March 14, 2023

Policy Statement This policy establishes the general guidelines, requirements, and processes for the University of Florida Human Resources (UFHR) and UF hiring departments in evaluating and treating criminal background checks on current or prospective employees, volunteers, and . \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) an individual licensed to engage in the practice of nursing under Title 58, Chapter 31b, Nurse Practice Act; Multi-Agency State Office Building West virginia university football stadium photos . 1-855-323-DCFS(3237) Before a determination is made, I understand that I will be afforded a reasonable amount of time to challenge the completeness and accuracy of the record through the procedures established by the Department of Human Services, Office of Licensing as well as contacting the Utah Bureau of Criminal Identification (Utah Criminal History Results), the State Identification Bureau (SIB) associated with any results that are outside of Utah, or the Federal Bureau of Investigation (Nationwide Criminal History Response Information). \lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 4;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 5;\lsdpriority47 \lsdlocked0 List Table 2 Accent 5;\lsdpriority48 \lsdlocked0 List Table 3 Accent 5; \s24\ql \li720\ri720\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin720\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 (Salt Lake City, UT) The Centers for Disease Control and Prevention (CDC) issued recommendations for vaccinating children 5 years of age and younger against COVID-19. Steps for Entering a Youth Application in DACS, Exemption Declaration (adult substance abuse treatment programs only), Contact Information for obtaining an out of state Central or Child Abuse Registry Check, I understand that my personal information including name, date of birth, social security number and fingerprints will be used for the purpose of conducting a criminal history records search through any applicable state and federal databases. \lsdqformat1 \lsdpriority34 \lsdlocked0 List Paragraph;\lsdqformat1 \lsdpriority29 \lsdlocked0 Quote;\lsdqformat1 \lsdpriority30 \lsdlocked0 Intense Quote;\lsdpriority66 \lsdlocked0 Medium List 2 Accent 1;\lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 1; ed21842cecc22eb9e48f31d8249b3f22afaa5bdd5552c99e191c3061463074977eefd5afde7bf5de53d5ddcf5e26d4bbc05c1096f6fcfa9d9aefe174ce16248d 1-888-421-1100 \par \tab \hich\af5\dbch\af31505\loch\f5 (6) "Covered employer" means an individu\hich\af5\dbch\af31505\loch\f5 al who: \par \tab \hich\af5\dbch\af31505\loch\f5 (h) a personal care agency. \par \tab \hich\af5\dbch\af31505\loch\f5 \par \tab \hich\af5\dbch\af31505\loch\f5 (g) registries of nurse aids described in Title 42 Code of Federal Regulations Section 483.156; Email: dhslicensing@utah.gov, HotlinesAbuse/Neglect of Seniors and Adults with Disabilities The act requires the health facilities and Medicaid community based waiver providers complete a caregiver criminal history screening no later than 20 calendar days after the first day of employment. Utah Domestic Violence {\f870\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}{\f872\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f873\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f876\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;} Utah Admin. Online Background Check Authorization form for Applicants. \par \tab \hich\af5\dbch\af31505\loch\f5 (e) Patient family members; and Email: dhslicensing@utah.gov, HotlinesAbuse/Neglect of Seniors and Adults with Disabilities d individual prior to issuance of a provisional license, license renewal or engagement as a covered individual. ss Clearance System to run a verification report and verify that each covered individual's information is correct, including: Fees for respite providers and one-time adoptions are outlined on the application form, The fee for Livescan at a DCFS office is $10. 14. also require a background screening for one-time clearance. \par \tab \hich\af5\dbch\af31505\loch\f5 (i) the type of offense; Fax: (850) 487-0470. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) an end stage renal disease facility; Last, background screenings are required if you are seeking legal guardianship consent for youth ages 12- to 17-years-old and not living in a foster/adoptive home and not receiving services. \par \tab \hich\af5\dbch\af31505\loch\f5 (e) child abuse or neglect findings described in Section 78A-6-323; c. UDOH is responsible for all fees associated with the criminal background checks for employees whose positions require background checks. Notice of Proposed Rule (New Rule) DAR File No. \par \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 2;\lsdpriority65 \lsdlocked0 Medium List 1 Accent 2;\lsdpriority66 \lsdlocked0 Medium List 2 Accent 2;\lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 2;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 2; {\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;} 195 North 1950 West Principal Purpose: Certain determinations, such as employment, licensing, and security clearances, may be predicated on fingerprint-based background checks. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 KEY: health care facilities, background screening}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 5;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 6; 1-888-421-1100 Title: Microsoft Word - Policies and Procedures for Conducting Criminal Background Checks.docx Training materials and other information related to DACS can be found here. {\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;} {\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} \lsdpriority65 \lsdlocked0 Medium List 1 Accent 3;\lsdpriority66 \lsdlocked0 Medium List 2 Accent 3;\lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 3;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 3;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 3; 02000000180000004d73786d6c322e534158584d4c5265616465722e362e3000000000000000000000060000 Charges will be fairly assessed by the Office of Licensing as described in state law, A licensed program shall not be provided the details of any applicants screenings nor can they disclose screening results except as authorized by Utah or federal law. \par \tab \hich\af5\dbch\af31505\loch\f5 (b) Submits fingerprints within 15 working days of engagement. Utah AMBER Alert and Endangered Missing Advisory. 3. 4. Please be aware if the fingerprint authorization form is requested, the applicant has to wait for the Office to send the form with the fingerprint authorization before they can be live scanned. \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) any felony or class A, B or C conviction under the following Utah Codes: {\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0; \par \tab \hich\af5\dbch\af31505\loch\f5 (c)\hich\af5\dbch\af31505\loch\f5 a nursing care facility; One-time Adoption Screening. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) means a hospital that is certified to provide long-term care services under the provisions of 42 U.S.C. The top portion needs to be signed by the applicant, the bottom portion is signed by the non-licensed entity. Department of Human Services Clarence H. Carter, Commissioner 505 Deaderick Street Nashville, TN 37243-1403 Contact Information. \par \tab \hich\af5\dbch\af31505\loch\f5 (1) Utah Code, Title 26, Chapter 21, Part 2 requires that a covered contractor enter required information into the Di\hich\af5\dbch\af31505\loch\f5 Completely fill out the demographic section at the bottom of the form AND attach a copy of your ID and social security card. c7060abb0884a4eff7a93dfeae8bf9e194e720169aaa06c3e2433fcb68e1763dbf7f82c985a4a725085b787086a37bdbb55fbc50d1a33ccd311ba548b6309512 \par \tab \hich\af5\dbch\af31505\loch\f5 (c) Enterta\hich\af5\dbch\af31505\loch\f5 inment groups; {\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff5\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi31507\deflang1033\deflangfe1033\themelang1033\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;} \pndec\pnstart1\pnindent720\pnhang {\pntxta . (a) As required by Utah Code Subsection 26-21-204, if an individual or covered individual has been convicted, has pleaded no contest, or is subject to a plea in abeyance or diversion agreement, for the following offenses, they may not have direct patient access: (i) any felony or class A conviction under Utah Code. Bureau of Central Services. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text Indent 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text Indent 3; ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff \lsdpriority51 \lsdlocked0 List Table 6 Colorful;\lsdpriority52 \lsdlocked0 List Table 7 Colorful;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 1;\lsdpriority47 \lsdlocked0 List Table 2 Accent 1;\lsdpriority48 \lsdlocked0 List Table 3 Accent 1; and a set of fingerprints to the FBI to match against criminal background information maintained . (3) The covered provider must ensure that DACS reflects the current status of the covered individual within 5 working days of the engagement or termination. Wisconsin Background Check Forms & Publications Here's a variety of forms and publications to help you with the Background Check process. Medical Cannabis Production Establishment Agent Criminal Background Screening Authorization Form First Name: Last Name: I understand that my personal information including name, DOB, SSN and fingerprints will be used for the purpose of conducting a criminal history records search through any applicable state and federal databases. \par \tab \hich\af5\dbch\af31505\loch\f5 The department may impose civil monetary penalties in accordance with Title 26, Chapter 23, Utah Health Code Enforcement Provisions and Penalties, if th\hich\af5\dbch\af31505\loch\f5 This includes foster care, proctor care, professional parent care and adoption for children in custody of a child welfare system, as well as private foster care and refugee foster care. \par \tab \hich\af5\dbch\af31505\loch\f5 (c) does not include a student directly supervised by a member of the staff of the covered body or the student's instructor. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) the severity of offense; and \lsdqformat1 \lsdpriority20 \lsdlocked0 Emphasis;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Document Map;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Plain Text;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 E-mail Signature; Providing your fingerprints and associated information is voluntary; however, failure to do so may affect completion or approval of your application. \lsdpriority72 \lsdlocked0 Colorful List Accent 6;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 6;\lsdqformat1 \lsdpriority19 \lsdlocked0 Subtle Emphasis;\lsdqformat1 \lsdpriority21 \lsdlocked0 Intense Emphasis; \par \tab \hich\af5\dbch\af31505\loch\f5 (5) "Cove\hich\af5\dbch\af31505\loch\f5 red contractor" means a person or corporation that supplies covered individuals, by contract, to: I also agree that a copy of this form is valid like the signed original. Your written request should clearly identify the information that you feel is inaccurate or incomplete and should include copies of any available proof or supporting documentation to support your claim. \par \tab \hich\af5\dbch\af31505\loch\f5 (9) "Direct patient access" means for an individual to be in a position where \hich\af5\dbch\af31505\loch\f5 the individual could, in relation to a patient or resident of the covered body who engages the individual: 2d51e252394309350d7e8264ec2239ddf0b9891b0b099e8e3065de78818570c93ce6b05ec3e90f21cdb8dd7e4a37898de4929cbb749e20c64ce4889d0f6394ac 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff000000000000000000000000000000000000000000000000 OL Rule R501-14 outlines how OL makes employment determinations. (1) The Department may conduct a background screening on current employees based on division's background screening guidelines determined by risk associated with the employees' work responsibilities. \tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin720\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 toc 3;}{ \par 1-800-897-LINK(5465), https://dlbc.utah.gov/out-of-state-registries, Consent and Privacy Statement for Background Screenings, https://www.fbi.gov/services/cjis/identity-history-summary-checks, Abuse/Neglect of Seniors and Adults with Disabilities. \par \tab \hich\af5\dbch\af31505\loch\f5 (2) if significant problems exist that result in actual harm to a resident, the department may impose a civil penalty of $1,050 to $10,000 per day. Utah Administrative Code; Topic - Health; Title R432 - Family Health and Preparedness, Licensing; . \par \tab \hich\af5\dbch\af31505\loch\f5 (b) juvenile court arrest, adjudication, and disposition records, as allowed under Section 78A-6-209; \par \tab \hich\af5\dbch\af31505\loch\f5 (4) A covered provider may provisionally engage a covered individual while direct patient access clearance is pending. Once the application, forms and fees have been submitted to UDAF, UDAF will send the applicant a "Live Scan Fingerprint Authorization Form" to continue the process. The FBI has determined that under Public Law 105-251 private entities can receive FBI criminal data. Also located on the back of the FBI Applicant fingerprint card FD-258) Authority: The FBI's acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under 28 U.S.C. fffffffffffffffffdfffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff The screened professions listed below require background screening at initial licensure and/or renewal of licensure. The Volunteer Agreement and Code of Conduct will be updated every three years. \lsdpriority50 \lsdlocked0 Grid Table 5 Dark;\lsdpriority51 \lsdlocked0 Grid Table 6 Colorful;\lsdpriority52 \lsdlocked0 Grid Table 7 Colorful;\lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 1;\lsdpriority47 \lsdlocked0 Grid Table 2 Accent 1; You may contact the respective State Identification Bureau for assistance, and, if applicable, request that they provide the FBI with updates to your Identity History Summary. employee signs and dates section 5 of the application. form on regular paper. {\fhimajor\f31533\fbidi \fswiss\fcharset177\fprq2 Calibri Light (Hebrew);}{\fhimajor\f31534\fbidi \fswiss\fcharset178\fprq2 Calibri Light (Arabic);}{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;} 0f88d94fbc52ae4264d1c910d24a45db3462247fa791715fd71f989e19e0364cd3f51652d73760ae8fa8c9ffb3c330cc9e4fc17faf2ce545046e37944c69e462 Application for Criminal History Download. 1-800-897-LINK(5465). In giving this authorization, I The FBI will contact appropriate agencies in an attempt to verify or correct challenged entries for you. a7e7c0000000360100000b0000005f72656c732f2e72656c73848fcf6ac3300c87ef85bd83d17d51d2c31825762fa590432fa37d00e1287f68221bdb1bebdb4f Please allow two weeks for processing and results of your background screening to show in DACS, If after two weeks you have not received results, you may contact the Office of Licensing for an update by emailing, For all other inquiries please call our main line (801) 538-4242 to reach a screening technician or supervisor or call your licensor or screening technician directly, You have been under review with the Office of Licensing for more than 10 business days. This screening requires a separate application (see below). If the applicant already has a RapBack subscription in DACS, the system will allow the screening agent to link to that application without paying new fees. You can find more information on background screenings in, DACS tutorials and training materials for screening agents, Abuse/Neglect of Seniors and Adults with Disabilities. \par \tab \hich\af5\dbch\af31505\loch\f5 (b) address; and \lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 2;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 2;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 2;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 3; b48cc799fc0d91f134462b381daafb4a492472d591f0564cc0a1911e76ea5678ba4e4ed9223becacd7d5c16656590592e5782d2cc6e1a04a66e856bb3cc02bd4 Utah Domestic Violence \par \tab \hich\af5\dbch\af31505\loch\f5 (xi) volunteer as defined by \hich\af5\dbch\af31505\loch\f5 department rule. Signs a criminal background screening authorization form which must be available for review by the department; and . \lsdpriority62 \lsdlocked0 Light Grid Accent 5;\lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 5;\lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 5;\lsdpriority65 \lsdlocked0 Medium List 1 Accent 5;\lsdpriority66 \lsdlocked0 Medium List 2 Accent 5; {\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);} \par \tab \hich\af5\dbch\af31505\loch\f5 (3) "Covered body" means a covered provid\hich\af5\dbch\af31505\loch\f5 er, covered contractor, or covered employer. 13) of the Utah State Bulletin. Salt Lake City, UT 84114-8280. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \par \tab \hich\af5\dbch\af31505\loch\f5 (3) If the Department denies or revokes a license, or denies direct patient access based upon arrest or criminal charges, the Department shall send a Notice of Agency Action to the covered provider and the covered Before you get a background screening report about a prospective employee, disclose to the person that you intend to get the report and then get their written authorization allowing you to do that. We have transtioned to DACS (Direct Access Clearance System), a completely online background screening system. 2018, No. fa1e4542c2173dbfa6fffceabdbb5574940b517940d6909be8bf5c2e17589c37f49c3c3a2b260d823068f50bfd1a40e53e6edc1eb7c6ad429f06a0f91c569a71 Screening Applications. Code R432-35 - Background Screening - Health Facilities; Utah Admin. I certify that all of the personal y review findings from the following sources to determine whether an individual or covered individual should be granted or retain direct patient access: Call: (801) 538-4242 \lsdqformat1 \lsdpriority1 \lsdlocked0 No Spacing;\lsdpriority60 \lsdlocked0 Light Shading;\lsdpriority61 \lsdlocked0 Light List;\lsdpriority62 \lsdlocked0 Light Grid;\lsdpriority63 \lsdlocked0 Medium Shading 1;\lsdpriority64 \lsdlocked0 Medium Shading 2; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 footer;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 index heading;\lsdqformat1 \lsdlocked0 caption;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 table of figures; {\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);} \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Signature;\lsdsemihidden1 \lsdlocked0 Default Paragraph Font;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text Indent; Your Authorization for Release of Information form and the fingerprint card must be complete . If you submit your forms via email, the Department will contact you to take payment over the phone. Contact information for states maintaining records at the state level is provided on the State-Maintained Records listing. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) an end stage renal disease facility; A student employee moves to a non-student position. When a person tries to buy a firearm, the seller, known as a Federal . 0000000000000000000000000000000000000000000000000105000000000000}}. BCI does not have the authority to modify any records from other state or federal databases. each applicant and instructor signs a criminal background screening authorization form which must be available for review by the department; . \par \tab \hich\af5\dbch\af31505\loch\f5 (9) Covered providers requesting to renew a license as a health care facility must utilize the Direct Acce\hich\af5\dbch\af31505\loch\f5 \par \tab \hich\af5\dbch\af31505\loch\f5 Screening applications typically take three weeks to process. 000000300100005f72656c732f2e72656c73504b01022d00140006000800000021006b799616830000008a0000001c0000000000000000000000000019020000 \par \tab \hich\af5\dbch\af31505\loch\f5 (v) steps taken to correct or improve. This information will be used by the Department of Human Services, Office of Licensing to determine my eligibility to have direct access to a child or vulnerable adult. Screening Minors (under age of 18) Prior to conducting criminal background screening on a minor (under age of 18), hiring departments must obtained a signed copy of the " Background Screening Consent Form for Minors " from the minor and the minor's parent or legal guardian. 1-801-587-3000 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Continue 5;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Message Header;\lsdqformat1 \lsdpriority11 \lsdlocked0 Subtitle;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Salutation; 7468656d65312e786d6cec59cd8b1bc915bf07f23f347d97f5d5ad8fc1f2a24fcfda33b6b164873dd648a5eef2547789aad28cc56208de532e81c026e49085bd Follow the instructions on page 2 of the form for submitting the form and the payment information. Out of State Clearance: Per 62A-2-120 applicants need to receive the Out of State Child Abuse Registry check for any state in which they have resided in the last 5 years. 7afeb3d9a4d2f13d2151ba4094a5b8e76fb0f03fbbf7eb5fdd454732c609f6403e1547a8e7c752ae8eaa5531876124eeb0154ee1bb25e30992f0caa3ea82a34b \hich\af5\dbch\af31505\loch\f5 \hich\af5\dbch\af31505\loch\f5 record, the individual may challenge the information as provided in Utah Code Annotated Sections 77-18a. \par \tab \hich\af5\dbch\af31505\loch\f5 (10) "Disabled individual" means an individual\hich\af5\dbch\af31505\loch\f5 fa3528a6243ddf43d7c25673b85d6d0159327aec8477c360d26ee4ca4b144443115d6a8a254be5a1584bd00bc6270050408a24493db959e1259a43140f112567 \par \tab \hich\af5\dbch\af31505\loch\f5 (a) for residents to live as part of the services provided by the covered provider; and 1-888-421-1100 \par \tab \hich\af5\dbch\af31505\loch\f5 (vii) dietary and food service staff; \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) child abuse or neglect findings described in Section 78A-6-323; \rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 {\*\datafield 0c0070686f656e697800010000}}}{\fldrslt }}\sectd \ltrsect\pgnrestart\linex0\headery1440\footery1440\sectdefaultcl\sectrsid14438297\sftnbj {\rtlch\fcs1 \af5 \ltrch\fcs0 1-800-273-TALK(8255) }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Obtaining Utah Criminal History Records. \par \tab \hich\af5\dbch\af31505\loch\f5 (1) If the Department \hich\af5\dbch\af31505\loch\f5 Background Screening FAQ. }{\field{\*\fldinst {\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 PRIVATE }{ \lsdpriority46 \lsdlocked0 List Table 1 Light Accent 2;\lsdpriority47 \lsdlocked0 List Table 2 Accent 2;\lsdpriority48 \lsdlocked0 List Table 3 Accent 2;\lsdpriority49 \lsdlocked0 List Table 4 Accent 2; \par \tab \hich\af5\dbch\af31505\loch\f5 (vi) administrative staff, including a manager or other administrator; If you believe your Identity History Summary contains inaccurate or incomplete information, you have two options for requesting a change or correction: Option 1: Contact the agency or agencies that submitted the information to the FBI. s, based on information obtained through the Direct Access Clearance System, the Department shall send a Notice of Agency Action to the covered provider and the individual explaining the action and the individual's right of appeal as defined in R432-30. Exclusion from Direct Patient Access. Health, Family Health and Preparedness, Licensing. 2. \par \tab \hich\af5\dbch\af31505\loch\f5 \leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 }{\listname WP List 0;}\listid100}}{\*\listoverridetable{\listoverride\listid100\listoverridecount0\ls1}} who has limitations with two or more major life activities, such as caring for one's self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and employment.

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