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Background Check Information
Out-of-State Forms & Instructions

Out-of-State Forms & Instructions

Pursuant to 45 C.F.R. 98.43(e), the Child Care Licensing program with the Kansas Department of Health and Environment (KDHE) is required to conduct out-of-state child abuse and neglect registry and criminal background checks, on individuals who currently reside, work, or volunteer in a child care facility who have indicated that they currently live in, or have lived in, another state within the past five years.

Alabama

Child Abuse/Neglect Registry Checks

Alabama Registry Check Form (PDF)

Criminal Background Checks

Alabama Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry form: must be printed or typed in black or blue ink. Do not fill in any information for "requestor". Mail form to KDHE Child Care Licensing as original signatures are required.
Criminal background form: must be witnessed by two witnesses or notarized. Valid photo identification is required. Disregard the fingerprint requirement.

Alaska

Child Abuse/Neglect Registry Checks

Criminal Background Checks

Alaska Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required

Arizona

Child Abuse/Neglect Registry Checks

Arizona Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form is required.

Common Mistakes Made

Print all PDFs required
Registry form: must be printed or typed

Arkansas

Criminal Background Checks

Arkansas Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry form: must be notarized (notary should mark through the word "Arkansas" in the notary block and insert "Kansas").
Criminal Background Form: must be notarized.

California

No information is available.

Colorado

Child Abuse/Neglect Registry Checks

Colorado Registry Check Form (PDF)

Criminal Background Checks

No criminal background check form is required.

Common Mistakes Made

Print all PDFs Required
Registry Form: Must be typed. Mail form to address below as original signatures are required. Mail to:
KDHE Child Care Licensing
1000 SW Jackson, Suite 200
Topeka, KS 66612
Electronic signatures not accepted and will be returned.

Connecticut

Child Abuse/Neglect Registry Checks

Connecticut Registry Check Form (PDF)

Criminal Background Checks

No criminal background check form is required.

Common Mistakes Made

Print all PDFs Required

Delaware

Child Abuse/Neglect Registry Checks

Delaware Registry Check Form (PDF)

Criminal Background Checks

Delaware Background Check Form (PDF)

Common Mistakes Made

Print all PDFs Required

District of Columbia

Child Abuse/Neglect Registry Checks

District of Columbia Registry Check Form (PDF)

Criminal Background Checks

District of Columbia Background Check Form (PDF)

Common Mistakes Made

Print all PDFs Required
Applicant's signature must be notarized.
Criminal Background Form: must be notarized.

Florida

Child Abuse/Neglect Registry Checks

Florida Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs Required

Georgia

Child Abuse/Neglect Registry Checks

Send Applicant's email address and social security number to KDHE Child Care Licensing via email.

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions

Guam

Child Abuse/Neglect Registry Checks

Send Applicant's full name, date, and social security number to KDHE Child Care Licensing via email.

Criminal Background Checks

Send Applicant's full name, date, and social security number to KDHE Child Care Licensing via email.

Common Mistakes Made

Complete all Instructions

Hawaii

Child Abuse/Neglect Registry Checks

Hawaii Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be printed clearly or typed. The form must be mailed to KDHE Child Care Licensing as original signatures are required.

Idaho

Child Abuse/Neglect Registry Checks

Idaho Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be notarized.

Illinois

Child Abuse/Neglect Registry Checks

Illinois Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required

Indiana

Child Abuse/Neglect Registry Checks

See Special Instructions

Criminal Background Checks

Indiana Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry Form: Send Applicant's full name, date of birth, social security number, telephone number, and email address to Child Care Licensing. Legal Services will begin the Registry Check process directly with the State of Indiana. Applicants will then receive an email asking for them to complete the information and return to Indiana. After Applicant has completed the request from Indiana, Indiana will contact Legal for completion of the Registry Check.
Criminal Background Form: must be typed or printed. Do not sign the bottom of page two under "Signature of Requester".

Iowa

Child Abuse/Neglect Registry Checks

Iowa Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required

Kentucky

Child Abuse/Neglect Registry Checks

Kentucky Registry Check Form (PDF)

Criminal Background Checks

Kentucky Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry Form: applicant's signature must be witnessed.
Criminal Background Form: applicant's signature must be witnessed.

Louisiana

Child Abuse/Neglect Registry Checks

Registry Check Form not necessary

Criminal Background Checks

Louisiana Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required

Maine

Child Abuse/Neglect Registry Checks

Send Applicant's full name, date of birth, and social security number to KDHE Child Care Licensing via email.

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions

Maryland

Child Abuse/Neglect Registry Checks

Maryland Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: please complete form online and then print. Form must be notarized.

Massachusetts

Child Abuse/Neglect Registry Checks

Massachusetts Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be notarized.

Michigan

Child Abuse/Neglect Registry Checks

Michigan Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: copy of photo ID must be included.

Minnesota

Child Abuse/Neglect Registry Checks

Minnesota Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: signature must be witnessed.

Mississippi

Child Abuse/Neglect Registry Checks

Mississippi Registry Check Form (PDF)

Criminal Background Checks

Mississippi Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry Form: must be printed or typed in black or blue ink. Signature must be witnessed.

Missouri

Child Abuse/Neglect Registry Checks

Missouri Registry Check Form (PDF)

Missouri Worker Registration Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Both the Registry Form and Worker Registration Form are required.
Registry Form: employer signature must be in ink.
Registration Form: applicant must sign and date. A copy of applicant's social security card must be mailed with form.
Results will be sent to applicant and employer. Results MUST be returned to KDHE Child Care Licensing to be processed.
Mail to KDHE Child Care Licensing

Montana

Child Abuse/Neglect Registry Checks

Montana Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be notarized.

Nebraska

Child Abuse/Neglect Registry Checks

Nebraska Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions.
Registry Form: must be notarized.

Nevada

Child Abuse/Neglect Registry Checks

Nevada Registry Check Form (PDF)

Criminal Background Checks

Nevada Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required.
Registry Form: applicant must include a copy of photo identification.
Criminal Background Form: disregard reference to fingerprint cards.

New Hampshire

Child Abuse/Neglect Registry Checks

New Hampshire Registry Check Form (PDF)

Criminal Background Checks

New Hampshire Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required.
Registry Form: must be notarized.
Criminal Background Form: must be notarized.

New Jersey

Child Abuse/Neglect Registry Checks

Send applicant's name, date of birth, and social security number to KDHE Child Care Licensing via email.

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions.

New Mexico

Child Abuse/Neglect Registry Checks

New Mexico Registry Check Form (PDF)

Criminal Background Checks

New Mexico Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required.
Criminal Background Form: must be notarized.

New York

Child Abuse/Neglect Registry Checks

New York Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required.
Registry Form: must be notarized.

North Carolina

Child Abuse/Neglect Registry Checks

North Carolina York Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required.

North Dakota

Child Abuse/Neglect Registry Checks

North Dakota Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required.

Ohio

Child Abuse/Neglect Registry Checks

Ohio Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required

Oklahoma

Child Abuse/Neglect Registry Checks

Send applicant's name, (including aliases), date of birth and social security number and physical address to KDHE Child Care Licensing via email.

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions.

Oregon

Child Abuse/Neglect Registry Checks

Oregon Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: do not sign at the bottom of page 1.

Pennsylvania

Child Abuse/Neglect Registry Checks

Pennsylvania Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required

Puerto Rico

Child Abuse/Neglect Registry Checks

Puerto Rico Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required

Rhode Island

Child Abuse/Neglect Registry Checks

Rhode Island Registry Check Form (PDF)

Criminal Background Checks

Rhode Island Criminal Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Criminal Background Form: must be notarized.

South Carolina

Child Abuse/Neglect Registry Checks

South Carolina Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be witnessed or notarized.

South Dakota

Child Abuse/Neglect Registry Checks

South Dakota Registry Check Form (PDF)

Criminal Background Checks

South Dakota Criminal Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Criminal Background Form: must be witnessed by two individuals.

Tennesse

Child Abuse/Neglect Registry Checks

Send applicant's name, (including maiden name and aliases), date of birth, social security number, telephone number, and physical address to KDHE Child Care Licensing via email.

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Complete all Instructions

Texas

Child Abuse/Neglect Registry Checks

Texas Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be typewritten or printed clearly. Form also must be notarized. All four pages need to be returned to KDHE Child Care Licensing.

Utah

Child Abuse/Neglect Registry Checks

Utah Registry Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Registry FOrm: must include and legible and current copy of a valid driver license, state identification card, or passport.
Criminal Background Form: disregard reference to fingerprint cards.

Vermont

Child Abuse/Neglect Registry Checks

Vermont Registry Check Form (PDF)

Criminal Background Checks

No Criminal Background Check Form required.

Common Mistakes Made

Print all PDFs required
Registry Form: must be notarized.

Virgin Islands

Child Abuse/Neglect Registry Checks

Send Applicant's full name, date of birth and social security number to KDHE Child Licensing via email.

Criminal Background Checks

Virgin Islands Criminal Background Check Form (PDF)

Common Mistakes Made

Print all PDFs required
Criminal Background Form: must be notarized.

Virginia

Child Abuse/Neglect Registry Checks

Virginia Registry Check Form (PDF)

Criminal Background Checks

A new form must be generated for each individual to create a unique barcode.

View Criminal Background Checks website.

Common Mistakes Made

Print all PDFs required
Registry Form: must be typed printed clearly in black ink. Virginia will not accept forms with strike out, white-out or correction tape. Form must be notarized.
Criminal Background Form: Once you click on the link, on the left-hand side of the screen, click on Forms and Publications. Next, look for Criminal History/Background and click on the link the arrow is pointing to: "Click here to create your SP-167 request to be printed for mailing to the Virginia State Police." Where you see "form" in the drop box, choose SP-167. Type in your information, click on confirm, then click on generate. You will need to print the form, have your signature notarized, and return the form to KDHE Child Care Licensing.