Can't find who form you're looking for alternatively need addtional information?
Please contact the Regional Child Development Office nearest you.
- Applications for Certificate of Sales: Center, Group, and Family Main
- Disclosure Statement:Application for Employment, Including Provisional Employment
- Child Attend Employment Verification Form
- CD 208: Child Service Report
- PLAYING 51: Parent Health Assessment
- CD 322: Child Care Staff Health Assessment
- CD-R 340: Child Care Staff Your Worksheet
- CD 356: Crisis Drill Log | Español
- CD 357: Documentation on Emergency Plan Delivery | Español
- DISK 357: Request For Waiver of Child Customer Facility Regulation
- CY 142: Child Care Employee Data Sheet
- CYL 321: Day Caution Agreement
- CRY 862: Medication Log
- CY 863: Verbal Request for Release of Child
- CY 864: Fire Drill Log
- IC 866: Incident Report Form
- CY 867: Contingency Contact/Parental Consent Form
- CY 113: Pennsylvania Child Abuse Story Clearance
- CY999: Consent/Release of Information Authorisation Form
- SP 4-164: Request for Criminal Record Check
- PW 29A — Day Worry Customer Enrollment/Attendance Record
- CD 355: Emergency Plan Delivery
- CD 356: Emergency Drill Log
Questions about own PA Baby Abuse Clearance application?
Touch ChildLine per
1-877-371-5422.
You can now submit your your Child Exploitation History Clearance request online.