You may submit an Identity History Summary challenge to the FBI by writing to the following address: Attention: Criminal History Analysis Team1 1000 Custer Hollow Road, Headquarters ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffffffffffff0c6ad98892f1d411a65f0040963251e5000000000000000000000000f073 \par \tab \hich\af5\dbch\af31505\loch\f5 (b) where an individual who is not a resident also lives. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) engages a covered individual to provide services in a private residence to: Most states require that changes to Identity History Summary information be processed through their respective state centralized agency (State Identification Bureau) before any changes can be made to your information. \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 If the applicant is under 18, include the Criminal Background Screening Authorization with the guardian's signature. 13. However, if your application has been submitted for longer than three weeks, you can request a status update by emailing cbsunit@utah.gov. 1-800-897-LINK(5465), Abuse/Neglect of Seniors and Adults with Disabilities. \sbasedon0 \snext0 toc 4;}{\s25\ql \li720\ri720\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin720\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \par \tab \hich\af5\dbch\af31505\loch\f5 (5) "Cove\hich\af5\dbch\af31505\loch\f5 red contractor" means a person or corporation that supplies covered individuals, by contract, to: Salt Lake City, UT 84114-8280. }}{\*\pnseclvl3 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Columns 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Columns 5;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Grid 2; The needs of our communities continue to change as more and more people choose to make Utah their home. d09bd06aa3566b55134452df4b51026a1f2f97648ebd9952e9dfdb2a1f53784da5500373caa74a35b6243476715e5708b11143cabd0b447b3eccb3609733fc52 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 1; Multi-Agency State Office Building \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 6;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 6;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 6;\lsdpriority70 \lsdlocked0 Dark List Accent 6;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 6; \par \tab \hich\af5\dbch\af31505\loch\f5 (c) name. form on regular paper. 6d652f7468656d654d616e616765722e786d6c0ccc4d0ac3201040e17da17790d93763bb284562b2cbaebbf600439c1a41c7a0d29fdbd7e5e38337cedf14d59b {\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;} Background checks will be repeated on a regular basis; every year for the NYS Sex Offenders' Registry, every 3 years for the Criminal History File check and MVR check. The screening or background check includes the submission of fingerprints for clearance on the federal data system. Choose which box in the top left applies to you: If you are a new applicant with Utah Foster Care, mark the first box, If you are already licensed as a DCFS Foster Parent, or are residing in an Office of Licensing licensed foster home, mark the second box and include the licensor name, If you are working with an agency other that Utah Foster Care or DCFS, mark the third box and include the name of the agency, Legibly complete sections 1-5, filling in every box. West virginia university football stadium photos . Utah Admin. \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: {\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);} Health, Administration. \lsdpriority70 \lsdlocked0 Dark List Accent 3;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 3;\lsdpriority72 \lsdlocked0 Colorful List Accent 3;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 3;\lsdpriority60 \lsdlocked0 Light Shading Accent 4; {\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} National Suicide Prevention Lifeline \par \tab \hich\af5\dbch\af31505\loch\f5 (d) a hospice that provides living quarters as part of its services. Call: (801) 538-4242 determines there exists credible evidence that a covered individual has been arrested or charged with a felony or a misdemeanor that would be excluded under R432-35-8(1), the Department may act to protect the health and safety of patients or residents in \par \tab \hich\af5\dbch\af31505\loch\f5 (d) Resident family members; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Web 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Balloon Text;\lsdpriority39 \lsdlocked0 Table Grid;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Theme;\lsdsemihidden1 \lsdlocked0 Placeholder Text; 8f40d2f9b2d598749bdd41abd26df627956034e854bac3d6a0326a0ddba3c9681876ba9357be77a1c141bf390c5ae34ea5551f0e2b41aba6e877ba9576d068f4 \par \tab \hich\af5\dbch\af31505\loch\f5 (b) a long-term care hospital; \par \tab \hich\af5\dbch\af31505\loch\f5 (a) employment status; \expnd0\expndtw-3\insrsid14438297 \par \tab \hich\af5\dbch\af31505\loch\f5 (a) for residents to live as part of the services provided by the covered provider; and 1-800-371-7897 }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) who may have direct patient access; This form must be completed and signed by the applicant. 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. \lsdqformat1 \lsdpriority20 \lsdlocked0 Emphasis;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Document Map;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Plain Text;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 E-mail Signature; 3. \par \tab \hich\af5\dbch\af31505\loch\f5 (c) view medical or financial records. 1-888-421-1100 Out of State Clearance: Per 62A-2-120 applicants need to receive the Out of State Child Abuse Registry check for any state in which they have resided in the last 5 years. (2) The Department may allow a covered individual direct patient access with conditions, until the arrest or criminal charges are resolved, if the covered individual can demonstrate the work arrangement does not pose a threat to the saf \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-8. 9c7827248a21f056286502866b8ddaa4d684ffea13e827ed5174849121ad780113b137a4f87862cec94af6fc07a0d537206f7ffef9cdeb1fdfbcfee9cd575fbd \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 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 5;\lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 6;\lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority9 \lsdlocked0 heading 7; Providing your fingerprints and associated information is voluntary; however, failure to do so may affect completion or approval of your application. \lsdpriority46 \lsdlocked0 List Table 1 Light Accent 2;\lsdpriority47 \lsdlocked0 List Table 2 Accent 2;\lsdpriority48 \lsdlocked0 List Table 3 Accent 2;\lsdpriority49 \lsdlocked0 List Table 4 Accent 2; ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff In the interest of professionalism, public trust and safety for families and individuals, Utah code requires that all persons associated with a licensed facility (owner, director, governing body, employee, agent, provider, contractor or volunteer) who has or will have direct access to children and/or vulnerable adults must pass a criminal background screening. overed provider must submit required information to the Department to initiate and obtain a clearance prior to the issuance of the provisional license. The Background Screening Unit processes screening results for health care providers in Florida currently licensed by the Agency for Health Care Administration. {\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;} \par \tab \hich\af5\dbch\af31505\loch\f5 (v) an executive; We have transtioned to DACS (Direct Access Clearance System), a completely online background screening system. 1-800-273-TALK(8255) \hich\af5\dbch\af31505\loch\f5 individual notifying them of the right to appeal in accordance with R432-30. fa3528a6243ddf43d7c25673b85d6d0159327aec8477c360d26ee4ca4b144443115d6a8a254be5a1584bd00bc6270050408a24493db959e1259a43140f112567 endnote reference;}{\s18\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext18 \slink19 \par \tab \hich\af5\dbch\af31505\loch\f5 (15) "Resident" means an individual who receives health care services from one of the following\hich\af5\dbch\af31505\loch\f5 covered providers: BGScreen@ahca.myflorida.com. fffffffffffffffffdfffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff The child care staff member needs to keep a copy of their letter for any future child care employers. Exclusion from Direct Patient Access. Please allow two weeks for processing and results of your background screening to show in DACS, If after two weeks you have not received results, you may contact the Office of Licensing for an update by emailing, For all other inquiries please call our main line (801) 538-4242 to reach a screening technician or supervisor or call your licensor or screening technician directly, You have been under review with the Office of Licensing for more than 10 business days. . After you do this, you will receive a Livescan Authorization Form to take with you when you get fingerprints done, Use this form if you provide respite care or babysitting for a foster provider and do not live in the foster home, Fill out the form completely, following the instructions on page 2 of the form, Make sure to include the name of the foster provider and licensor in the appropriate spaces and sign the form. 1-855-323-DCFS(3237) 1-800-371-7897 195 North 1950 West Apply for a license. This form is for use by non-DHS licensed providers or adoption attorneys only, Complete a DCFS Livescan fingerprint scan and have the operator sign your Livescan Authorization form, Livescan locations and schedules may be accessed, Fingerprint cards may be submitted for applicants in rural areas who dont have access to Live Scan, There is no application fee for DCFS foster providers or adults living in the foster home. \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 : Our vision is for Utah to be a place where all people can enjoy the best health possible, where all can live, grow, and prosper in healthy and safe communities. Covered Employer - Direct Access Clearance System Process. Training materials and other information related to DACS can be found here. \par \tab \hich\af5\dbch\af31505\loch\f5 (i) the type of offense; This payment authorizes a subscription to the FBIs Rap Back System which continually monitors all fingerprint based criminal records in real time. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 656e74323d22616363656e74322220616363656e74333d22616363656e74332220616363656e74343d22616363656e74342220616363656e74353d22616363656e74352220616363656e74363d22616363656e74362220686c696e6b3d22686c696e6b2220666f6c486c696e6b3d22666f6c486c696e6b222f3e} 1-801-587-3000 (5) The department may allow a current employee to continue to work with conditions, during the reconsideration process as defined in each division's background screening guidelines if the employee can demonstrate the work arrangement does not pose a threat to the department and the safety and health of Utah citizens. initial requirements information sheet. (Salt Lake City, UT) The Centers for Disease Control and Prevention (CDC) issued recommendations for vaccinating children 5 years of age and younger against COVID-19. \lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 4;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 5;\lsdpriority47 \lsdlocked0 List Table 2 Accent 5;\lsdpriority48 \lsdlocked0 List Table 3 Accent 5; (2) If the Department determines an individual is not eligible for direct patient access, based on information obtained through the Direct Access Clearance System, the Department shall send a Notice of Agency Action to t\hich\af5\dbch\af31505\loch\f5 1-800-897-LINK(5465), https://dlbc.utah.gov/out-of-state-registries, Consent and Privacy Statement for Background Screenings, https://www.fbi.gov/services/cjis/identity-history-summary-checks, Abuse/Neglect of Seniors and Adults with Disabilities. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 {\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;} My personal information and fingerprints may be retained for ongoing monitoring and comparison against future submissions to the state, regional or federal database and latent fingerprint inquiries}. 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 (f) a hospice; \lsdpriority45 \lsdlocked0 Plain Table 5;\lsdpriority40 \lsdlocked0 Grid Table Light;\lsdpriority46 \lsdlocked0 Grid Table 1 Light;\lsdpriority47 \lsdlocked0 Grid Table 2;\lsdpriority48 \lsdlocked0 Grid Table 3;\lsdpriority49 \lsdlocked0 Grid Table 4; \par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a \par \tab \hich\af5\dbch\af31505\loch\f5 (a) cause physical or mental harm; \par \tab \hich\af5\dbch\af31505\loch\f5 (b) Submits fingerprints within 15 working days of placement with a covered provider. Headquarters How to get a pre-employment background check. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-10. Steps for Entering a Youth Application in DACS, Exemption Declaration (adult substance abuse treatment programs only), Contact Information for obtaining an out of state Central or Child Abuse Registry Check, I understand that my personal information including name, date of birth, social security number and fingerprints will be used for the purpose of conducting a criminal history records search through any applicable state and federal databases. {\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;} This screening requires a separate application (see below). \par \tab \hich\af5\dbch\af31505\loch\f5 (v) steps taken to correct or improve. \lsdpriority71 \lsdlocked0 Colorful Shading Accent 4;\lsdpriority72 \lsdlocked0 Colorful List Accent 4;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 4;\lsdpriority60 \lsdlocked0 Light Shading Accent 5;\lsdpriority61 \lsdlocked0 Light List Accent 5; Contact. }{\rtlch\fcs1 \af5 \ltrch\fcs0 }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Sexual Violence Crisis Line \par \tab \hich\af5\dbch\af31505\loch\f5 (d) a small health care facility; Human Services. \par \tab \hich\af5\dbch\af31505\loch\f5 (1) If the Department \hich\af5\dbch\af31505\loch\f5 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 envelope address;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 envelope return;\lsdsemihidden1 \lsdlocked0 footnote reference;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 annotation reference; 416e376a6168b9ed2bb5a5f5adb979b1cdce5e40f2184197bba6526857c2c92e47d0104d754f92a50dd8222f65be35e0c95b73d2f3bfac85fd60d80887955a27 1395tt; and 910 E Sioux Ave. Pierre, SD 57501. Learn more about the Utah Department of Health & Human Services transition. 14. Processing includes making a determination of . : 43144 Filed: 08/10/2018 09:20:21 AM. \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. 493c1b9426881fd2fc08bc6eda7c0ca52e7105c0633a3f37818f08f480102f4ea33c16a0c308ee835a9fc4c82a60ea5db8e375c32dff5d658fc1be7c61d1b8c2 (a) . \par \tab \hich\af5\dbch\af31505\loch\f5 (e) child abuse or neglect findings described in Section 78A-6-323; \par \tab \hich\af5\dbch\af31505\loch\f5 (1) "Aged" means an individual who is 60 years of age or older. Covered Contractor - Direct Access Clearance System Process. 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. BCI cannot provide criminal or court-ordered fingerprinting services. Department of Human Services, Office of Licensing to provide a copy of those results to me. Health, Family Health and Preparedness, Licensing Rule R432-35 Background Screening -- Health Facilities Notice of Proposed Rule (Amendment) DAR File No. Results from the in-state and out-of-state screening process will be mailed to providers in the form of a letter once completed. 2-35-8(1)(a), the department may deny clearance based on: \par \tab \hich\af5\dbch\af31505\loch\f5 (a) means an individual: \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; Wisconsin Background Check Forms & Publications Here's a variety of forms and publications to help you with the Background Check process. {\f870\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}{\f872\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f873\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f876\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;} If you choose not to use a DCFS Live Scan, you may submit two fingerprint cards. 1c57826650ab74c27eb3d20fc3667d1cd66ba341e31514161927f530bbb19fc00506dde4f7f67a7cefee3ed9ded1dc99b3a4caf4dd7c5513d777f7f5c6e1bb7b AUTHORIZATION FOR BACKGROUND CHECK AND. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-9. {\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;} Child Abuse/Neglect b01d583deee5f99824e290b4ba3f364eac4a430883b3c092d4eca8f946c916422ecab927f52ea42b89a1cd59c254f919b0e85e6535d135a8de20f20b8c12c3b0 Rule R380-300. \par \tab \hich\af5\dbch\af31505\loch\f5 (g) a home health agency; or Health, Family Health and Preparedness, Licensing. 1-800-371-7897 \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; 5689811a183c61a50f98f4babebc2837878049899a52a57be670674cb23d8e90721f90a4d2fa3802cb35762680fd800ecd7551dc18eb899138e3c943d7e503b6 For eligibility questions or concerns: 1-866-435-7414 \lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 2;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 2;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 2;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 3; I understand that I may request to review any results of this inquiry and understand that UCA 53-10-108 does not allow the. Third Party Release (use this form only if criminal history information is to be released to a third party) Download. dhslicensing@utah.gov. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Continue;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Continue 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Continue 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Continue 4; This includes SAS & DSPD Certified Providers. {\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;} 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 (v) licensing and certification records of individuals licensed or certified by the Division of Occupational and Professional Licen\hich\af5\dbch\af31505\loch\f5 sing under Title 58, Occupations and Professions; and }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 0f88d94fbc52ae4264d1c910d24a45db3462247fa791715fd71f989e19e0364cd3f51652d73760ae8fa8c9ffb3c330cc9e4fc17faf2ce545046e37944c69e462 \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; \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. 1-800-273-TALK(8255) \lsdsemihidden1 \lsdlocked0 toc 3;\lsdsemihidden1 \lsdlocked0 toc 4;\lsdsemihidden1 \lsdlocked0 toc 5;\lsdsemihidden1 \lsdlocked0 toc 6;\lsdsemihidden1 \lsdlocked0 toc 7;\lsdsemihidden1 \lsdlocked0 toc 8;\lsdsemihidden1 \lsdlocked0 toc 9; (3) The covered provider must ensure that DACS reflects the current status of the covered individual within 5 working days of the engagement or termination. \par \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 2;\lsdpriority70 \lsdlocked0 Dark List Accent 2;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 2;\lsdpriority72 \lsdlocked0 Colorful List Accent 2;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 2; \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 2; \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 toc 2;}{\s23\ql \li720\ri720\sl240\slmult0\nowidctlpar \par If you believe your Identity History Summary contains inaccurate or incomplete information, you have two options for requesting a change or correction: Option 1: Contact the agency or agencies that submitted the information to the FBI. {\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;} \lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 6;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 6;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 6;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Mention; 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. Email: dhslicensing@utah.gov, HotlinesAbuse/Neglect of Seniors and Adults with Disabilities \par \tab \hich\af5\dbch\af31505\loch\f5 (e) an assisted living facility; Providers do not need to submit payment if there is a fee indicated. Sec. \par \tab \hich\af5\dbch\af31505\loch\f5 (1) Utah Code, Title 26, Chapter 21, Part 2 requires that a covered employer be allowed to enter required information into the Direct Access Clearance System to initiate and obtain a cl\hich\af5\dbch\af31505\loch\f5 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Date;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text First Indent;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text First Indent 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Note Heading; For information on obtaining the Out of State Registry, visit this link on our website: https://dlbc.utah.gov/out-of-state-registries, Submit the fee of $37.25 per application in one of the following forms: Company check, cashiers check, or money order made payable to Department of Human Services. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 5;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Bullet 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Bullet 3; If the individuals are not eligible for clearance as defined in R432-35-8, the Department may revoke a 000000300100005f72656c732f2e72656c73504b01022d00140006000800000021006b799616830000008a0000001c0000000000000000000000000019020000 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. \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) potential risk to patients or residents. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) Clergy; (a) Department of Public Safety arrest, conviction, and disposition records described in Title 53, Chapter 10, Criminal Investigations and Technical Services Act, including information in state, regional, and national re\hich\af5\dbch\af31505\loch\f5 {\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);} Your Authorization for Release of Information form and the fingerprint card must be complete . The FBI is responsible for the storage of fingerprints and related Identity History Summary information for the nation and does not have the authority to modify any Identity History Summary information unless specifically notified to do so by the agency that owns the information. The Utah Bureau of Criminal Identification is responsible for all arrest and conviction data for the State of Utah. Charges will be fairly assessed by the Office of Licensing as described in state law, A licensed program shall not be provided the details of any applicants screenings nor can they disclose screening results except as authorized by Utah or federal law. It depends on what the charges are, how long ago they occurred and other considerations, Charges will be fairly assessed by the Office of Licensing as described in state law, A licensed program shall not disclose screening results except as authorized by Utah or federal law, Please allow two weeks for processing and results of your background screening, If after two weeks you have not received results, you may contact the Office of Licensing for an update by emailing, For all other inquiries please call our main line (801) 538-4242 or call your licensor or screening technician directly, Legibly complete and sign and date an application form (see above) for your appropriate area, Submit paperwork to your Background Screening Agent for identification, verification and submission to the Office of Licensing. 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff000000000000000000000000000000000000000000000000 The way will require some information, such as full name, date of birth, social security number, address, and driver's license number. Once the application, forms and fees have been submitted to UDAF, UDAF will send the applicant a "Live Scan Fingerprint Authorization Form" to continue the process. Salt Lake City, Ut 84116, DLBC Contact Info \par \tab \hich\af5\dbch\af31505\loch\f5 (11) "Engage" means to obtain one's services: \par \tab \hich\af5\dbch\af31505\loch\f5 (10) Individuals or covered individuals requesting to be licensed as a c\hich\af5\dbch\af31505\loch\f5
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