Indiana department of child services background check form 52802 printable: Fill out & sign online

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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.
Indicate the reason for the history check by checking all applicable boxes such as Foster care, Adoption, Employment, etc.
Fill in the type of requesting organization and provide contact details including telephone number, fax number, mailing address, and email address.
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.
In Section C, if applicable, ensure that any history of foster care applications or substantiated child abuse is accurately reported.

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What are the mandatory reporting requirements in Indiana?

Indiana law requires anyone who has reason to believe that a person under the age of 18 is a victim of child abuse or neglect to make an oral report immediately to the local child protection service or the local law enforcement agency.

How to fill out state of Indiana employees withholding exemption and county status certificate?

Print or type your full name, Social Security number or ITIN and home address. Enter your Indiana county of residence and county of principal employment as of January 1 of the current year. If you neither lived nor worked in Indiana on January 1 of the current year, enter not applicable on the line(s).

What could result in jail time for a mandatory reporter in Indiana?

In Indiana, a mandatory reporter can face jail time for both filing a false report of child abuse and knowingly failing to report abuse or neglect. Both actions are considered serious violations of the law that carry legal penalties.

How do I request records from child Protective Services in Indiana?

If you are not a member of the media, are seeking individual records for yourself or a specific child or are submitting a subpoena or a request for records in a legal proceeding, please email your request to the DCS Public Records Coordinator at DCSpublic.recordsrequest@dcs.in.gov.