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Division of Children & Family Services P.O. Box 1437, Slot S566, Little Rock, AR 722031437 P: 501.682.0405 F: 501.682.0407 TDD: 501.682.1442 Dear Applicant, Thank you for your inquiry regarding the
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Obtain a copy of the form for name removal from adult maltreatment in Arkansas
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Fill out your personal information accurately, such as your name, address, and contact information
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Who needs name-removal-from-form-arkansas-adult-maltreatment?

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Individuals who have been wrongly accused or mistakenly identified in cases of adult maltreatment in Arkansas
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Individuals who have legally changed their name and need to update their information in the system
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Family members or legal representatives of individuals who are unable to complete the form themselves
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The name removal from Form Arkansas Adult Maltreatment is a process through which individuals can request to have their names removed from the state's registry of maltreatment when they believe they have been wrongfully listed.
Individuals who have been named in an adult maltreatment report and believe that the report is inaccurate or false are required to file the name removal request.
To fill out the name removal form, complete the required sections including personal information, details of the maltreatment case, and provide supporting evidence or documentation to support your request for removal.
The purpose of this form is to ensure that individuals who have been wrongfully accused or listed can clear their names and prevent any negative implications that arise from being on the maltreatment registry.
The form must report personal identifying information, the specifics of the maltreatment allegation, reasons for the name removal request, and any supporting documents or evidence.
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