Form 470-4227 - Iowa Department of Human Services-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in the 'Information Required for Registry and Record Check' section. This includes your last name, first name, middle name, and any aliases.
3. Provide your date of birth, gender, and social security number. Ensure that all entries are typed or printed legibly for clarity.
4. Select the reason for the check from the provided list. Indicate whether this is an initial check or a renewal/recheck.
5. Complete the address section with your current address details including city, state, and ZIP code.
6. For those applying for positions requiring access to IRS Federal Tax Information, check the appropriate box and list all addresses where you have lived, worked, or attended school in the last five years.
7. Finally, sign and date each section where permission is granted for registry checks. Review all entries before submitting.

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