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Click ‘Get Form’ to open the Utah Clearance Direct Form in the editor.
Begin by filling out the 'Applicant Information' section. Ensure you print legibly in black ink or type. Include your last name, first name, maiden name, middle name, gender, date of birth, driver's license number, social security number, current address, and home phone number.
Provide your previous address information if applicable. Fill in the city and state for each previous address along with the dates you resided there.
Select your staff position from the options provided. If applicable, describe your position clearly.
Answer the questions regarding any felony or misdemeanor convictions and investigations for abuse or neglect. Attach explanations where required.
Sign and date the application at the bottom of the form to authorize processing by the Utah Department of Health.
Complete the 'Covered Entity/Employer Information' section by indicating whether this is an initial application, renewal, or change of ownership. Fill in all relevant details about your employer.

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What are the adoption requirements in Utah?

These checks, including State and Federal criminal records and child abuse and neglect central registries, are part of the process of assessing the suitability of these caregivers to provide a safe home for children placed in their care. The circumstances that will disqualify an applicant are also discussed.

What is DACs in Utah?

DACS was created to help protect some of Utahs most vulnerable populations. It is an automated fingerprint-based background check system which allows online tracking of applicants and sends auto generated notifications.

What is the background check for adoption in Utah?

The two background checks are (1) DCFS Child Abuse Central Registry and (2) criminal history. The DCFS Child Abuse Central Registry check is quick and easy--and free. The client/applicant must provide a copy of his/her drivers license and be sure to sign the request form on page 2.

What does an adoption background check show?

The following checks are required: A fingerprint-based State and Federal criminal records checks. The previous employment history of persons required to be fingerprinted. A check of the Child Abuse Central Index.

What shows up on a Utah background check?

Qualifications Must be 21 years old or older. May be single, married, divorced or widowed. May rent or own your own home or apartment. May already have children in your home or not have children. May work outside the home. May have a small or large income.