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CPS BACKGROUND/ADAM WALSH BACKGROUND CLEARANCE REQUEST 2026
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- Click ‘Get Form’ to open it in the editor.
- 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.
- 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.
- List any other names used and provide your current address along with a daytime telephone number and email address.
- Complete Part III: Authorization by confirming your consent for the release of information. Review all sections to ensure completeness before proceeding.
- In Part IV: Signature, sign and date the form. If under age 16, a parent or guardian must sign.
- Finally, print the completed form as instructed before moving on to any additional steps required by your agency.
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CPS Background Clearance Coordinator. Maryland Department of Human Services. Social Services Administration. In-Home Services. 311 W. Saratoga Street, Room 553.Read more
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Clearance Request Requirements: ○ A separate request is required for each individual whose name is to be searched. ○ Provide proof of identity to the NotaryRead more