Out of State Registries
Contact Information for obtaining an out of state Central or Child Abuse Registry Check
An out of state registry check is required to submit with your background screening application if the agency for whom you are applying with is providing youth residential services and you have lived outside of the State of Utah during the past five years. Please contact the background screening unit with the Office of Licensing if you have questions. The following list of contact information and forms has been compiled to assist you in making direct contact with states to obtain a child abuse registry check. Should you encounter information that is out of date, please contact the Office of Licensing and we will update this form.
NOTE TO APPLICANTS: When requesting the check, let the other state know that it is for COMPLIANCE WITH THE FAMILY FIRST PREVENTION SERVICES ACT (rather than just saying it is for employment purposes). If the other state requires a letter of authorization from DHS/State of Utah, you may use this letter opens in a new tab . The fields for your name and the state to which you are sending it are editable if downloaded to your computer.
Form: Click here opens in a new tab
Instructions: Click here opens in a new tab
Phone: 334-242-1310
Form: Click here
Return form by email to: hss.ocsanccpchecks@alaska.gov
Phone: 602-364-4255
Fax: 602-255-3245
Email: dcsrecordsrequest@azdcs.gov
Form: Click here to download opens in a new tab
Instructions: Directions and links to access the two stage electronic submission process can be located on our website at https://humanservices.arkansas.gov/ Once you are on the webs1te, you will need to click on 'Division of Children and Family Services" under the Division and Shared Services tab. You will then sec the option to Request A Child Maltreatment Check. This process works best using Google Chrome.
Phone: 501-682-0405
Form: https://oag.ca.gov/sites/all/files/agweb/pdfs/childabuse/bcia4056.pdf opens in a new tab
The application must be completed by the applicant and submitted indicating a self-check or it will not be processed. DO NOT have the agency submit the application. DO NOT indicate it is for employment verification
Email: CACI-Inquiry@doj.ca.gov
Form: http://coloradoofficeofearlychildhood.force.com/oec/OEC_Providers?p=Providers&s=Background-Checks&lang=en opens in a new tab
(click link in the "Out-of-state Applicants" section)
Phone: 303-866-4119
Form: Click here opens in a new tab . Please submit a copy of your program/agency's DHS license along with the application in order for Florida to process it.
Form: http://humanservices.hawaii.gov/ssd/backgroundcheck/
Email: dhs@dhs.hawaii.gov
Phone: 808-586-4888, 808-586-4993
Form: https://magik.dcs.in.gov/BackgroundCheck/External/Forms opens in a new tab
Phone: 800-225-9173, option 1
Form: https://dhs.iowa.gov/sites/default/files/470-0643.pdf?041120192221 opens in a new tab
Email: DHSAbuseRegistry@dhs.state.is.us
Fax: 515-564-4112
Please go to https://kog.chfs.ky.gov opens in a new tab
and create an account. Follow the directions to submit an out of state check request.
Phone: 800-372-2973
Form: Click here opens in a new tab
Email: DCFComissioner@state.ma.us
Phone: 617-748-2000
Click here opens in a new tab for instructions.
Complete and submit this form. opens in a new tab
Please email the completed form with a copy of your driver's license and a short statement regarding the type of employment (Youth Residential Services) and the name and location of the facility. The request must come directly from the applicant.
Form: https://drive.google.com/open?id=1RXZiALsFHXgICyR1dPlxiTex7FgCOMhf opens in a new tab
Form (for foster or adoptive parents only): https://drive.google.com/open?id=1HhV9lLUBbx_59rja5frZjbF2gcfyQOB5 opens in a new tab
Phone: 518-473-7793
Instructions: Instructions to complete an application opens in a new tab
Form: Application online portal opens in a new tab
Phone: 919-814-6300
Oklahoma does not current maintain a Child and Abuse Neglect Registry
Info: http://www.okdhs.org/services/cps/Pages/outofstaterequestsforoklahomacpshistory.aspx opens in a new tab
Email: laurie.morris@okdhs.org
Phone: 405-522-4051
Directions: If you are an agency outside the state of Rhode Island and you are requesting a clearance for an individual who formally lived in the state, we require the following:
- A signed release from both the individual and the staff from the agency requesting the clearance. There is no form. You may send this release on agency letterhead.
- Please also include:
- Name
- DOB
- Previous Rhode Island address(es), if known
- Agency check or money order in the amount of $10.00
- Made payable to “General Treasurer State of Rhode Island”
- Cash and personal checks are not accepted
- All requests can be submitted to:
- The Department of Children, Youth and Families
Attn: Record Center, 2nd Floor
101 Friendship Street
Providence, RI 02903
- The Department of Children, Youth and Families
- State agencies outside of Rhode Island are not required to pay the fee. And, may fax their requests to (401) 528-3480 with the information noted above on state letterhead.
- You may call (401) 528-3842 if you have any questions about making an Adam Walsh Child Abuse Registry request.
Form: Click here opens in a new tab
Email the form directly to: EI_DCS_CPS_CentralRegistryCheck@tn.gov
Phone: 615-741-9701
Form: Click here opens in a new tab
Directions: To initiate the request process, please email the completed and signed form to CWBckgrdRequests@wisconsin.