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Click ‘Get Form’ to open the cmcr form in the editor.
Begin by entering your facility/license number at the top of the form. Ensure this is accurate for processing.
Fill in the details of the licensing specialist requesting the check, including their name, mailing address, title, county, city, state, and zip code.
Provide your telephone number and the facility director's contact information as required.
Complete the section for the person to be checked by entering their full name (last, first, middle), maiden name, date of birth, race, sex (male/female), aliases, and social security number.
Input the complete address of the person being checked along with their place of employment.
List any children’s names and ages if applicable. This information is crucial for background checks.
Sign and date where indicated to authorize the release of information. Ensure you have a notary public acknowledge your signature if required.
Finally, list all addresses you have lived in over the past six years on the continuation page provided.

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How to get a name removed from the child maltreatment registry in Arkansas?

An adult offender may request his or her name be removed from the Child Maltreatment Central Registry when: A. The individual has not had a subsequent true report of this type for one year; and, B. More than one year has passed since the adult offenders name was placed on the Child Maltreatment Central Registry.

How do I appeal child maltreatment in Arkansas?

How do I appeal a child maltreatment finding? To request an appeal hearing, you must send a written statement to the Office of Appeals and Hearings. Please include a copy of the CFS-232 T1 (Child Maltreatment True Investigative Determination Notice to Alleged Adult Offender).

How to file an appeal in Arkansas?

To appeal, you must send a letter to DHS requesting an administrative hearing. You should have gotten a letter that told you about this decision. You must send your request for a hearing within 30 calendar days of the date on the letter or your request will be denied. You can use this form to make a request.

How do I report child maltreatment in Arkansas?

Reports of child maltreatment can be reported by anyone, 24 hours a day, seven days a week, through a toll-free phone number managed by the Arkansas State Police. Call 1-800-482-5964 or 1-844-SAVEACHILD.

How to get off the child maltreatment registry in Arkansas?

(1) Within thirty (30) days from the date of the sentence and entry of judgment by the trial judge, the person desiring to appeal the judgment shall file with the trial court a notice of appeal identifying the parties taking the appeal and the judgment appealed.