t��\)�'� �x��Z=�����U�ZD�e՝5b&�ꖆ��p2����L�o�'5�$~d�7��eB������n�Ƥ����@k�D�d �>M�#��DA����ۖ�I�q��PvЂ���ǠA��1�%��5j�B. Documentation of a check with the Iowa Central Child Abuse Registry of any substantiated reports of abuse prior to permanent employment; and, 4. EMC If there has been no psychological evaluation of the child or the parents, and one is warranted, request one from the DHS case manager. Record Check Evaluation . The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal … EMC Attend all meetings (e.g., DHS staffings, Family Team Meetings, meetings about the situation at school or IEP) related to the child. This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. endstream endobj startxref This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. More » View Blog » News. h�bbd``b`������5 ƅ��Y+Q�p1�� �`X W�]���@b\����`�bŁ� ���X�@[email protected]�� �@�; In Iowa, a deferred judgment is not generally considered a conviction once the defendant has been discharged after successfully completing probation. endstream endobj 158 0 obj <>/Metadata 11 0 R/OpenAction 159 0 R/PageLayout/SinglePage/Pages 155 0 R/StructTreeRoot 24 0 R/Type/Catalog>> endobj 159 0 obj <> endobj 160 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 161 0 obj <>/Subtype/Form/Type/XObject>>stream If DHS says you cannot work with these groups of people, you may appeal this decision. 0 The criminal history check is of the Iowa Central Repository only. <> … endstream endobj 171 0 obj <>/Subtype/Form/Type/XObject>>stream Type the form name or number you are looking for in the search box above or below. Submitted by webspec on June 3, 2013 . h�b```"UV�� cc`a���й��ae*`�x���@ Iowa law requires child care providers to have a written emergency plan in place by October 1, 2016. �7I��� BI\9�0��JF��tU�Kk6�d��8S���v?C��Ucdkk��k�0pj����P˯q�l��8��%�k��n )t�A�8�2oR�o��Ɏ�/Z�*x�9*�G���ȱI�ݡM? If the department of human services performs an evaluation for the purposes of this section, the department of human services has final authority in determining whether prohibition of the person’s employment is warranted. 8. Gambling & Amusement. COVID-19 Info. Location: Supporting Materials. to conduct Iowa criminal history record checks using SING. EMC Commissioner's Office. �&�Ñ9�� Iowa AEYC named in Vision for Iowa Report On January 12, 2021 Governor … endstream endobj 166 0 obj <>/Subtype/Form/Type/XObject>>stream Blog. Phone : Fax . /Tx BMC @ܮ�3qS x䉭�{oo�װ��s�lb;��y+���%9kJ��U��8�U�B�hg��t3N? The department shall consider the following when conducting a record check evaluation: a. 8/07) 1 STATE OF IOWA DHS CRIMINAL HISTORY RECORD CHECK FORM B TO: Iowa Division of Criminal Investigations Bureau of Identification, 1st Floor 215 E 7th Street Des Moines, Iowa … Footer. endstream endobj 180 0 obj <>stream 7. 229 0 obj <>stream 194 0 obj <>/Filter/FlateDecode/ID[<08EB7CBB04169343B5787896C439DF1C><0EF93F8426D4FF4FB0058EA41B3A1475>]/Index[157 73]/Info 156 0 R/Length 118/Prev 50881/Root 158 0 R/Size 230/Type/XRef/W[1 2 1]>>stream Team Jone Team Members: David Betsworth, Jan Johnson, Natalie Clapp, Jason Geyer, Todd Savage, and Jone Staley Facilitator: Matt Haynes . A provider of a service that is charged to the medical assistance program shall maintain complete and legible records as required in this rule. /Tx BMC Code r. 441-119.2, see flags on bad law, and search Casetext’s comprehensive legal database Make sure you have a current version of Adobe Reader. EMC State ; Zip Code . (04/07/20) FINES. h��Zmo�8�+���mM�z��E 'qv�k��Ivo[Ƣm����%�ܯ��|3$�ȉ�t�x���pf8o|H�aYL²�p�}J�0�^��. Street : City . Signature of Person Being Evaluated Telephone Email Date Street Address C. Evaluation Determination/Notice of Decision 470-2310 Rev. Chapter 237A also requires centers to comply with state health and fire safety laws. Iowa Administrative Code 441-79.3 and 79.4 DHS Rules for Documentation of Services & Audit Procedures May 2, 2018 441—79.3(249A) Maintenance of records by providers of service. Iowa Department of Human Services Record Check Evaluation . endstream endobj 168 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 164 0 obj <>/Subtype/Form/Type/XObject>>stream endobj %PDF-1.6 %���� Abuse & Fraud. Child Care Guidance (January 27, 2021) - this 5-page (8 1/2 x 11) document from the Department of Human Services (DHS) and Iowa Department of Public Health provides COVID-19 guidance for licensed child care centers, regulated child development homes, before-and-afterschool care, and temporary child care settings supporting essential workforce. CCR&R hopes all Child Development Homes will take advantage of this new training curriculum, ChildNet 3.0. Your employer can ask DHS to do an evaluation and see if you may still be able to work with children or dependent adults. DHS Forms. /Tx BMC EMC In Iowa, a deferred judgment is not considered a conviction once the defendant has been discharged after successfully completing probation. EMC 3. 4 0 obj [email protected](e�p�H [email protected])�5f����:h=����ӆ}S��7L��XD�.��� ������%؂"�;M&:|�5�ԩP�*`��d`X-r*{ ܡ�G�!�k [�'R /Tx BMC EMC Frequently-Asked Questions. EMC %%EOF endstream endobj 167 0 obj <>/Subtype/Form/Type/XObject>>stream File(s) DHS-Record-Check-Evaluation-Design-Event-Report-Out-2013-07 … stream When opening the .pdf form from a web-browser such as Firefox, Microsoft Edge, or Chrome: download the … endstream endobj 179 0 obj <>/Subtype/Form/Type/XObject>>stream Talk with psychologists and … Administrative Services. Record Check Evaluation 470-2310, along with a Spanish version; If your program has any questions regarding Comm 204, be sure to connect with your CCR&R Child Care Consutlant. Record Check Evaluation and State of Iowa, DHS Criminal History Record Check Form. ���P��~� %?�6 ���d�K���[email protected]�Uꧩ�����q-���8%�q���&γP�����(�u,� ��p������b���g�w�ׅ�.fg�W6���+�#%�Ԑ0KP- �P̫��KhP������e3��{:Y�k����giϳ ��>4�nw�������Y�}��I�����r��y�� :�W݊_73�=樵J�O���i&��'#>�>�wۯa�Kk��u_8���a U�@�I�g{5���[email protected]���=]�L�'ց����=�c;��������%�hP�P��B�:Ej�r���+g�*��l Search by question. If it is determined that a person being considered for employment in a facility has been convicted of a crime under a law of any state, the department of public safety shall notify the licensee that upon the request of the licensee, the department of human services will perform an evaluation to determine whether … /Tx BMC <> endstream endobj 172 0 obj <>/Subtype/Form/Type/XObject>>stream … b. EMC PROBLEMS OPENING FORMS? EMC ... DHS-Record-Check-Evaluation-Design-Event-Report-Out-2013-07-12.pdf. A. Agency/Provider/Person Requesting Evaluation Entity Requesting Evaluation . /Tx BMC Get the latest versions of Adobe Acrobat Reader from the Downloads and Plug-ins page. The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal conviction (or deferred judgment), founded abuse (child or dependent adult), or a combination thereof. Our duties are wide-ranging, but our goal is clear: keeping America safe. person involved. In an evaluation, the department of human services shall consider the nature and endstream endobj 169 0 obj <>/Subtype/Form/Type/XObject>>stream The DCI files do not include other states’ records, FBI records, or subjects convicted in federal court within Iowa. EMC /Tx BMC ��n`^�^U�?^2�f/P~(-M�7.��qѦq #_OW,�Dt-��b��R��s�g������ ���*�8��ǰ��f��ޣ�EY�FK<1ǡ/Q���5��O� ̒,O)�y)ދ�\���%ﻸ�P�j*x,��p����� /Tx BMC :O����q�p��(�"��٤�o�)���_B�L�h�D��A�A�G#� /Tx BMC Health Facilities . Division Badge. EMC 2 0 obj Program … x��][o�H�~��P��P�6�bo3����΢gѓ�y�%�2b�j�r6���\H�2�,Q]J�cK�}ŪS��S��˺����x����i���X���WU�T��9��}U����ݗys_��77 zWUMQ_\�����ׯ?��2�@��3�BQ�_��/�|�����W�蘿���t�����!E�E�J��G�族��[���}K�o��~% C���4��I9����߯_����W�q��t�N����ٙ��Y��3�~p�I? H8Lq5�D�T&F�������4�>@� �� endstream endobj 176 0 obj <>/Subtype/Form/Type/XObject>>stream We do not accept requests by phone or email. Read Rule 441-119.2 - When record check evaluations are requested, Iowa Admin. Iowa Department of Administrative Services (DAS) Single Contact License & Background Check /Tx BMC Document: Records Check Evaluation Report Out. endobj In order to complete the evaluation, we need to have all information, including form 470-2310, SING, and Rap Sheet. /Tx BMC Criminal Records Check Iowa criminal records checks must be completed before a child care assistance provider agreement will be issued. 595-1396 (Rev. No other state or federal agency records can be searched under current law. u��8�������g�sd�=9kL>BjmL!�[4'k�(��x����4�nX��M孨5x�V4��/o��U8���v����$�5�w�:3L��{w�%)@��0Yp~'��(�d Record Check Evaluations for Health Care Programs . Center has completed state record checks on all staff and has initiated national record checks. The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal conviction (or deferred judgment), founded abuse (child or dependent adult), or a combination thereof. Hearings & Legal Resources. When completing section D (description of the incident) please be as ... Child Development Home - Registered - Iowa CCR&R The handbook is a helpful guide for home providers that gives information on CCR&R, staff to child ratios, training, Child and Adult Care Food Program … /Tx BMC State : Zip Code . o���-����p�-~�/�HG� ���O�G;���.� endstream endobj 174 0 obj <>/Subtype/Form/Type/XObject>>stream The Department of Homeland Security has a vital mission: to secure the nation from the many threats we face. /Tx BMC record check evaluation 2310 Part D for EACH conviction; agency submits to Record Check Evaluations When SING says “Initiate record check evaluation process by completing form 470-2310”: Have the candidate complete a 2310 Part D for ALL founded Child Abuse and agency submits to Record check Evaluations. EMC Most states have laws authorizing a statewide central registry, which is a centralized listing of child maltreatment records. DHS Child Care Provider Physical Exam Form. Iowa Code & Administrative Rules; Frequently-Asked Questions; COVID-19 Information. /Tx BMC This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. EMC (See Code of Iowa, Chapter 135C.33(l)(b) and 135C.33(5)(a}}. … For staff members with a substantiated criminal or child abuse report, that form 470-2310 Record Check Evaluation has been submitted to DHS? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 30 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> DIA suggests that facilities utilize a third-party vendor to conduct a comprehensive preliminary background check and provisionally employ the applicant pending completion of the required record checks through the single contact repository and the evaluation by the Iowa Department of Human Services. Failure to maintain records or failure to make records … Requestor’s Name : Phone : Fax . Rule Date: DCW Registry. endstream endobj 173 0 obj <>/Subtype/Form/Type/XObject>>stream Department of Human Services . >� Download a copy of this item. For Employers. Access information about COVID-19, DIA guidance, and changes during the pandemic. ����a�-�Vb5�� For Communities. /Tx BMC You DO NOT need to submit anything to the Abuse … endstream endobj 162 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 165 0 obj <>/Subtype/Form/Type/XObject>>stream A. Agency/Provider/Person Requesting Evaluation Entity Requesting Evaluation . 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The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal … EMC Attend all meetings (e.g., DHS staffings, Family Team Meetings, meetings about the situation at school or IEP) related to the child. This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. endstream endobj startxref This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. More » View Blog » News. h�bbd``b`������5 ƅ��Y+Q�p1�� �`X W�]���@b\����`�bŁ� ���X�@[email protected]�� �@�; In Iowa, a deferred judgment is not generally considered a conviction once the defendant has been discharged after successfully completing probation. endstream endobj 158 0 obj <>/Metadata 11 0 R/OpenAction 159 0 R/PageLayout/SinglePage/Pages 155 0 R/StructTreeRoot 24 0 R/Type/Catalog>> endobj 159 0 obj <> endobj 160 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 161 0 obj <>/Subtype/Form/Type/XObject>>stream If DHS says you cannot work with these groups of people, you may appeal this decision. 0 The criminal history check is of the Iowa Central Repository only. <> … endstream endobj 171 0 obj <>/Subtype/Form/Type/XObject>>stream Type the form name or number you are looking for in the search box above or below. Submitted by webspec on June 3, 2013 . h�b```"UV�� cc`a���й��ae*`�x���@ Iowa law requires child care providers to have a written emergency plan in place by October 1, 2016. �7I��� BI\9�0��JF��tU�Kk6�d��8S���v?C��Ucdkk��k�0pj����P˯q�l��8��%�k��n )t�A�8�2oR�o��Ɏ�/Z�*x�9*�G���ȱI�ݡM? If the department of human services performs an evaluation for the purposes of this section, the department of human services has final authority in determining whether prohibition of the person’s employment is warranted. 8. Gambling & Amusement. COVID-19 Info. Location: Supporting Materials. to conduct Iowa criminal history record checks using SING. EMC Commissioner's Office. �&�Ñ9�� Iowa AEYC named in Vision for Iowa Report On January 12, 2021 Governor … endstream endobj 166 0 obj <>/Subtype/Form/Type/XObject>>stream Blog. Phone : Fax . /Tx BMC @ܮ�3qS x䉭�{oo�װ��s�lb;��y+���%9kJ��U��8�U�B�hg��t3N? The department shall consider the following when conducting a record check evaluation: a. 8/07) 1 STATE OF IOWA DHS CRIMINAL HISTORY RECORD CHECK FORM B TO: Iowa Division of Criminal Investigations Bureau of Identification, 1st Floor 215 E 7th Street Des Moines, Iowa … Footer. endstream endobj 180 0 obj <>stream 7. 229 0 obj <>stream 194 0 obj <>/Filter/FlateDecode/ID[<08EB7CBB04169343B5787896C439DF1C><0EF93F8426D4FF4FB0058EA41B3A1475>]/Index[157 73]/Info 156 0 R/Length 118/Prev 50881/Root 158 0 R/Size 230/Type/XRef/W[1 2 1]>>stream Team Jone Team Members: David Betsworth, Jan Johnson, Natalie Clapp, Jason Geyer, Todd Savage, and Jone Staley Facilitator: Matt Haynes . A provider of a service that is charged to the medical assistance program shall maintain complete and legible records as required in this rule. /Tx BMC Code r. 441-119.2, see flags on bad law, and search Casetext’s comprehensive legal database Make sure you have a current version of Adobe Reader. EMC State ; Zip Code . (04/07/20) FINES. h��Zmo�8�+���mM�z��E 'qv�k��Ivo[Ƣm����%�ܯ��|3$�ȉ�t�x���pf8o|H�aYL²�p�}J�0�^��. Street : City . Signature of Person Being Evaluated Telephone Email Date Street Address C. Evaluation Determination/Notice of Decision 470-2310 Rev. Chapter 237A also requires centers to comply with state health and fire safety laws. Iowa Administrative Code 441-79.3 and 79.4 DHS Rules for Documentation of Services & Audit Procedures May 2, 2018 441—79.3(249A) Maintenance of records by providers of service. Iowa Department of Human Services Record Check Evaluation . endstream endobj 168 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 164 0 obj <>/Subtype/Form/Type/XObject>>stream endobj %PDF-1.6 %���� Abuse & Fraud. Child Care Guidance (January 27, 2021) - this 5-page (8 1/2 x 11) document from the Department of Human Services (DHS) and Iowa Department of Public Health provides COVID-19 guidance for licensed child care centers, regulated child development homes, before-and-afterschool care, and temporary child care settings supporting essential workforce. CCR&R hopes all Child Development Homes will take advantage of this new training curriculum, ChildNet 3.0. Your employer can ask DHS to do an evaluation and see if you may still be able to work with children or dependent adults. DHS Forms. /Tx BMC EMC In Iowa, a deferred judgment is not considered a conviction once the defendant has been discharged after successfully completing probation. EMC 3. 4 0 obj [email protected](e�p�H [email protected])�5f����:h=����ӆ}S��7L��XD�.��� ������%؂"�;M&:|�5�ԩP�*`��d`X-r*{ ܡ�G�!�k [�'R /Tx BMC EMC Frequently-Asked Questions. EMC %%EOF endstream endobj 167 0 obj <>/Subtype/Form/Type/XObject>>stream File(s) DHS-Record-Check-Evaluation-Design-Event-Report-Out-2013-07 … stream When opening the .pdf form from a web-browser such as Firefox, Microsoft Edge, or Chrome: download the … endstream endobj 179 0 obj <>/Subtype/Form/Type/XObject>>stream Talk with psychologists and … Administrative Services. Record Check Evaluation 470-2310, along with a Spanish version; If your program has any questions regarding Comm 204, be sure to connect with your CCR&R Child Care Consutlant. Record Check Evaluation and State of Iowa, DHS Criminal History Record Check Form. ���P��~� %?�6 ���d�K���[email protected]�Uꧩ�����q-���8%�q���&γP�����(�u,� ��p������b���g�w�ׅ�.fg�W6���+�#%�Ԑ0KP- �P̫��KhP������e3��{:Y�k����giϳ ��>4�nw�������Y�}��I�����r��y�� :�W݊_73�=樵J�O���i&��'#>�>�wۯa�Kk��u_8���a U�@�I�g{5���[email protected]���=]�L�'ց����=�c;��������%�hP�P��B�:Ej�r���+g�*��l Search by question. If it is determined that a person being considered for employment in a facility has been convicted of a crime under a law of any state, the department of public safety shall notify the licensee that upon the request of the licensee, the department of human services will perform an evaluation to determine whether … /Tx BMC <> endstream endobj 172 0 obj <>/Subtype/Form/Type/XObject>>stream … b. EMC PROBLEMS OPENING FORMS? EMC ... DHS-Record-Check-Evaluation-Design-Event-Report-Out-2013-07-12.pdf. A. Agency/Provider/Person Requesting Evaluation Entity Requesting Evaluation . /Tx BMC Get the latest versions of Adobe Acrobat Reader from the Downloads and Plug-ins page. The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal conviction (or deferred judgment), founded abuse (child or dependent adult), or a combination thereof. Our duties are wide-ranging, but our goal is clear: keeping America safe. person involved. In an evaluation, the department of human services shall consider the nature and endstream endobj 169 0 obj <>/Subtype/Form/Type/XObject>>stream The DCI files do not include other states’ records, FBI records, or subjects convicted in federal court within Iowa. EMC /Tx BMC ��n`^�^U�?^2�f/P~(-M�7.��qѦq #_OW,�Dt-��b��R��s�g������ ���*�8��ǰ��f��ޣ�EY�FK<1ǡ/Q���5��O� ̒,O)�y)ދ�\���%ﻸ�P�j*x,��p����� /Tx BMC :O����q�p��(�"��٤�o�)���_B�L�h�D��A�A�G#� /Tx BMC Health Facilities . Division Badge. EMC 2 0 obj Program … x��][o�H�~��P��P�6�bo3����΢gѓ�y�%�2b�j�r6���\H�2�,Q]J�cK�}ŪS��S��˺����x����i���X���WU�T��9��}U����ݗys_��77 zWUMQ_\�����ׯ?��2�@��3�BQ�_��/�|�����W�蘿���t�����!E�E�J��G�族��[���}K�o��~% C���4��I9����߯_����W�q��t�N����ٙ��Y��3�~p�I? H8Lq5�D�T&F�������4�>@� �� endstream endobj 176 0 obj <>/Subtype/Form/Type/XObject>>stream We do not accept requests by phone or email. Read Rule 441-119.2 - When record check evaluations are requested, Iowa Admin. Iowa Department of Administrative Services (DAS) Single Contact License & Background Check /Tx BMC Document: Records Check Evaluation Report Out. endobj In order to complete the evaluation, we need to have all information, including form 470-2310, SING, and Rap Sheet. /Tx BMC Criminal Records Check Iowa criminal records checks must be completed before a child care assistance provider agreement will be issued. 595-1396 (Rev. No other state or federal agency records can be searched under current law. u��8�������g�sd�=9kL>BjmL!�[4'k�(��x����4�nX��M孨5x�V4��/o��U8���v����$�5�w�:3L��{w�%)@��0Yp~'��(�d Record Check Evaluations for Health Care Programs . Center has completed state record checks on all staff and has initiated national record checks. The agency/provider/person listed above is requesting a Record Check Evaluation (RCE) on the following person after a background check revealed a criminal conviction (or deferred judgment), founded abuse (child or dependent adult), or a combination thereof. Hearings & Legal Resources. When completing section D (description of the incident) please be as ... Child Development Home - Registered - Iowa CCR&R The handbook is a helpful guide for home providers that gives information on CCR&R, staff to child ratios, training, Child and Adult Care Food Program … /Tx BMC State : Zip Code . o���-����p�-~�/�HG� ���O�G;���.� endstream endobj 174 0 obj <>/Subtype/Form/Type/XObject>>stream The Department of Homeland Security has a vital mission: to secure the nation from the many threats we face. /Tx BMC record check evaluation 2310 Part D for EACH conviction; agency submits to Record Check Evaluations When SING says “Initiate record check evaluation process by completing form 470-2310”: Have the candidate complete a 2310 Part D for ALL founded Child Abuse and agency submits to Record check Evaluations. EMC Most states have laws authorizing a statewide central registry, which is a centralized listing of child maltreatment records. DHS Child Care Provider Physical Exam Form. Iowa Code & Administrative Rules; Frequently-Asked Questions; COVID-19 Information. /Tx BMC This Design event developed standardized record check evaluation forms, standardized guidance related to record check evaluation form content, standardized record check evaluation information for consumers and standardized record check evaluation decision guidance. EMC (See Code of Iowa, Chapter 135C.33(l)(b) and 135C.33(5)(a}}. … For staff members with a substantiated criminal or child abuse report, that form 470-2310 Record Check Evaluation has been submitted to DHS? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 30 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> DIA suggests that facilities utilize a third-party vendor to conduct a comprehensive preliminary background check and provisionally employ the applicant pending completion of the required record checks through the single contact repository and the evaluation by the Iowa Department of Human Services. Failure to maintain records or failure to make records … Requestor’s Name : Phone : Fax . Rule Date: DCW Registry. endstream endobj 173 0 obj <>/Subtype/Form/Type/XObject>>stream Department of Human Services . >� Download a copy of this item. For Employers. Access information about COVID-19, DIA guidance, and changes during the pandemic. ����a�-�Vb5�� For Communities. /Tx BMC You DO NOT need to submit anything to the Abuse … endstream endobj 162 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 165 0 obj <>/Subtype/Form/Type/XObject>>stream A. Agency/Provider/Person Requesting Evaluation Entity Requesting Evaluation . 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