CPS BACKGROUND/ADAM WALSH BACKGROUND CLEARANCE REQUEST 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I: Purpose of Search. Indicate whether you are requesting the information for yourself or for an agency/individual by checking the appropriate box.
3. In Part II: Search Information, fill in your personal details including last name, first name, social security number, and date of birth. Ensure all fields are completed accurately.
4. List any other names used and provide your current address along with a daytime telephone number and email address.
5. Complete Part III: Authorization by confirming your consent for the release of information. Review all sections to ensure completeness before proceeding.
6. In Part IV: Signature, sign and date the form. If under age 16, a parent or guardian must sign.
7. Finally, print the completed form as instructed before moving on to any additional steps required by your agency.

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