№ files_lp_4_process_2_61683
Form for obtaining written consent from care providers to allow DDS or employers to search the DPPC Abuser Registry and confirm whether the individual is listed.
Year: 2026
Jurisdiction: Massachusetts, USA
Topic: Employment background check for care providers
Document Type: Consent form
Issuing Authority: Department of Developmental Services (DDS)
Intended Audience: Prospective or current care providers
Legal Basis: M.G.L. c. 19C, §15
Required Action: Consent to DPPC Abuser Registry search
Information Collected: Name, date of birth, last four digits of Social Security number
Verification: DDS or employer must verify identity
Signature Requirement: Care provider and employer
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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