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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 former
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How to fill out sexual misconductabuse disclosure release

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How to fill out sexual misconductabuse disclosure release

01
Step 1: Obtain a sexual misconduct/abuse disclosure release form from the appropriate authority or institution.
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Step 2: Read through the form carefully to understand the purpose and requirements of the release.
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Step 3: Gather all the necessary information required to accurately fill out the form. This may include personal details, dates of incidents, the individuals involved, and any supporting documentation or evidence.
04
Step 4: Start with the basic information section of the form, providing your name, address, contact details, and any other requested personal information.
05
Step 5: Proceed to the details of the sexual misconduct/abuse incident section, providing a clear and concise account of what occurred. Be sure to include dates, locations, and any relevant contextual information.
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Step 6: If the form requires information about the alleged perpetrator, provide their details to the best of your knowledge. This may include their name, contact information, and their relationship to you or the incident.
07
Step 7: If there were any witnesses to the incident, provide their contact information and a brief description of their involvement.
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Step 8: Review the completed form for accuracy and completeness. Make any necessary corrections or additions.
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Step 9: Sign and date the disclosure release form, indicating your understanding and agreement with its contents.
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Step 10: Make copies of the completed form for your records.
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Step 11: Submit the filled-out sexual misconduct/abuse disclosure release form to the designated authority or institution. Follow the specified submission process or instructions provided.
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Step 12: Keep a record of the submission, such as a receipt or confirmation, for future reference and documentation.

Who needs sexual misconductabuse disclosure release?

01
Any individual who has experienced or witnessed sexual misconduct/abuse may need to fill out a sexual misconduct/abuse disclosure release. This can include victims, survivors, witnesses, or individuals who become aware of such incidents.
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A sexual misconduct/abuse disclosure release is a legal document that allows individuals or organizations to disclose information about allegations or findings of sexual misconduct or abuse to appropriate authorities or other relevant parties.
Typically, individuals such as educators, employees in organizations that work with vulnerable populations, or licensed professionals are required to file this disclosure release when they are aware of or involved in incidents of sexual misconduct or abuse.
To fill out the sexual misconduct/abuse disclosure release, one should provide personal identification details, description of the misconduct or abuse, names of the individuals involved, dates of incidents, and any evidence or documentation related to the allegations.
The purpose of the sexual misconduct/abuse disclosure release is to ensure that allegations of such misconduct are formally reported, allowing for appropriate investigation and action, as well as promoting transparency and accountability within organizations.
Information that must be reported includes the names of the involved parties, details of the misconduct or abuse, relevant dates and locations, nature of the allegations, and any witness information or supporting documentation.
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