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COMMONWEALTH OF PENNSYLVANIA SEXUAL MISCONDUCT/ABUSE DISCLOSURE RELEASE (under Act 168 of 2014) (Hiring school entity or independent contractor submits this form to ALL current employer(s) and to
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How to fill out sexual misconductabuse disclosure release

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How to fill out a sexual misconduct/abuse disclosure release:

01
Obtain the necessary form: The first step is to obtain the sexual misconduct/abuse disclosure release form from the appropriate source. This could be from your employer, school, or organization that requires such a disclosure.
02
Read the instructions: Carefully read the instructions provided with the form. The instructions will guide you on how to properly fill out the disclosure release and provide any specific details or requirements.
03
Personal information: Start by filling in your personal information accurately. This typically includes your full name, contact information, address, and any other requested identification details.
04
Date and signature: Look for the designated areas where you are required to provide the date and your signature. Make sure to sign the disclosure release form with your legal signature. This indicates that the information provided is true and accurate to the best of your knowledge.
05
Disclosure details: Fill in the disclosure details as required. This may involve providing information about the alleged sexual misconduct or abuse, including dates, times, locations, and individuals involved. Be as thorough and accurate as possible, ensuring that you provide all relevant information.
06
Relevance of information: Some forms may ask you to specify the relevance or relationship of the disclosed information to the organization or institution. Explain the significance or connection between the alleged misconduct/abuse and the purpose of the disclosure release.
07
Optional documentation: Some forms might leave room for attaching any supporting documentation or evidence related to the sexual misconduct/abuse. If you have any relevant documents that strengthen your disclosure, such as emails or photographs, attach them as instructed.
08
Review and submission: Before submitting the form, carefully review all the information you have provided. Double-check for any errors or omissions. Once you are confident that the form is complete and accurate, submit it according to the instructions provided. It is a good idea to keep a copy of the completed form for your records.

Who needs a sexual misconduct/abuse disclosure release:

Employers, educational institutions, and various organizations may require individuals to complete a sexual misconduct/abuse disclosure release. This is usually to ensure a safe environment for everyone involved and to address any potential misconduct or abuse allegations appropriately. Examples of parties that may require a disclosure release include:
01
Employers: Some employers, especially those in fields where interaction with vulnerable populations or sensitive situations occurs, may request a sexual misconduct/abuse disclosure release from their employees.
02
Schools and universities: Educational institutions often require teachers, staff, and volunteers to complete a sexual misconduct/abuse disclosure release to ensure student safety and maintain a secure learning environment.
03
Non-profit organizations and community groups: Organizations that work closely with individuals who may be at higher risk of experiencing sexual misconduct or abuse, such as shelters, counseling centers, or advocacy groups, may require a disclosure release from their members or volunteers.
04
Sports organizations: Sports teams, clubs, and associations that involve minors or vulnerable individuals may request a sexual misconduct/abuse disclosure release to protect the well-being of their participants.
It is important to note that the specific requirements for a sexual misconduct/abuse disclosure release may vary depending on the organization or institution. It is always best to consult the provided instructions or contact the relevant authority if you have any questions or need clarification on how to fill out the form accurately.
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