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COMMONWEALTH OF PENNSYLVANIA SEXUAL MISCONDUCT/ABUSE DISCLOSURE RELEASE (Pursuant to Act 168 of 2014) Instructions This standardized form has been developed by the Pennsylvania Department of Education,
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The pa49000033schoolwiresnetpage81clearances sexual misconductabuse disclosure refers to a specific form or document required for reporting any allegations or findings of sexual misconduct or abuse by individuals in positions of authority, particularly in educational settings.
Individuals working in educational institutions, including teachers, administrators, and support staff, as well as volunteers and contractors who may have direct contact with students, are required to file this disclosure.
To fill out the disclosure, individuals must provide personal information, details of the alleged misconduct or abuse, and any relevant documentation or evidence supporting the claim, following the guidelines outlined by the educational authority.
The purpose of the disclosure is to ensure the safety of students by requiring individuals in educational settings to report any known incidents of sexual misconduct or abuse, thereby enabling appropriate investigations and actions to be taken.
The report must include the name of the individual involved, a detailed description of the incident or behavior, dates, locations, and any witnesses, as well as the reporter's contact information.
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