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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 Licensing1000 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.
Washington
Child Abuse/Neglect Registry Checks
Washington 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.
West Virginia
Child Abuse/Neglect Registry Checks
Washington 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.
Wisconsin
Child Abuse/Neglect Registry Checks
Wisconsin Registry Check Form (PDF)
Criminal Background Checks
No Criminal Background Check Form required.
Common Mistakes Made
- Print all PDFs required
- Registry Form: hand-written signatures are required. Signatures must be witnessed.
Wyoming
Child Abuse/Neglect Registry Checks
Wyoming Registry Check Form (PDF)
Criminal Background Checks
No Criminal Background Check Form required.
Common Mistakes Made
- Print all PDFs required
- Registry Form: must be completed in ink.