Please use the attached form and submit your request for an abuse history search via the email address listed at the bottom of the form.
- All information must be legible.
- The form is fillable, please type the information while filling out the form.
- All applicant demographics must be provided on the request form along with the applicants expected position upon employment.
- You must select the employment type.
- The bottom of the form must be filled out by the requesting agency. The requesting agency is either the prospective employer or your state’s child welfare agency.
- The facility’s license must be also attached to the submission email when the prospective employer is signing and submitting the request form.
- When submitting your requests, make sure you submit them one applicant per request form, one request form per attachment, and one request attachment per email or fax.
- We require this information to conduct a thorough search and without it our processing time is slowed down considerably.
- We do accept eSignatures on submitted request forms
- Please allow 5 – 10 business days for processing
Our Helpline phone number is (855) 776-2729. When you call for a status update, please inform the helpdesk that you are from outside of Florida, whether you are the child care provider or applicant seeking employment, and that you requested an abuse registry search for child care employment in your state.
Please contact us with further questions at:
@email (Out of state employment requests for residential/child caring group homes, child care, afterschool, and enrichment programs)
Phone: (855) 776-2729
Fax number: (850) 487-6030
Child Abuse History Record Request for Child Care Personnel Employment
