utah department of health criminal background screening authorization form
\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin0\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 toc 9;}{ 5689811a183c61a50f98f4babebc2837878049899a52a57be670674cb23d8e90721f90a4d2fa3802cb35762680fd800ecd7551dc18eb899138e3c943d7e503b6 Crisis Line & Mobile Outreach Team \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; \par \tab \hich\af5\dbch\af31505\loch\f5 (a) Signs a criminal background screening authorization form which must be available for review by the department; and Criminal Background Check Transfer Form (HS-3299) Transmittal Authorization Form (HS-2978) Charges-Arrest Report Form- Social Media; facebook; twitter . \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) the Department of Human Services' Division of Aging and Adult Services vulnerable adult abuse, neglect, or exploitation database described \hich\af5\dbch\af31505\loch\f5 in Section 62A-3-311.1; The Department of Human Services, Office of Licensing will establish procedures to ensure removal of my fingerprints from applicable state and federal databases when I am no longer under their purview. \lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 3;\lsdpriority47 \lsdlocked0 Grid Table 2 Accent 3;\lsdpriority48 \lsdlocked0 Grid Table 3 Accent 3;\lsdpriority49 \lsdlocked0 Grid Table 4 Accent 3; \par \tab \hich\af5\dbch\af31505\loch\f5 (b) a small health care facility; \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 toc 6;}{\s27\ql \fi-720\li720\ri0\sl240\slmult0\nowidctlpar\wrapdefault\hyphpar0\faauto\rin0\lin720\itap0 \rtlch\fcs1 }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \lsdqformat1 \lsdpriority31 \lsdlocked0 Subtle Reference;\lsdqformat1 \lsdpriority32 \lsdlocked0 Intense Reference;\lsdqformat1 \lsdpriority33 \lsdlocked0 Book Title;\lsdsemihidden1 \lsdunhideused1 \lsdpriority37 \lsdlocked0 Bibliography; Cannon Health Building 4222ce0cae934e960d122231f728497abe5a7ee1069aea1ca2b9d51b90103e59725d482b9f1a3970baed64bc5ce2b934dd6e8c284b67af90e1b35ce1fc568bdf 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. \lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 2;\lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 3;\lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 4; You will first need the potential employee's authorization to run a background check using the form mentioned above. {\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;} Depending on the nature of your application, supplemental authorities include Federal statutes, State statutes pursuant to Pub. Certified court docket or other certified records must be submitted in these cases, Having charges does not automatically disqualify you from providing foster/adoptive care. Option 2: Send a written challenge request to the FBI. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) cause physical or mental harm; {\*\rsidtbl \rsid2757304\rsid7565795\rsid14438297}{\mmathPr\mmathFont34\mbrkBin0\mbrkBinSub0\msmallFrac0\mdispDef1\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info{\operator Michael Broschinsky}{\creatim\yr2020\mo4\dy22\hr14\min21} Section R432-35-4 - Covered Provider - DACS Process (1) Covered providers shall enter required information into DACS to initiate a clearance for each covered individual prior to issuance of a provisional license, license renewal or engagement as a covered individual. Bringing our agencies together helps us better serve Utahns with a more effective, seamless system of services and programs so everyone in Utah has the opportunity to live safe and healthy lives. \par \tab \hich\af5\dbch\af31505\loch\f5 (b) address; and \par \tab \hich\af5\dbch\af31505\loch\f5 The following groups or individuals are excluded as volunteers and are not required to complete the background clearance process as defined in R432-35: These forms are only to be used by agencies who are authorized by statute, executive order, court rule, court order or local ordinance. form on regular paper. \par \tab \hich\af5\dbch\af31505\loch\f5 (v) an executive; Your fingerprints and associated information/biometrics may be provided to the employing, investigating, or otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints to other fingerprints in the FBIs Next Generation Identification (NGI) system or its successor systems (including civil, criminal, and latent fingerprint repositories) or other available records of the employing, investigating, or otherwise responsible agency. \par \tab \hich\af5\dbch\af31505\loch\f5 (2) If th\hich\af5\dbch\af31505\loch\f5 footnote text;}{\*\cs19 \additive \rtlch\fcs1 \af5\afs20 \ltrch\fcs0 \f5\fs20 \sbasedon10 \slink18 \slocked \ssemihidden \styrsid14438297 Footnote Text Char;}{\*\cs20 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \super \sbasedon10 footnote reference;}{ \par \tab \hich\af5\dbch\af31505\loch\f5 (a) by employmen\hich\af5\dbch\af31505\loch\f5 t; \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 with health screenings and immunizations New look, new feelsame goals. \lsdpriority50 \lsdlocked0 Grid Table 5 Dark Accent 3;\lsdpriority51 \lsdlocked0 Grid Table 6 Colorful Accent 3;\lsdpriority52 \lsdlocked0 Grid Table 7 Colorful Accent 3;\lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 4; \par \tab \hich\af5\dbch\af31505\loch\f5 (b) a long-term care hospital; what is a health screening diet high in saturated fats contribute to every, missing las vegas nevada zip code area code private investigator office hawaii. If you are asked to fill one out, chances are that you are one of the few people that the company is seriously considering hiring. \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. 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 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 1;\lsdpriority60 \lsdlocked0 Light Shading Accent 2;\lsdpriority61 \lsdlocked0 Light List Accent 2;\lsdpriority62 \lsdlocked0 Light Grid Accent 2;\lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 2; 9c7827248a21f056286502866b8ddaa4d684ffea13e827ed5174849121ad780113b137a4f87862cec94af6fc07a0d537206f7ffef9cdeb1fdfbcfee9cd575fbd Payment for both the license application fee and the FBI/BCI fingerprint fee of $28.25 ($13.25 FBI/$15 BCI) must be made by credit card during the online license application process. You may be eligible to request a conditional clearance per R501-14-7-2if: The following information is required in order to request a conditional approval: If you meet the above criteria, you may request a conditional approval here. Screening Applications. \lsdpriority72 \lsdlocked0 Colorful List Accent 5;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 5;\lsdpriority60 \lsdlocked0 Light Shading Accent 6;\lsdpriority61 \lsdlocked0 Light List Accent 6;\lsdpriority62 \lsdlocked0 Light Grid Accent 6; a1a82fe353bd90a865aad41ed0b5b8f9d6fd010000ffff0300504b0304140006000800000021006b799616830000008a0000001c0000007468656d652f746865 Providing your fingerprints and associated information is voluntary; however, failure to do so may affect completion or approval of your application. \par \tab \hich\af5\dbch\af31505\loch\f5 (3) The covered provider must ensure the Direct Access Clearance System reflects the current status of the covered individual within 5 w\hich\af5\dbch\af31505\loch\f5 orking days of the engagement or termination. Follow the instructions on page 2 of the form for submitting the form and the payment information. Health, Family Health and Preparedness, Licensing. \par \tab \hich\af5\dbch\af31505\loch\f5 (2) A covered contractor must ensure that the covered individual, being supplied by contract to a covered provider\hich\af5\dbch\af31505\loch\f5 : \par \tab \hich\af5\dbch\af31505\loch\f5 (2) Juvenile Records This form must be presented to the live scan agent AFTER DACS application is submitted in order for the prints to be linked to the applicant in DACS. {\f535\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f536\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f537\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f869\fbidi \froman\fcharset238\fprq2 Cambria Math CE;} (7) The Department may allow a covered individual direct patient access with conditions, during an appeal process, if the covered individual can demonstrate the work arrangement does not pose a threat to the safety and health of patients or residents. Resources 211Utah - United Way Safe UT. \widowctrl\ftnbj\aenddoc\hyphhotz950\trackmoves0\trackformatting1\donotembedsysfont0\relyonvml0\donotembedlingdata1\grfdocevents0\validatexml0\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors0 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 envelope address;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 envelope return;\lsdsemihidden1 \lsdlocked0 footnote reference;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 annotation reference; Fingerprints: Submit 2 correctly-rolled fingerprint cards per applicant to the Office, which we will submit to the Office of Public Safety to fulfill FBI requirements. Each agency is responsible to identify a minimum of two Background Screening Agents to be responsible for training and completing all of the agencys background screening applications in DACS, payments, and all communications with OL regarding background screenings. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) means an individual: In giving this authorization, I \par \tab \hich\af5\dbch\af31505\loch\f5 (B) 76-5 Offenses Against the Person; \par \tab \hich\af5\dbch\af31505\loch\f5 (g) registries of nurse aids described in Title 42 Code of Federal Regulations Section 483.156; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Subtle 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Subtle 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Web 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Web 2; {\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;} \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) passage of time; \par \tab \hich\af5\dbch\af31505\loch\f5 (d) a hospice that provides living quarters as part of its services. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Social Security Account Number (SSAN). \lsdpriority48 \lsdlocked0 Grid Table 3 Accent 5;\lsdpriority49 \lsdlocked0 Grid Table 4 Accent 5;\lsdpriority50 \lsdlocked0 Grid Table 5 Dark Accent 5;\lsdpriority51 \lsdlocked0 Grid Table 6 Colorful Accent 5; \sbasedon0 \snext0 index 1;}{\s31\ql \li720\ri0\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin0\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \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; This includes SAS & DSPD Certified Providers. \par \tab \hich\af5\dbch\af31505\loch\f5 (i) the Department of Human Services' Division of Child and Family Services Licensing Information Sys\hich\af5\dbch\af31505\loch\f5 tem described in Section 62A-4a-1006; \par \tab \hich\af5\dbch\af31505\loch\f5 (b) which may include: \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \sqformat caption;}{\*\cs34 \additive _Equation Caption;}}{\*\listtable{\list\listtemplateid100{\listlevel\levelnfc1\levelnfcn1\leveljc0\leveljcn0 However, if your application has been submitted for longer than three weeks, you can request a status update by emailing cbsunit@utah.gov. National Suicide Prevention Lifeline 2f7468656d652f5f72656c732f7468656d654d616e616765722e786d6c2e72656c73848f4d0ac2301484f78277086f6fd3ba109126dd88d0add40384e4350d36 Sexual Violence Crisis Line \par \tab \hich\af5\dbch\af31505\loch\f5 (c) federal criminal background databases available to the state; \par \tab \hich\af5\dbch\af31505\loch\f5 (vii) dietary and food service staff; Screening agent will require a disclosure form to be signed and uploaded into DACS in order for OL to conduct continual monitoring of the RapBack criminal database and all regional and state databases as statutorily required for that applicants employment or affiliation with a licensee. corresponding number and place in the Caregivers Criminal History Screening Program Authorization For Release of Information. Record Challenge Form Download. \par \tab \hich\af5\dbch\af31505\loch\f5 (b) commit theft; or \par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\sl-20\slmult0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 { employee signs and dates section 5 of the application. \par \tab \hich\af5\dbch\af31505\loch\f5 (16) "Residential setting" means a place provided by a cov\hich\af5\dbch\af31505\loch\f5 ered provider: How to get a pre-employment background check. \red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128; \par \tab \hich\af5\dbch\af31505\loch\f5 (1) Utah Code, Title 26, Chapter 21, Part 2 requires that a covered provider enter required information into the Direct Access Clearance System to initiate a clearance for each covere\hich\af5\dbch\af31505\loch\f5 The Background Screening Unit processes screening results for health care providers in Florida currently licensed by the Agency for Health Care Administration. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 7;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 8;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table List 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table List 2; After 60 days if not linked to another licensed setting, the RapBack subscription will be closed and a new DACS application will be necessary to re-open for employment in a DHS licensed agency. MVR screening requires an additional consent form. 13) of the Utah State Bulletin. Mail the Authorization form, fingerprint card, and certified check or money order (personal checks are not accepted) for $65.00 made \par \tab \hich\af5\dbch\af31505\loch\f5 (f) Individuals volunteering services for 20 hours per month or less. 656e74323d22616363656e74322220616363656e74333d22616363656e74332220616363656e74343d22616363656e74342220616363656e74353d22616363656e74352220616363656e74363d22616363656e74362220686c696e6b3d22686c696e6b2220666f6c486c696e6b3d22666f6c486c696e6b222f3e} \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; \par \tab \hich\af5\dbch\af31505\loch\f5 (d) Resident family members; 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 . Division in the Department of Justice (DOJ) collects the information requested on this form as authorized by Business and Professions Code sections 4600-4621, 7574-7574.16, 26050-26059, 11340-11346, and 22440-22449; Penal Code sections 11100-11112, and 11077.1; Health and Safety Code sections 1522, \lsdpriority52 \lsdlocked0 Grid Table 7 Colorful Accent 1;\lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 2;\lsdpriority47 \lsdlocked0 Grid Table 2 Accent 2;\lsdpriority48 \lsdlocked0 Grid Table 3 Accent 2; \par \tab \hich\af5\dbch\af31505\loch\f5 (4) Review of Relevant Information 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. 8376bf330efaaff23606569ea58fdc16605ecdebde7f010000ffff0300504b0304140006000800000021000dd1909fb60000001b010000270000007468656d65 \par \tab \hich\af5\dbch\af31505\loch\f5 Terms used in this rule are defined in Title 26, Chapter 21\hich\af5\dbch\af31505\loch\f5 Part 2. \lsdpriority49 \lsdlocked0 List Table 4 Accent 5;\lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 5;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 5;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 5; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 5;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 6; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Bullet;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Number;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 3; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 2; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Address;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Cite;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Code;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Definition; Online Background Check Authorization form for Applicants. Once you have consent, you will need to . 13. \par \tab \hich\af5\dbch\af31505\loch\f5 (d) a home health agency; or 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. \par \tab \hich\af5\dbch\af31505\loch\f5 Background screenings are required if you wish to provide foster care in your home for a child in the public welfare system. 6e22206267313d226c743122207478313d22646b3122206267323d226c743222207478323d22646b322220616363656e74313d22616363656e74312220616363 \par \tab \hich\af5\dbch\af31505\loch\f5 (c) Enterta\hich\af5\dbch\af31505\loch\f5 inment groups; No hard copies of clearances will be required of programs, as all clearance information will be maintained in the DACS program. \par \tab \hich\af5\dbch\af31505\loch\f5 (17) "Volunteer" means an individual who may have unsupervised direct patient access who \hich\af5\dbch\af31505\loch\f5 is not directly compensated for providing services. Headquarters There is no charge for the fingerprinting services but the $33.25 Background fee will still apply. \par \tab \hich\af5\dbch\af31505\loch\f5 (6) A covered contractor may not supply to a covered provider a covered individual who has been determined to be not eligible to have direct patient access. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 footer;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 index heading;\lsdqformat1 \lsdlocked0 caption;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 table of figures; TO RELEASE FINDINGS. Receiving Results: Once the Office reviews this information a determination will be made per 62A-2-120 and emailed from the Office to the email address provided from the non-licensed entity on the Background Screening Application. Code R432-35 - Background Screening - Health Facilities; Utah Admin. OL Rule R501-14 outlines how OL makes employment determinations. \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 toa heading;}{\s33\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs24\alang1025 \ltrch\fcs0 The screening or background check includes the submission of fingerprints for clearance on the federal data system. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 Notice of Continuation: January 29, 2018}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 fa3528a6243ddf43d7c25673b85d6d0159327aec8477c360d26ee4ca4b144443115d6a8a254be5a1584bd00bc6270050408a24493db959e1259a43140f112567 {\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);} \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R4\hich\af5\dbch\af31505\loch\f5 32-35-6. National Suicide Prevention Lifeline }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Multi-Agency State Office Building \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 index 7;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 index 8;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 index 9;\lsdsemihidden1 \lsdlocked0 toc 1;\lsdsemihidden1 \lsdlocked0 toc 2; 1-800-371-7897 Application for Criminal History Download. 1-800-897-LINK(5465), Abuse/Neglect of Seniors and Adults with Disabilities. 7afeb3d9a4d2f13d2151ba4094a5b8e76fb0f03fbbf7eb5fdd454732c609f6403e1547a8e7c752ae8eaa5531876124eeb0154ee1bb25e30992f0caa3ea82a34b \par \tab \hich\af5\dbch\af31505\loch\f5 (1) "Aged" means an individual who is 60 years of age or older. \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. 14. initial requirements information sheet. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) any felony, class A or B conviction under Utah Criminal Code 76-6-106(2)(b)(i)(A) Criminal Mischief - Human Life; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Keyboard;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Preformatted;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Sample;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Typewriter; Please submit this form before having your fingerprinting and background check done at the Mississippi State Department of Health. {\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;} The background screening unit will notify the provider and the child care staff member of the results determining if they are eligible or ineligible to work or be present in a licensed, regulated, or registered child care facility. Multi-Agency State Office Building \par \tab \hich\af5\dbch\af31505\loch\f5 (D) 76-9-702 to 702.5 Lewdness - Sexual Battery - Public urination - Lewdness Involving Child - Voyeurism offenses; \par \tab \hich\af5\dbch\af31505\loch\f5 \par \tab \hich\af5\dbch\af31505\loch\f5 (13) "Nursing Assistant" means\hich\af5\dbch\af31505\loch\f5 an individual who performs duties under the supervision of a nurse, which may include a nurse aide, personal care aide or certified nurse aide. All Utahns should have fair and equitable opportunities to be healthy and safe. submit live scan fingerprints. \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 5;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 5;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 5;\lsdpriority70 \lsdlocked0 Dark List Accent 5;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 5; Results from the in-state and out-of-state screening process will be mailed to providers in the form of a letter once completed. Only agencies with OL administrative approval and a documented exception to live scan fingerprinting will be allowed to submit hard card prints rolled at a public safety office. This form must be completed and signed by the applicant. \s21\ql \fi-720\li720\ri720\sb480\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin720\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 Department of Human Services, Office of Licensing to provide a copy of those results to me. \pndec\pnstart1\pnindent720\pnhang {\pntxta . Each employee will meet with an authorized agency screening agent to complete their online background clearance application.
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