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Adam Walsh Requirements and Forms

Please check the state information below for all resource home applicants and all household members of resource home applicants who have resided in a state other than Kentucky within the past five (5) years.  

States requiring their state specific form to be utilized, when requesting a child abuse and neglect check, have an “X” in the column entitled “State Requires Their Form.” Please click the state’s name to view and print the form and/or instructions for all states except Alabama.  Alabama requires a carbon form.  A hard copy of Alabama’s carbon form may be obtained by contacting the Records Management Section at (502) 564-3834 Monday through Friday 8 a.m. to 4:30 p.m. 

States which do not require a specific form to be utilized, when requesting a child abuse and neglect check, or which are not participating in the Adam Walsh and Safety Act of 2006, have a “N/A” in the column entitled “State Requires Their Form.”  The “N/A” is NOT to be interpreted as a child abuse and neglect check from that state is not required or that the resource home applicant or household members of the resource applicant are exempt from indicating residence in ALL other states within the five- (5) year timeframe on the DPP-157 form.

Pursuant to 922 KAR 1:490 Background checks for foster and adoptive parents, caretaker relatives, and reporting requirements, Section 2, all resource home applicants and household members of resource home applicants shall submit to a child abuse and neglect check for each state of residence during the past five (5) years.            

The resource home applicants and household members should complete the DPP-159, DPP-157 and other state’s form at the same time. All forms should be simultaneously submitted to Records Management Section via fax by the DCBS staff conducting the fingerprint scan except for states indicated below as requiring a notary and/or original signature(s). In instances where the other state requires a notary and/or original signature(s), the requestor will need to mail the hard copy to the following:

Department for Community Based Services
Records Management Section
275 E. Main St., 3E-G
Frankfort, KY 40621
   

For assistance with this website and/or process please call (502) 564-3834.


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State Requirements

State

State Requires Their Form

Notary

Witness

Original Signature

Picture ID

Alabama
Instructions

X

N/A

X

X

N/A

Alaska

X

N/A

N/A

N/A

X

Arizona

N/A

N/A

N/A

N/A

N/A

Arkansas

X

X

N/A

N/A

N/A

California

X

N/A

N/A

X

N/A

Colorado

X

X

N/A

X

N/A

Connecticut

X

N/A

N/A

N/A

N/A

Delaware

N/A

N/A

N/A

N/A

N/A

District of Columbia

X

X

N/A

X

N/A

Florida

X

N/A

N/A

N/A

N/A

Georgia

N/A

N/A

N/A

N/A

N/A

Guam

N/A

N/A

N/A

N/A

N/A

Hawaii

X

N/A

N/A

X

N/A

Idaho

N/A

N/A

N/A

N/A

N/A

Illinois

X

N/A

N/A

N/A

N/A

Indiana-Instructions

X

N/A

N/A

N/A

N/A

Iowa

X

N/A

N/A

N/A

N/A

Kansas

X

N/A

N/A

N/A

N/A

Kentucky

N/A

N/A

N/A

N/A

N/A

Louisiana

N/A

N/A

N/A

N/A

N/A

Maine

N/A

N/A

N/A

N/A

N/A

Maryland

X

X

N/A

X

N/A

Massachusetts

N/A

N/A

N/A

N/A

N/A

Michigan

N/A

N/A

N/A

N/A

N/A

Minnesota

X

N/A

N/A

N/A

N/A

Mississippi

X

N/A

N/A

X

N/A

Missouri

N/A

N/A

N/A

N/A

N/A

Montana

X

X

N/A

X

N/A

Nebraska

N/A

N/A

X

N/A

N/A

Nevada

X

N/A

N/A

N/A

N/A

New Hampshire

N/A

N/A

N/A

N/A

N/A

New Jersey

X

N/A

N/A

X

N/A

New Mexico

X

X

N/A

X

N/A

New York

X

X

N/A

N/A

N/A

North Carolina

X

N/A

N/A

X

N/A

North Dakota

X

N/A

N/A

N/A

N/A

Ohio

N/A

N/A

N/A

N/A

N/A

Oklahoma

N/A

N/A

N/A

N/A

N/A

Oregon

N/A

N/A

N/A

N/A

N/A

Pennsylvania

Pennyslvania Child Abuse History Clearance Form

X

N/A

N/A

X

N/A

Puerto Rico

N/A

N/A

N/A

N/A

N/A

Rhode Island

N/A

N/A

X

N/A

N/A

South Carolina

X

X

X

X

N/A

South Dakota

X

X

N/A

X

N/A

Tennessee

X

N/A

N/A

N/A

N/A

Texas

X

N/A

X

X

N/A

Utah

X

N/A

N/A

N/A

X

Vermont

N/A

N/A

N/A

N/A

N/A

Virginia

X

X

N/A

X

N/A

Washington

X

N/A

N/A

N/A

N/A

West Virginia

X

N/A

N/A

X

N/A

Wisconsin

N/A

N/A

N/A

N/A

N/A

Wyoming

N/A

N/A

N/A

X

N/A

 

Last Updated 7/23/2014
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