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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 pa sexual misconductabuse disclosure

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How to fill out PA sexual misconduct/abuse disclosure:

01
Obtain the PA sexual misconduct/abuse disclosure form. You can typically find this form on the website of the Pennsylvania Department of Human Services or the organization requiring the disclosure.
02
Read the instructions carefully. The form may have specific guidelines or instructions on how to complete it accurately.
03
Provide your personal information. This may include your full name, date of birth, address, phone number, and any other required identifying information.
04
Determine the type of misconduct or abuse being disclosed. The form may ask for details about the nature of the misconduct or abuse, such as whether it involved sexual harassment, assault, or other related offenses.
05
Provide a detailed account of the incident. Include as much information as possible about the date, time, location, individuals involved, and any witnesses. It's important to be honest and thorough while describing what occurred.
06
Attach any supporting documentation. If you have any evidence or documents related to the incident, such as police reports, medical records, or witness statements, include them with the disclosure form.
07
Review and sign the form. Before submitting the form, double-check all the information provided for accuracy. Sign and date the form to acknowledge that the information provided is true and complete to the best of your knowledge.
08
Submit the form. Follow the instructions on the form to submit it to the appropriate recipient, whether it's a government agency, employer, or other institution.

Who needs PA sexual misconduct/abuse disclosure:

01
Employees: Individuals working in Pennsylvania who are employed by organizations or institutions that require this disclosure.
02
Volunteers: Individuals who volunteer their time at organizations or institutions that have a policy of requiring sexual misconduct/abuse disclosures.
03
Applicants: Individuals who are applying for a job or position at an organization or institution that mandates the disclosure of sexual misconduct/abuse incidents.
Please note that the specific requirements for the PA sexual misconduct/abuse disclosure may vary depending on the organization or institution, so it is always important to refer to the instructions provided on the form itself or contact the relevant authorities for any clarification.
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Pennsylvania Sexual Misconduct/Abuse Disclosure is a form required to be filed by certain individuals who have been convicted of certain offenses related to sexual misconduct or abuse.
Those who are required to file the Pennsylvania Sexual Misconduct/Abuse Disclosure form include employees, volunteers, and contractors of organizations that provide services to children or youth.
The Pennsylvania Sexual Misconduct/Abuse Disclosure form must be completed by providing personal information and disclosing any convictions or pending charges related to sexual misconduct or abuse.
The purpose of the Pennsylvania Sexual Misconduct/Abuse Disclosure is to protect children and youth by ensuring that individuals with a history of sexual misconduct or abuse are not allowed to work with them.
On the Pennsylvania Sexual Misconduct/Abuse Disclosure form, individuals must report any convictions or pending charges related to sexual offenses, as well as personal information such as name, address, and date of birth.
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