№ lp_2_3_04755
Administrative determination form used by a department or its designee to assess character, competence, and suitability of an individual for unsupervised access to minors or vulnerable adults based on background check information and related risk factors.
Issuing Body: Department or its designee
Related Agencies: HCS; AAA; ODHH; DDCS; WCF
Document Type: Administrative review form
Purpose: Determination of eligibility for unsupervised access to minors and vulnerable adults
Applicable To: Individuals with non-disqualifying convictions, pending charges, or negative actions
Required Sections: Demographic Information; Information for Review; Factors for Consideration; Results of Determination
Decision Outcomes: Approval for unsupervised access; Denial of unsupervised access; Not suitable to work with specified client
Client Specificity: Client-specific for HCS, AAA, and WCF
Review Types: New Review; Renewal
Signature Requirement: Reviewer signature required
Supporting Documentation: Background check result letter; WSP RAP sheet; FBI RAP sheet; self-disclosure records
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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