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Child Abuse History Record Request for Private Adoption NOTE: This form must be submitted by the agency identified at the bottom of this page. The applicant may NOT SUBMIT THIS FORM DIRECTLY to the
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The form is used to record information related to child abuse history.
Individuals who work with children or in child-related fields are required to file the form.
The form should be filled out with accurate information related to any history of child abuse.
The purpose of the form is to keep track of individuals' history of child abuse to ensure the safety of children.
Information such as any past incidents of child abuse, dates, locations, and involvement of authorities must be reported.
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