Dhs release of information form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the appropriate abuse registry you are requesting information from: Child Abuse Registry, Dependent Adult Abuse Registry, or Both. Check the corresponding box.
3. Specify your preferred method of response by checking either Address, Fax, or Email and complete the required information in Section 1.
4. In Section 1, fill out your details as the requester including your name, agency name (if applicable), address, telephone number, and email.
5. List the name and address of the individual whose information is being requested along with their birth date and social security number.
6. Provide any maiden names or aliases for the individual and state the purpose of your request.
7. Sign and date Section 1 to confirm that you understand the legal provisions regarding this information.
8. Section 2 must be completed by the person authorizing release. They should sign and date it as well.
9. Finally, ensure that Section 3 is filled out by Central Abuse Registry staff upon processing your request.

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