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PA Child Abuse History Clearance

 

Pennsylvania Child Abuse History Clearance Online Submission

Please click on the link below to be redirected to the PA Child Welfare Portal to begin completeing your clearance online.

Child Abuse History Clearance Online

 

 

Pennsylvania Child Abuse History Clearance Instructions for Mailing

  1. Type or print clearly and neatly in ink Section I only.

  2. Address must be Applicant's current home address.

  3. All information must be completed in full. (The form asks for all previous names, addresses, and household members since 1975). This information must be provided to the best of your knowledge and belief. If necessary, attach additional pages.

  4. Application must be signed.

  5. Enclose a $10.00 money order for each application. No cash or personal checks accepted. Agency or business checks are acceptable.

  6. Do not send any postage paid return envelopes.

  7. Application should be placed in a business-sized or larger envelope prior to mailing.

  8. One block must be checked for Purpose for Clearance. Do not check more than one block.

 

Please click on the link below to download/save a copy of the PA Child Abuse Clearance form.  Please complete this form and bring it with you if not completeing the online application.

Pennsylvania Child Abuse History Clearance Form (CY-113)


300 Kennedy Ave | Duquesne, PA 15110 | (412) 466-9600