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Ocfs fingerprint waiver form

Ocfs fingerprint waiver 2025

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4.9 out of 5

52 votes

The document OCFS-4659 is a waiver form for the submission of a duplicate fingerprint card required by the New York State Office of Children and Family Services. It allows individuals who have previously been fingerprinted for child care, foster care, or adoption purposes to bypass resubmitting fingerprints when applying for licenses or employment at new facilities. The form collects personal information, current roles, and previous affiliations with facilities, and must be signed and forwarded to the appropriate licensing representative.

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Click ‘Get Form’ to open the ocfs fingerprint waiver in the editor.
Begin by entering your Last Name, First Name, and Middle Initial in the designated fields. Ensure that all names are spelled correctly.
Select your Sex by checking either 'Male' or 'Female'.
Input your Date of Birth in the format Month/Day/Year.
If applicable, provide any Alias or Maiden Name you may have used previously.
Fill in your current Street Address, City/State, and Zip Code accurately.
If this is a new address since your last fingerprinting, check the box provided.
Enter the New Facility/Provider ID#, name, and address where you are applying.
Indicate your Current Role by checking the appropriate box from the options provided.
Answer whether you have been previously fingerprinted by checking 'Yes' or 'No'. If yes, provide details of previous facilities/agencies.
Finally, ensure to sign and date the form before submission. This confirms that all information is accurate.

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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (52 Votes)
2011	4.2 Satisfied (59 Votes)

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