ORIGINAL DCS FORM/ ACCEPTS 3RD PICT FOR PREFERRED RESPONS ADDITIONAL STATE CONTACT INFO EMAIL ADDRESS OWN FORM? NOTARY? SIGNATURE FEE? FEE INFO LETTERHEAD PARTY ID? EMPLOYMENT? TRANSMITTAL E TIME COMMENTS ? REQUIRED? REQUESTS? Additional
contacts: Alabama State Jon Perdue, Phone: (334) Department of Human Program 242-9500 Fax: jon.perdue@d Resources, Family Manager (334) 242-0939 hr.alabama.gov Services Division AL FORM Phone: (334) or
Alabama 242-9500 NO YES NO NO NO NO YES YES MAIL ONLY Harold Brown harold.brown Attn: Office of Child FORM Fax: (334) 242- 334-353-3477 @dhr.alabama. Protective Services INSTRUCTIONS 0939 or harold.brown gov 50 Ripley Street @dhr.alabama.g Montgomery, AL ov 36130 Alabama central
registry website Kenneth Should include State of Alaska Saucier agencies cover Office of Children's ocsbackground letter or Photo ID Services AK FORM 06- scanned, Phone: (907) check@alaska. of Applicant. Alaska central Alaska APSIN Unit (Adam 9437 NO YES YES NO NO YES YES faxed, or 30 Days 269-4026 gov Must be signed registry website Walsh checks) mailed and include DOB, 323 East 4th Ave. Fax: (907) 269- SSN, and all Anchorage, AK 99501 4098 known aliases. Their registry is Tufa Avegalio local and not CFSD available online. American Tufanua You must e-mail Samoa Avegalio: the agency to tavegalio@dhs request the s.as form. Jermaine Arizona Department of Additional Moore-Tabron Child Safety For contacts: Jermaine.Moor employment/ Submit to Yvonne Santos eTabron@azds DCSCentralRegi Attn: AWA volunteer DCSCentralRegi Arizona AZ Form 1083a NO NO NO NO NO NO NO Phone: (602) c.gov [email protected] P.O. Box 6123, Site purposes, [email protected] 364-4255 Leticia Chavez Code CO 10-19 please use DCS- v in PDF form Arizona central leticia.chavez@ Phoenix, AZ 85005- 1083A form registry website azdcs.gov 6030 Arkansas Child Background and YES Phone: (501) ARAbuseNegle Maltreatment Central $10 or Fill the Reports Fact Along with Arkansas 682-0405 ctRecords@dhs Registry AR CENTRAL $11 using “Registry Sheet YES YES NO YES notarized YES YES 30 days .arkansas.gov P.O. Box 1437, Slot S REGISTRY FORM the online Check Form” authorization Fax: (501) 682- 566 portal and email Arkansas central form 0407 Little Rock, AR 72203 registry website
Updated on 06/22/2021
California Department Phone: (916) of Justice Must be 210-4092 CA FORM BCIA California CACI- Attn: Bureau of typewritten, California 4057 central registry [email protected] Criminal Information & NO NO NO YES $15 NO NO NO please see 30 days Fax: 916-227- website .gov Analysis CACI instructions on 6364 CA Instructions P.O. Box 903387 the form
Sacramento, CA 94203- 3870 Background
Investigation Unit Background Shauna Sayer Division of Early Care Inquiry Colorado and Learning, CDHS Colorado central Checks: cdhs_o CO Form NO YES NO YES $35 NO YES YES Mail 4-8 weeks Phone: (303) registry website ec_background 866-4694 1575 Sherman Street, investigation@ Garden Level Denver, state.co.us CO 80203-1714 Department of Use form DCF- Completed Children and Families 3031 for: letters should Lisa Daymonde Avg:1-2 Care Line Use Form DCF- Daycare, be faxed to: weeks, Connecticut DCF.Backgroun 3033 for Employment, 860-560-7071, Connecticut Email: NO NO NO NO NO YES YES can take central registry [email protected] Attn: Background Adoption and Internship, or emailed: Lisa.Daymonde up to 4 website Check Unit Foster Care Mentor, DCF.Backgroun @ct.gov weeks 505 Hudson Street Volunteer, [email protected] Hartford, CT 06106 Other v
Beth Kramer OCCL, Criminal History Delaware Email: Unit central beth.kramer@ beth.kramer@ Attn: Concord Plaza, Through the Delaware Delaware Portal NO YES YES YES $14 NO NO YES 15 days registry/backgro delaware.gov delaware.gov Hagley Building portal und check FAQ Phone: (302) 3411 Silverside Road
739-5884 Wilmington, DE 19810 Delaware Portal Attn: CFSA Child Protection Register YES Phone: (202) [email protected] 30-45 DC Unit 200 I Street SE, DC Form YES YES YES NO NO YES YES Directions for Email FAQ's 727-8885 v days 3rd Floor Washington, employment DC 20003 ACCESS Central Mail Center Keycee P.O. Box 1770 hqw.fs.adamw Email Marshall Ocala, FL 34478-1770 alsh.requests@ Adam Walsh adamwalsh.req Florida DCF Headquarters NO NO YES NO NO NO YES YES myflfamilies.co Request Form- uests@myflfa Phone: (850) 1317 Winewood Blvd. m Fillable- LCPA's milies.com 487-6053 Building 1, Room 202 Tallahassee, Florida 32399-0700
Updated on 06/22/2021
For State/Governm ent agencies Child Protective seeking CPS Services Information Contact: Case history for System(Child Abuse YES Out-of-State CPS Magda Investigation/A Registry) Registry FAQ's Georgia Warner-Hulitt doption/Foster NO YES YES NO NO YES YES YES Email Screening and Links Phone: (404) Care ONLY, 2 Peachtree St, NW Request Form 463-7287 please submit Atlanta, GA 30303 your request to 18th Floor georgiaadamw alshcheck@dhs .ga.gov Bureau of Social https://dphss.g Phone: 671- Services uam.gov/conta 475-2653 or Administration ct-us-2/ 671- Department of Public NO Guam 475-2672 Health Submit request NO YES NO NO NO YES NO NO MAIL or EMAIL Contact: & Social Services on letterhead Linda.rodriguez Fax: 671-477- 194 Hernan Cortez @dphss.guam. 0500 Avenue gov Hagatna, Guam 69610 Department of Human Services Consent to How to Obtain Phone: 808- Child Welfare Services Release Hawaii 832-0609 Hawaii None to be Section Information Must be Background NO YES YES YES NO NO NO NO found 420 Waiakamilo Road, Form mailed Checks Fax: 808-832- Suite 300A 0628 Honolulu, Hawaii Instructions Hawaii's website 96817 Fernando Castro Email: [email protected] Idaho Department of Criminal daho.gov Health and Welfare History Unit crimhist@dhw. Criminal History Unit Consent Release Idaho central Idaho YES YES NO YES $20 NO NO YES Portal or follow Phone: (208) idaho.gov 1720 Westgate Drive, Form registry website instructions for 332-7990 Suite B Mail In Boise, Idaho 83704 Karla Kinzel Karla.kinzel@d hw.idaho.gov Gayle Hopper Department of Authorization
Administrator Children and Family for Background Illinois central Meghan Green for the Illinois Services Checks for registry website Illinois lead worker for NO YES NO NO NO NO YES YES Mail or email DCFS, State 406 E. Monroe – Foster Care and the Production Central Station # 30 Adoption Control Unit – Register – Springfield, IL 62701
Updated on 06/22/2021
Gayle.Hopper Meghan.Green For programs @illinois.gov @illinois.gov NOT licensed by DCFS DCFS.689Backg round@illinois. gov
Indiana New Letterhead 2018.docx
out of state Linda Chagoya requests Iowa DHS Attn: Central 5-10 Email: dhsabuseregist information Abuse Registry, PO Box IA Form 460- Mail or secure business Iowa DHSAbuseRegis [email protected] NO YES NO NO NO NO YES YES 4826, Des Moines, IA 0643 email days, on [email protected] a.us out of state 50305 average a.us criminal history checks Scott Henricks For questions: $15 Director of Scott.Henricks DCF Child Email: Kansas @ks.gov Abuse/Neglect Central NO FEE DCF.CentralRe background Registry FOR [email protected] Kansas central Kansas OBI 1011 Form NO YES NO YES YES YES NO checks division For CPS History P.O Box 2637 STATE registry website checks: Topeka, KS 66601 AGENCIES. Fax and Mail Phone: 785- DCF.CentralReg Fax: 785-296-8609 MARK also accepted 296-3825 [email protected] EXEMPT Cabinet for Health and Family Kentucky central Services/Department registry website for Community Based
Erika Bauford, CHFSDCCNBCP Services/Records NO FAQs on new Administrative @ky.gov Management Kentucky NO NO YES YES $10 NO YES YES Use the Portal online system Branch Branch KY Portal effective July 31 Manager 275 East Main Street, 2020 3E-G
Frankfort, KY 40621
Phone: 502-564-3834 Fax: 502 564-9554 Louisiana department of Lori Miller Children and Dept. of dcfs.childprote website Children & Family Must use the Louisiana Phone: 225- ctiveservices.dc DCFSCANS NO NO NO YES $25 NO YES NO Services CANS system 342-9928 [email protected] DCFSCANS P.O. Box 3318
Baton Rouge, LA 70821
Phone: (207) State Bureau of NO – follow the Maine NO NO NO YES $15 YES YES YES Fax 15 Days Website 624-7240 Identification website
Updated on 06/22/2021
info@informe. State House Station hyperlink and FAX: 207-287- org #42 follow 5282 Augusta, ME04333- instructions 0042 Physical Location: 45 Commerce Drive, Suite 1, Augusta Kevin Keegan Maryland Department Director of Human Services
Resource Social Services website Development None to be Administration Maryland YES YES YES NO NO NO NO YES YES Mail Placement and found In-Home Services Instructions Support 311 W. Saratoga Maryland Form Services Street, Room 553 Baltimore, MD 21201 410-767-7910 Massachusetts Department of Fax to: 617- Scan/email to: Children and Families 748-2441 MA.CPS.CHECK Attn: Background Massachusetts Massachusetts MA Form YES YES YES NO NO YES YES YES Email 30 Days @MassMail.Sta Record Check Unit Website Questions: te.MA.US 2 Boylston Street, 5th 857-338-3030 Floor Boston MA 02111 Sarah Gorby Michigan Fingerprint Kelly Maltby Children's Protective Analyst – Department Services Program 517-582-3516 Manager – P.O. Box 30037 Form DHS 1929 Michigan central Michigan gorbys@michig YES YES YES NO NO NO YES YES Email or mail 10 days 517-284-9706 235 South Grand Ave., registry website an.gov maltbyk2@mic Suite 510 MDHHS-DCWL- higan.gov Lansing, Michigan OSCR@michiga 48909 n.gov DHSBackgroun Minnesota Minnesota dStudies@stat Department of Human Lori Steffan: central e.mn.us Services – Office of 651-478-8254 registry/backgro Inspector Minnesota Minnesota Form NO YES NO YES $20 NO YES YES Mail or email und check criminal.backgr General/Background Phone: 651- website ound.check@st Studies Division – PO 431-6625 ate.mn.us Box 64172 – St. Paul, FAQs MN 55164-0172 mscentralregist MDCPS, Central Mississippi Mississippi Phone: 601- [email protected]. Registry, PO Box 346, Docusign link to NO YES YES NO NO NO YES YES Docu-sign 30 days central registry 359-4198 gov Jackson, MS 39205 form website
Updated on 06/22/2021
Program Missouri Children’s Manager: Division, Background Melody Yancey Melody.Yancey Screening / general FAQ Missouri 573-751-3171 @dss.mo.gov Investigations Unit, Missouri Form NO YES NO YES $41.75 NO YES YES Mail (will not open in
P.O. Box IE) Sara E. Smith 88, Jefferson City, MO Email: 65103. Sara.E.Smith@ dss.mo.gov Requests can be mailed to: Records Request DPHHS/CFSD P.O. Box 8005 Helena, MT 59604- Montana Form ChildFamilySer 8005 Montana N/A [email protected] YES YES NO NO NO NO YES YES Mail or Email 10 Days Website volunteer and ov Requests can also be employee form faxed to: DPHHS/CFSD ATTN: Records Request FAX (406) 841-2046 YES Phone Number Nebraska Form (402) 471-9272 (will not open in Nebraska dhhs.cfscentral 301 Centennial Mall IE) Mail or central registry Nebraska Toll Free registry@nebra South, Lincoln, Organization/Bu YES YES NO YES $2.50 NO YES YES through the website Number ska.gov Nebraska 68509 siness must Portal (800) 722-1715 provide portal Instructions ID to access results. Nevada Division of Child & Family Services Contact: Bruce YES DCFS- Attn: Nevada Central Cole Nevada central Nevada [email protected]. Registry 4126 YES YES NO NO NO NO YES YES EMAIL 15 Days Phone: (775) FORM registry website gov Technology Way, 3rd 684-7941 Floor Carson City, NV 89706 NH Division for Phone: (603) Children, Youth, and 271-8383 Families New Fax: (603) 271- New Hampshire RELEASE FOR N/A Attn: Central Registry, YES YES NO NO NO NO YES MAIL Hampshire 4729 Form 3RD PARTY Brown Bldg.– 4th Floor Contact: Susan 129 Pleasant Street Hallett-Cook Concord, NH 03301
Updated on 06/22/2021
Phone: (609) 888-7711 Department of Toll-Free: (877) Children & Families 667-9845 Attn: Office of NO THROUGH Tutorials for the New Jersey N/A Licensing/CARI Unit New Jersey NO NO NO NO NO NO YES YES PORTAL Portal CARI Unit: P.O. Box 717 Portal (855) 744-4913 Trenton, NJ 08625- 0717 Contact: Judith Williams New Mexico central registry Office needs the website original signed and MAIL notarized form mailed ANNOUNCMENT
CRC Unit at CYFD.PSCrimin to: due to covid-19 Temporarily by New Mexico (505) 827-8400 alReco@state. CYFD Protective NM FORM YES YES NO NO NO NO NO YES NM at this time email- please or nm.us. Services is not accepting see CRC Unit Room 225 physical mail. announcement PO Drawer 5160 Please follow Santa Fe, NM 87502 the link for temporary email instructions New York State Office
of Children & Family Roberta ocfs.sm.conn_a Services New York New York Frederick [email protected]. Attn: Statewide New York Form NO NO NO NO NO NO NO NO EMAIL central registry Phone: (800) ny.us Central Register website 342-3720 P.O. Box 4480
Albany, NY 12204-0480 N.C. Division of Social Services Phone: (919) Attn: RIL 527-6340 820 S. Boylan Ave., North Carolina North Carolina North Carolina NO NO NO NO NO NO YES YES FAX or MAIL 15 Days MSC 2408 Raleigh, NC Form website Fax: (919) 715- 27699-2408 6714 Also for more info: 828-232-3160 Jen Grabar at Jen Grabar at Children & Family [email protected] [email protected] Services v or faxed to v Attn: CBCU North Dakota North Dakota North Dakota MAIL OR her attn at 701- 600 E. Boulevard Ave, NO YES NO NO NO NO NO NO 30 DAYS background Form EMAIL 328-3538. Her Tara Reed Dept. 325 check website direct line is dhscfscbc@nd. Bismarck, ND 58505- 701- 328-1863 gov 0250
Updated on 06/22/2021
Denielle Ell- SACWIS Portal Rittinger
Section Chief, SACWIS power Child SACWIS_Regist Ohio Dept. of Job & point Protective ry_Request@jf Family Services instructions Services s.ohio.gov Attn: SACWIS Registry Ohio Ohio Search Request Ohio SACWIS NO YES YES NO NO NO YES YES SACWIS Portal FAQ's Department OSAPSRequest P.O. Box 183204 Job & Family @jfs.ohio.gov Columbus, OH 43218- MUST provide a Services 3204 signed 614-752-1143 disclosure and Denielle.Ell- SS card copy. [email protected]
hio.gov Please note: Oklahoma does not have a public child abuse registry. Oklahoma State Statutes are very specific as to what Child Welfare Services information Laurie Anne maintained by caniscps@okdh Morris Phone: the Oklahoma s.org (405) 522-4051 Department of
Oklahoma Child Human Services OBICC@okdhs. For questions Support can be released. org Website link or assistance: Centralized Registry PORTAL – link Such records Oklahoma with the form NO NO NO NO NO NO NO NO (405)522-1514, PO Box 268809 to instructions may only be Central Case and instructions or 1-844-834- Oklahoma City, OK made available Registry email: 8314 73126-8809 when a current OCSS.Contact.C child abuse and [email protected] Fax: (405) 522- neglect
8901 investigation is being conducted on an individual(s) by a child protective services agency, a district attorney’s office, or a public law enforcement agency.
Updated on 06/22/2021
Otherwise a court order rendered in Oklahoma is required for release of child abuse and neglect information. Requests for history for any other purpose, including foster care and placement will be sent a response letter stating the above information. Oregon DHS - Phone: (503) adam- Background Check Unit 378-5470 Oregon process walsh.oregon Attn: Adam Walsh Oregon Form YES, AGENCY EMAIL, FAX, OR Oregon NO YES NO NO $35 YES YES timeline and @dhsoha.state Coordinator LETTERHEAD MAIL Fax: (503) 378- FAQ .or.us P.O. Box 14870 6314 Salem, OR 97309-5066 PA Department of YES Pennsylvania Phone: (717) Human Services RA- But they prefer central registry 783-6211 Attn: ChildLine and PWCHILDLINEO you use the FORM or website Pennsylvania Abuse Registry NO NO NO YES $13 NO YES YES [email protected] portal PORTAL Toll-Free: (877) P.O. Box 8170 Consent Release 371-5422 Harrisburg, PA 17105- PA Form Form 8170 Lisa M. Agosto Carrasquillo Directora Centro Damaris lmagosto@fam Estatal Puerto Rico Puerto Rico Medina Puerto Rico ilia.pr.gov P.O. Box 11398 NO NO NO NO NO NO NO NO EMAIL central registry DMedina@fam Form Phone: (787) San Juan, PR 00910- website ilia.pr.gov 625-4900 1398 x1720 Website Department of YES Phone: (800) Children, Youth, and A signed release 742-4453 Families Janice.mitchell Requires a signed from both the Rhode Island (401) 528-3842 Attn: Record Center NO NO NO NO NO NO NO NO FAX @dcyf.ri.gov release from individual and Fax: (401) 528- 2nd Floor both the the staff from 3480 101 Friendship Street individual and the agency Providence, RI 02903 the staff from the requesting the
Updated on 06/22/2021
agency clearance. You requesting the may send this clearance. There release on is no form. Send agency the release on letterhead. agency letterhead. Please also include: Name, DOB, Previous Rhode Island address(es), if known CentralRegistry Contact: Portia [email protected] South Carolina Dept. of T. Hawkins v Social Services portia.hawkins Attn: Central Registry @dss.sc.gov South Carolina Phone: (803) 1535 Confederate Ave. SC Form YES NO NO YES $8 NO YES YES MAIL or 898-7318 P.O. Box 1520 Louise Cooper Columbia, SC 29202- louise.cooper Fax: (803) 898- 1520 @dss.sc.gov 7641 Sara Sheppick Phone: (605) Sara.Sheppick DSS - Division of Child Website 773-3227 @state.sd.us Protection SD FORM South Dakota Fax: (605) 773- Attn: Sara Sheppick – (will not open in YES YES NO NO NO YES NO NO EMAIL South Dakota 683 DSSCRS@state. Central Registry ie) central registry Nicole LeBeau sd.us 700 Governors Drive FAQ nicole.lebeau@ Pierre, SD 57501-2291 state.sd.us Tennessee Dept. of Children’s Services TN FORM Larry Phillips EI_DCS_CPS_C Attn: UBS Tower, 7th Tennessee Tennessee Phone: (615) entralRegistryC Floor (Due Process Find full NO NO NO NO NO YES NO NO EMAIL central registry
532-9856 [email protected] Procedure) instructions on website 315 Deaderick Street the website Nashville, TN 37243 Texas central registry website
Central Registry Mail: CBCU TX Abuse Phone: (800) Email: requests from Neglect BGC, M/C 121- 645-7549 TXAbuseNeglec an out-of-state Texas 7 TX FORM YES YES NO NO NO NO YES YES EMAIL Fax: (512) 339- [email protected] protective PO Box 149030, Austin, 5829 te.tx.us service agency TX 78714-9030 to assist an open investigation or other case open action must be
Updated on 06/22/2021
faxed on your state agency's letterhead to Statewide Intake: 800-647- 7410 or 512- 339-5900. Form must be notarized and submitted via fax Division of Child & Phone: (801) Family Services 538-4466 Cherri Joy Attn: Child Abuse Utah central Utah dcfscentralregi Background Screening UT FORM NO YES YES NO NO NO YES YES EMAIL registry website Fax: (801) 538- [email protected] 195 North 1950 West 3993 Salt Lake City, UT 81116 Please send your request on your Agency’s DCF-Child Protection letterhead with Registry name, alias’ and Phone: (802) Attn: Child Abuse DOB to: 241-6474 JoAnn Berno Registry Unit joann.berno@v Vermont JoAnn.Berno@ YES YES NO NO NO NO YES YES MAIL ONLY 25 DAYS Website HC 1 North Bldg. B 280 ermont.gov or Fax: (802) 241- vermont.gov State Drive fax it to: 802- 3301 Waterbury, VT 05671- 241-0919 1080 also
VT FORM
YES Department of Human
Services Children & Request on Phone: (340) Family Services Agency 774-0930 Carla Benjamin Attn: Division Intake Virgin Islands Letterhead x4393 carla.benjamin and Emergency NO NO NO NO NO NO NO NO EMAIL (including name, Fax: (340) 774- @gmail.com Services Knud Hansen any maiden 0082 Complex name or alias, 1303 Hospital Ground date of birth, and St. Thomas, VI 00802 Virgin Island address. Phone: (804) crs_operations Virginia central Virginia 726-7099 @dss.virginia.g Virginia Dept. of Social VI FORM YES YES NO YES $10 NO YES YES MAIL or EMAIL registry website ov Services Office of
Updated on 06/22/2021
Fax: (804) 726- Background 7897 Investigations Attn: Central Registry Kristen Search Unit Eckstein 801 East Main Street, 6th Floor Richmond, VA 23219- 2901
D.C.Y.F. (Department Phone: 206- Lucy McCornell of Children, Youth, and PORTAL 341-7938 Families) WA Portal OR Washington CANhistoryche Attn: FISCAL NO YES NO YES $20 NO YES YES Website EMAIL, FAX, Fax: (206) 341- [email protected] P.O. Box 40970 WA FORM AND MAIL 7930 ov Olympia, WA 98504- 0970
Phone: (304) Christina West Virginia DHHR 558-4408 Bertelli Attn: Background Coleman Screening West Virginia WVA FORM NO YES NO NO NO NO YES YES MAIL Fax: (304) 558- Chrsitina.M.Ber 350 Capitol Street, RM 5354 telliColeman@ 691 wv.gov Charleston, WV 25301
Department of Children and Families CWBckgrdRequ Attn: Division of Safety Wisconsin Fax: (608) 226- ests@wisconsi and Permanence WI FORMS NO YES NO NO NO NO YES YES EMAIL OR FAX 10 DAYS Website 5521 n.gov 201 E. Washington Street Madison, WI 53703
Stephanie Knowles (307) 777-5894 Department of Family DFS- stephanie.kno Services CRSTATES@WY 7-10 Wyoming [email protected] Attn: Central Registry O.GOV WY FORMS NO YES NO NO NO NO YES YES MAIL ONLY BUSINESS Website or 2300 Capitol Ave. 3RD DAYS Heidi Teasley Floor
(307) 777-8538 Cheyenne, WY 82002 heidi.teasley@ wyo.gov
Updated on 06/22/2021