Act 168 form 2026

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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 includes sections for applicant certification, employer verification, and outlines the responsibilities of both parties in ensuring the safety of students during the hiring process.

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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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What is the Act 168 in the School District of Philadelphia?

In January, the General Assembly enacted Act 1 of 2022 (Act 1) (24 P.S. 13-1331.1) to remove educational and graduation barriers for students who move between school entities due to homelessness, adjudication, foster care, and juvenile justice or court-ordered placements.

What is PA Act 168?

Pursuant to Act 168, an employer, school entity, administrator, and/or independent contractor that provides information or records about a current or former employee or applicant shall be immune from criminal liability under the CPSL, the Educator Discipline Act, and from civil liability for the disclosure of the

What is the Act 1 in PA schools?

Policy 138 outlines the Philadelphia School Districts commitment to providing English Language Development (ELD) and Bilingual Education programs for English Learners (ELs). The goal is to help ELs acquire English proficiency while maintaining their native language and cultural heritage.

What is the Act 168 in Philadelphia school District?

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.

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