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- Click ‘Get Form’ to open the act 168 form 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.
- Complete the certification section by answering the questions regarding past investigations or disciplinary actions. Ensure that all responses are accurate and truthful.
- Sign and date the form at the bottom of SECTION 1 to certify that your statements are true.
- In SECTION 2, provide this form to your current and former employers for them to complete. They will verify your employment dates and answer questions about any past misconduct.
- Once both sections are completed, return the form to the designated school entity as instructed.
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