Nothing Special   »   [go: up one dir, main page]

Child Abuse Check

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

00396945970010101

PENNSYLVANIA CHILD ABUSE


HISTORY CERTIFICATION

MARIAH IRIZARRY CERTIFICATION ID: DU6T5SBJS1


162 VANLOON ST CERTIFICATION PURPOSE: EMPLOYMENT
PLYMOUTH, PA 18651
VERIFICATION DATE: 4/21/2021
SOCIAL SECURITY #: XXX-XX-9737
DATE OF BIRTH: 1/14/1999

The above named person has applied for a Pennsylvania Child Abuse History Certification
pursuant to 23 Pa. C.S., Chapter 63 related to the Child Protective Services Law. NO
RECORDS EXIST in the Pennsylvania Department of Human Services' Statewide database
listing MARIAH IRIZARRY as a perpetrator of an Indicated or Founded report of child
abuse.

Applicants are required to show the Administrator the results of their


Child Abuse History Certification. Administrators are required to keep a
copy of this Child Abuse History Certification on file. Any person altering
the contents of this document may be subject to civil, criminal or
administrative action.

ISSUED BY Commonwealth of Pennsylvania


Department of Human Services
CHILDLINE AND ABUSE REGISTRY
ChildLine Verification Unit
P.O. Box 8170
Harrisburg, PA 17105-8170
1-877-371-5422

04639O CY893O - 6/00

You might also like