How to use or fill out Child Abuse Disclosure Statement - Lower Susquehanna Synod - lss-elca with DocHub
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- Begin by entering your full name in the designated field. Ensure that you also include any other names you have been known by in the past five years.
- Fill in your date of birth and Social Security Number accurately to maintain compliance with privacy regulations.
- Provide your current address, including city, state, and ZIP code, followed by your current phone number (home, work, or cell).
- Complete the driver’s license section by entering your license number, state of issuance, and expiration date.
- Respond to the questions regarding any accusations or convictions related to crimes against minors. Circle 'YES' or 'NO' as applicable.
- If applicable, provide explanations for any affirmative answers in the space provided.
- Review all sections for accuracy before signing and dating the form at the bottom. If under 18, ensure a parent or guardian signs as well.
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