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Cover Sheet For DCFS-CPS Background Check Information CU 03.0520 - Washington

Cover Sheet For DCFS-CPS Background Check Information Form. This is a Washington form and can be used in Nonparental Custody Domestic Relations Statewide .
 Fillable pdf Last Modified 9/14/2010
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SUPERIOR COURT OF WASHINGTON COUNTY OF In re the Custody of: NO. Child(ren), COVER SHEET FOR DCFS/CPS BACKGROUND CHECK INFORMATION Petitioner(s), (NONPARENTAL CUSTODY) and (****) Clerks Action Required: ACCESS IS Respondent(s). RESTRICTED PER RCW 13.50.100 and GR 22(c)(3). Attached is CPS Background Check Information regarding ___________________________, [Name] who is [ ] the Petitioner [ ] an adult member of Petitioners household. Pursuant to RCW 13.50.100 and GR 22(c)(3), this information shall be kept confidential and access shall be limited to the subject of the information, the parties, the parties attorneys, and the guardian ad litem. _________________________________________ Signature _________________________________________ Print or type name __________________________________________ Date COVER SHEET FOR DCSF/CPS BACKGROUND CHECK (***) - Page 1 of 1 WPF CU 03.0520 (6/2004) RCW 26.10.135(2)(a), RCW 13.50.100, GR 22(c)(3)
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