business operation.

The Child Care Licensing Application is another document that resembles the Alabama Central Registry Clearance form. This application is necessary for individuals or organizations seeking to open a childcare facility. It requires extensive background information, including checks for any history of child abuse or neglect. Both documents help ensure that those who provide care for children are qualified and safe to do so.

The Healthcare Provider Background Check is also similar. This document is used to screen healthcare workers who may interact with children. Like the Alabama Central Registry Clearance form, it collects personal information and requires consent for a background check. Both forms help protect children by ensuring that healthcare providers do not have a history of abuse or neglect.

Lastly, the State Child Abuse Registry Check is comparable to the Alabama Central Registry Clearance form. This document is used to check an individual’s status on the state’s child abuse registry. It requires personal details and consent, similar to the Alabama form. Both are essential for organizations that work with children, as they help identify individuals who may pose a risk due to past behavior.

Common mistakes

Filling out the Alabama Central Registry Clearance form can be straightforward, but mistakes can lead to delays or denials. Here are seven common errors to avoid.

One frequent mistake is not using black or blue ink. The instructions clearly state that the form must be filled out in these colors. Using other colors may result in the form being rejected or not processed correctly.

Another common error is failing to check all applicable boxes for the requesting person or agency. If you miss a box, it can create confusion about the purpose of the request. Ensure every relevant option is selected to provide a complete picture.

Many people overlook the importance of legibility. Whether you print or type, your information must be easy to read. Illegible handwriting can lead to miscommunication and may require you to resubmit the form.

Omitting required personal information is another significant mistake. All sections, including the name, date of birth, and address, must be filled out completely. Missing details can delay the process or lead to outright denial.

It's also crucial to provide accurate information about aliases, maiden names, and prior married names. Incomplete or incorrect information can hinder the background check and may result in a longer wait time for clearance.

Some applicants forget to include information about all children and stepchildren. This section is important for the registry's purposes. Ensure you list all relevant family members to avoid complications.

Lastly, not signing the form can lead to automatic rejection. Ensure that both the requestor and the witness sign and date the form where indicated. A missing signature is a simple oversight that can have serious consequences.

By avoiding these common mistakes, you can help ensure a smooth and efficient process when submitting the Alabama Central Registry Clearance form.