Dss form 2925-2026

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4.9 out of 5

45 votes

The document outlines the requirements for individuals seeking employment or caregiver services at licensed child care facilities in South Carolina. It mandates a state and federal background check to assess criminal history and abuse records, along with a sworn statement of non-conviction. Compliance with S.C. Code Section 63-13-40 is emphasized, detailing the consequences of non-compliance and the legal implications for applicants with prior convictions.

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Click ‘Get Form’ to open dss form 2925 in the editor.
Begin by entering your name and address at the top of the form. Ensure that all information is printed clearly for accuracy.
Next, provide the facility name and address where you will be employed or providing caregiver services. This section is crucial for compliance verification.
Select your county from the dropdown menu to ensure proper jurisdiction is noted on the form.
Fill in the director's name and facility approval/license/registration number. This information helps validate your employment status.
Affirm your non-conviction status by signing in the designated area. Make sure to read through the compliance statement before signing.
Finally, have a notary public witness your signature and complete their section, including their commission expiration date.

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Versions	Form popularity	Fillable & printable
2009	4.9 Satisfied (45 Votes)

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Dss form 2925-2026

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