Act 168 2025

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The document is a Sexual Misconduct/Abuse Disclosure Release form mandated by Act 168 of 2014 in Pennsylvania. It requires applicants for positions involving direct contact with children to disclose any history of abuse or sexual misconduct and authorizes current and former employers to provide relevant information. The form aims to enhance the safety of students by ensuring thorough background checks on potential school employees.

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Click ‘Get Form’ to open it in the editor.
Begin with SECTION 1, where you will enter your personal information. Fill in your name, any former names, date of birth, and the last four digits of your Social Security Number.
Next, provide details about your employment history. Include the approximate dates of employment and positions held at the current or former employer listed.
Answer the questions regarding any past investigations or disciplinary actions related to abuse or sexual misconduct. Be sure to check 'Yes' or 'No' as applicable.
Sign and date the form at the bottom of SECTION 1 to certify that all information is accurate.
Once completed, submit this form to your current and former employers for them to fill out SECTION 2.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is your previous employer allowed to say about you?

There are no federal laws that specifically state what employers can or cannot say about a former employee, however, each state can create its own laws for what employers are allowed to disclose. The typical things employers CAN disclose include: Job title. Responsibilities.

What can a past employer say about you in PA?

In Pennsylvania, an employer who discloses information about a current or former employees job performance to a prospective employer . . ., upon request of the prospective employer or the current or former employee, is presumed to be acting in good faith. 42 Pa. Cons. Stat. 8340.1.

What is the Act 168 in PA?

Act 168 requires the applicant to disclose all former employers that were school entities and/or where the prospective employee had direct contact with children, and the employment history review conducted by the hiring entity must include all such employers listed by the applicant.

What is the Civil Rights Act 168?

In addition to verifying the applicants history regarding abuse and/or sexual misconduct, Act 168 also requires that when the applicant is an educator who holds public or private school certification and/or has been assigned a Professional Personnel Identification number (PPID), the hiring entity must ensure that

Can I download a fillable ACT 168 form?

You can also download it, export it or print it out. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Send act 168 form via email, link, or fax. You can also download it, export it or print it out.