DSS Form 3072 (SEP 08).qxd - chfs ky-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Purpose of Search' section, indicating whether it's for employment, fostering, or volunteering.
  3. In the 'Name' field, ensure you provide your full name, including first, middle, and last names—no initials allowed.
  4. If applicable, complete the 'Name Change' section with your new name while also filling out your current name.
  5. Fill in your 'Date of Birth', 'Sex', 'Race', and 'Social Security Number' as required.
  6. Provide your 'Place of Birth' by stating the name of the state where you were born.
  7. Enter your current address and any previous addresses from the past seven years in their respective fields.
  8. Sign in the designated area as the applicant and ensure a witness or notary signs as well before submission.

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