Indiana state form 52802 2026

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indiana department of child services background check form 52802 printable Preview on Page 1

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section A, where the requesting organization must provide the legal first name, middle name (if applicable), and last name of the applicant. Ensure all fields are completed in capital letters.
  3. Indicate the reason for the history check by checking all applicable boxes such as Foster care, Adoption, Employment, etc.
  4. Fill in the type of requesting organization and provide contact details including telephone number, fax number, mailing address, and email address.
  5. Move to Section B to be completed by the applicant or their representative. Here, consent for information release must be signed along with providing personal details like date of birth and current residential address.
  6. In Section C, if applicable, ensure that any history of foster care applications or substantiated child abuse is accurately reported.

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