State Form 52802 (R6 / 8-15) / CW 2128-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section A, where the requesting organization must fill in the legal name of the applicant, reason for the history check, and type of requesting organization. Ensure all fields are completed in capital letters.
  3. Proceed to Section B. The applicant or their representative should provide consent by signing and dating the form. Include personal details such as gender, date of birth, and current residential address.
  4. In Section C, if applicable, staff members from the Indiana Department of Child Services will complete necessary checks. Ensure that all required signatures and dates are filled out accurately.

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Upload your State Form 52802 (R6 / 8-15) / CW 2128 to DocHub (once you’ve created an account for this). If you need to complete fields in it, use proper tools from the upper pane. For instance, add Signature Fields, assign each to a particular person, and click on Sign → Request signatures from others. Change your message for your recipients and click Send Request. You can also send your paperwork by fax or as a Signing link instead of using email (you’ll find these options by navigating to the Menu → Send)

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If you are not a member of the media, are seeking individual records for yourself or a specific child or are submitting a subpoena or a request for records in a legal proceeding, please email your request to the DCS Public Records Coordinator at DCSpublic.recordsrequest@dcs.in.gov.
Each CPS agency has a standard form for you to use if you want to request copies of your own records. The form typically requires you to provide information about yourself and any adults listed in your records, such as your parents or a legal guardian. You may not know all the information requested on the form.
How long a closed Child Protective Services (CPS) case remains on your record depends on the state and the specifics of the case. In Texas, for example where I practiced the Department of Family and Protective Services (DFPS) retains CPS records for a minimum of five years after the case is closed.

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Steps Contact the agency that has your file. Each state agency has a different process for CPS records requests. Write a cover letter if required. Complete a request form. Submit your request form. Provide proof of identity. Wait for confirmation. Follow up with your request.
Another way you may find out you are being investigated by CPS is if CPS comes to your door, unannounced. If you are not home, they will leave a business card and they will ask you to please return their call. They wont tell you why they want to talk to you.
Any suspicion of intentional harm or excessive discipline can raise red flags. Neglect: Failure to provide adequate food, clothing, shelter, or medical care can be considered neglect. CPS assesses the living conditions and the childs physical and emotional well-being.

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