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Act 168 2026
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- Click ‘Get Form’ to open the Act 168 document in the editor.
- Begin with SECTION 1, where you will enter your personal information including your name, any former names, date of birth, and the last four digits of your Social Security Number.
- Provide details about your current and former employment. This includes the name of the employer, position held, and approximate dates of employment.
- Answer the questions regarding any past investigations or disciplinary actions related to abuse or sexual misconduct by selecting 'Yes' or 'No'.
- Sign and date the form to certify that all information provided is accurate and complete.
- Once completed, submit SECTION 1 to your current employer for them to fill out SECTION 2.
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