Out-of-State Abuse and Neglect Checks

Information regarding background checks for all individuals who have lived in other states during any part of the last five years and are seeking a child care license

For all individuals requiring a background check who have lived in other states during any part of the last five years there must be an abuse and neglect registry check completed in each of those states.

Please review the instructions and complete the form required by each state listed below and return it to the Child Care Licensing Unit (unless otherwise indicated). Please call our office with any questions in order to ensure this process is completed as quickly as possible as it could impact your ability to work in a child care program.
 

Submit the completed state request, payment (if applicable), and New Hampshire Household and Personnel Form to:

Child Care Licensing
129 Pleasant Street
Concord, NH 03301

ALL forms should be submitted to CCLU. Results sent to CCLU from the individual will NOT be accepted. Please call with questions to ensure forms are completed properly and results are more timely.

ALL forms have been updated as of 09/2018 and are now fillable forms. Please have individuals type in their information and print the form to ensure timely and accurate results.

NOTE: If an individual has current fingerprint results and your program is submitting an H&P ONLY please ask CCLU or the individual if they have already had out of state checks completed for previous residences. IF they have there is no need to resubmit the out of state forms.

Abuse and Neglect Check Forms by State/Territory

Alabama

Complete Requestor Information and remainder of Alabama Abuse & Neglect Background Check Form and submit.

Alaska

Complete Alaska Abuse & Neglect Background Check Form and submit.

Arizona

Complete Arizona Abuse & Neglect Background Check Form and submit.

Arkansas

Complete the three stage submission process via Arkansas' online portal.

  1. Access the portal at https://humanservices.arkansas.gov/divisions-shared-services/children-family-services/request-a-child-maltreatment-check/
  2. Watch the video provided;
  3. Complete the online submission, including payment. When an email address is required, enter the child care program's email address to ensure that the confirmation and results are returned to the program;
  4. Email a copy of the confirmation email as proof of submission to cclunit@dhhs.nh.gov; then
  5. Upon receipt, email a copy of the results to cclunit@dhhs.nh.gov. DO NOT use this email address during the online submission.

California

Complete, sign and notarize the California Abuse & Neglect Background Check Form and submit to the Child Care Licensing Unit.

Colorado 

Complete the application via Colorado's online portal.

  1. Access Colorado's online portal;
  2. Read the information provided, then click on the blue Get Started button;
  3. Select Individual, then fill in all required fields under Requestor's Details;
  4. Select Employment under Reason for Your Request, and continue to follow prompts to complete the online submission, including payment;
  5. Use the individual's email address when an email address is requested (only the individual being checked can receive their results);
  6. Email a copy of the confirmation as proof of submission to the Child Care Licensing Unit; then
  7. Upon receipt, email a copy of the results to the Child Care Licensing Unit. DO NOT use this email address during the online submission.

Connecticut

Complete Connecticut Abuse & Neglect Background Check Form and submit.

Delaware 

Complete the application on Delaware's online portal.

  1. Access the online portal here.
  2. Complete the "New Individual Registration."
  3. Log in and complete the online submission, including payment. When an email address is required, enter the child care program's email address to ensure that the confirmation and results are returned to the program.
  4. Email a copy of the confirmation email as proof of submission to the Child Care Licensing Unit; then
  5. Upon receipt, email a copy of the results to the Child Care Licensing Unit. DO NOT use this email address during the online submission.

 

Florida

Complete Florida Abuse & Neglect Background Check Form and submit.

Georgia

Complete Georgia Abuse & Neglect Background Check Form and submit. 

Hawaii

Complete Hawaii Abuse & Neglect Background Check Form and submit.

Idaho

  1. Complete, sign, and notarize the Idaho Abuse & Neglect Background Check Form; and
  2. Submit with a check for $20.00 made out to: Idaho Department of Health and Welfare

Illinois

Complete Illinois Abuse & Neglect Background Check Form and submit.

Indiana 

Complete Indiana Abuse & Neglect Background Check Form and submit. 

Iowa

Complete Iowa Abuse & Neglect Background Check Form, sign in Section B and submit.

Kansas

  1. Complete and sign the Kansas Abuse & Neglect Background Check Form; and
  2. Submit with a check for $10.00 made out to: Kansas Department of Children & Families

Kentucky 

Complete the application via Kentucky's online portal.

  1. Access the portal here.
  2. Create a new account;
  3. Sign in and complete the online submission, including payment. When an email address is required, enter the child care program's address to ensure that the confirmation and results are returned to the program;
  4. Email a copy of the Confirmation email as proof of submission to CCLUnit@dhhs.nh.gov; then
  5. Upon receipt, email a copy of the results to CCLUnit@dhhs.nh.gov. DO NOT use this email address during the online submission.

Louisiana 

N/A

Maine

Complete the Maine Abuse & Neglect Background Check Form and submit request via Maine’s online portal:

  1. Access the portal at apps1.web.maine.gov/cgi-bin/online/carbc/user/start;
  2. Review the sections titled ‘Fees’ and ‘What you will need’, clicking on the link located under the third bullet to reveal detailed instructions for completing the submission;
  3. Select a payment option to begin;
  4. Complete the online submission, entering the child care programs email address where an email address is requested to ensure that the confirmation and results are returned to the program;
  5. Submit a copy of the Confirmation page as proof of submission, with packet to CCLU; then,
  6. Email a copy of the results to CCLUnit@dhhs.nh.gov, upon receipt. DO NOT use this email address during the online submission.

DO NOT SUBMIT for individuals UNDER 18 (Maine ONLY)

Maryland

Complete Maryland Abuse & Neglect Background Check Form and submit.

Massachusetts 

Complete, sign, and notarize the Massachusetts Abuse & Neglect Background Check Form and submit. NOT required for individuals UNDER 18.

Michigan 

Complete Section 1 of the Michigan Abuse & Neglect Background Check Form, attach a clear copy of a photo ID, and submit.

Minnesota 

  1. Complete, sign, and notarize the Minnesota Abuse & Neglect Background Check Form; and
  2. Submit with a check for $20.00 made out to: Minnesota Department of Human Services

Mississippi 

Complete the application via Mississippi's online portal.

  1. Access the portal at: https://powerforms.docusign.net/648d8b01-c287-45f5-9d43-31f10f7a915f?accountId=11247f13-741f-4c20-87dd-02923fdb6113&env=na2
  2. As the employer, you must complete the Powerform Signer Information form, then click Begin signing;
  3. An access code will be sent via email to the email address you provided. Copy and paste the code into the box, then press Validate.
  4. Follow instructions until you press Finish/Complete, then inform the staff member that they will receive an email that they must read and respond to within 24 hours or the application will expire and the process must start over;
  5. The staff member will follow the instruction provided, pressing Complete/Finish and submit their application;
  6. Email a copy of the confirmation page as proof of submission to cclunit@dhhs.nh.gov; then
  7. Upon receipt, email a copy of the results to cclunit@dhhs.nh.gov. DO NOT use this email address during the online submission.

Missouri

Complete the application via Missouri’s online portal. 

  1. Access the portal at https://health.mo.gov/safety/fcsr/
  2. Review 'Online Registration Instructions', then return to home screen and click on 'Register Online', following the instructions provided; 
  3. Complete the online submission. If an email address is required, enter the child care programs email address to ensure that the confirmation and results are returned to the program; 
  4. Email a copy of the Confirmation page as proof of submission to CCLUnit@dhhs.nh.gov; then, 
  5. Upon receipt, email a copy of the results to CCLUnit@dhhs.nh.gov. DO NOT use this email address during the online submission. 

Montana

Complete, sign, and notarize the Montana Abuse and Neglect Background Check Form and submit to the Child Care Licensing Unit.

Nebraska 

  1. Complete Nebraska Abuse & Neglect Background Check Form, sign & notarize signature section (If under 19 years of age a legal guardian must sign and have their signature notarized); and
  2. submit with a check for $2.50 made out to: Department of Health and Human Services

Nevada 

Complete Nevada Abuse and Neglect Background Check Form, sign, notarize and submit.  In lieu of having the form notarized, it must be signed and include a copy of a Photo ID.

New Jersey

Complete New Jersey Abuse & Neglect Background Check Form and submit.

New Mexico 

Complete New Mexico Abuse & Neglect Background Check Form and submit.

New York

Complete, sign, and notarize the New York Abuse & Neglect Background Check Form, and submit.

North Carolina

Complete the application via North Carolina's online portal.

  1. Access the portal at https://ncabcms.nc.gov/DCDEE/Applicant/

  2. Review all information provided on the homescreen, paying close attention to the instructions above the yellow REGISTER/FORGOT PASSWORD box. Click on that link, then "Register!" to create a NCID user account.

  3. Complete the online submission, entering the child care program's email address if an email address is requested to ensure that the confirmation and results are returned to the program.

  4. Submit a copy of the confirmation page as proof of submission, with packet to CCLU.

  5. Upon receipt, email a copy of the results to CCLUnit@dhhs.nh.gov. DO NOT use this email address during the online submission.

North Dakota

Complete the North Dakota Abuse & Neglect Background Check Form:

  1. Complete Part 1 in its entirety; and
  2. Sign and date sections a. and b. in Part III, and submit.

Ohio

Complete the application via Ohio's online portal.

  1. Access the online portal;
  2. Create an account or sign in if you have already worked in child care in OHIO;
  3. Find your name - Request a Background Check;
  4. Fill out the online form, and in the area where you can type, enter "OUT OF STATE INQUIRY - NH," send results to CCLUnit@dhhs.nh.gov;
  5. Once complete, email a copy of the confirmation page as proof of submission to CCLUnit@dhhs.nh.gov.

Oklahoma 

No forms required.

Oregon

Complete Oregon Abuse & Neglect Background Check Form and submit.

Pennsylvania 

  1. Complete and sign the Pennsylvania Abuse & Neglect Background Check Form from the "Applicant Demographic" section and below (2 sides);
  2. Complete the Consent/Release of Information Authorization Form (2 sides); and
  3. Submit both forms with a check for $13.00 made out to: Pennsylvania Department of Human Services

Rhode Island

Complete Rhode Island Abuse & Neglect Background Check Form and submit.

South Carolina 

  1. Complete and sign the South Carolina Abuse & Neglect Background Check Form; and
  2. Submit completed form with a check for $8.00 made out to: South Carolina Department of Social Services

South Dakota

Complete South Dakota Abuse & Neglect Background Check Form and submit.

Tennessee

Complete a Tennessee Abuse Registry check via Tennessee’s online portal

  1. Access Tennessee's online portal;
  2. Enter either your Social Security Number or Full Name to search the Registry; 
  3. Screenshot the results, which will include your SSN if you choose to search this way, so it is recommended that you search by Full Name; then 
  4. Save the screenshot, and email it to CCLUnit@dhhs.nh.gov

Texas

Complete sections 3 & 6 of Texas Abuse & Neglect Background Check Form, notarize and submit.

Utah

Complete the Utah Abuse & Neglect Background Check Form, sign and submit with a legible and current copy of one of the following photo identifications:

  1. Valid Driver's License;
  2. State Identification Card; or
  3. Passport.

Vermont

Complete Vermont Abuse & Neglect Background Check Form and submit. 

Virginia

  1. Complete, sign & notarize the Virginia Abuse & Neglect Background Check Form; and
  2. submit with a $10.00 MONEY ORDER ONLY made out to: Virginia Department of Social Services

Washington

  1. Complete and sign the Washington Abuse & Neglect Background Check Form; and
  2. Submit with a check for $20.00 made out to: DSHS Children's Admin

Washington, DC

Complete the Washington, DC Abuse & Neglect Background Check Form, sign, enclose a color copy of a government-issued Photo ID, and submit to the Child Care Licensing Unit.

West Virginia

Complete West Virginia Abuse & Neglect Background Check Form, sign in BLUE ink, and return.

Wisconsin 

Complete Wisconsin Abuse & Neglect Background Check Form, have signature witnessed, and return.

Wyoming 

  1. Access the portal at https://wyodfsportal.force.com/wydfs/s/
     
  2. Answer the two questions located under "SUBMIT A NEW CENTRAL REGISTRY SCREEN," choosing "Individual Requesting a Central Registry Screen," then click the purple "SUBMIT" button.
     
  3. Read all instructions thoroughly to ensure you complete each section as required, complete the "PERSON(S) TO BE SCREENED" section, entering the name of the person being screen and their email address; then complete the "REQUESTOR INFORMATION" based on the information pertinent to the child care program, including the program's email address.
     
  4. Submit the $10.00 required fee for each individual screened, via debit/credit card.
     
  5. Submit a copy of the confirmation page as proof of submission, with the BRC packet to CCLU.
     
  6. Upon receipt, email a copy of the results to CCLUnit@dhhs.nh.govDO NOT use this email address during the online submission.

Puerto Rico 

Complete Puerto Rico Abuse & Neglect Background Check Form and submit.

US Virgin Islands

No abuse and neglect registry.