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Under Act 168 the wilful failure to respond to or provide the information and records as requested may result in civil penalties and/or professional discipline where applicable. L. 6 No. 3 known as the Right to Know Law. The Department of Education shall have jurisdiction to determine wilful violations of Act 168 and may following a hearing assess a civil penalty not to exceed 10 000. The individual whose name appears below has reported previous employment with your entity. We request you...
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How to fill out act 168 form

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First, gather all necessary information and documents required to fill out the ACT 168 form. This includes personal details such as your full name, contact information, and social security number.
02
Begin filling out the form by providing information about your current employment status and any previous employment history. Include the names of the companies you have worked for, the dates of your employment, and your job titles.
03
Fill in the sections related to any criminal history or disciplinary actions that may be relevant. Provide accurate and complete information about any convictions or pending charges, as well as any actions taken by previous employers due to misconduct or policy violations.
04
If applicable, provide information about any child abuse or child protective services investigations that you have been involved in. This includes any previous reports made against you and the results of those investigations.
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Complete the designated sections asking for information about any child abuse training or certifications you have completed. Include the dates of these trainings and any relevant details.
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Carefully review the completed form to ensure all information is accurate and properly filled out. Make any necessary corrections or additions before submitting it.

Who needs act 168 form?

01
Individuals who are seeking employment in positions that involve direct contact with children, such as teachers, school employees, coaches, or volunteers.
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Employers who are legally required to conduct background checks on potential employees under Pennsylvania law.
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Any person who has been offered employment in a position that involves direct contact with children and is required to provide an ACT 168 form as part of the employment process.

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The deadline for filing Act 168 forms in 2023 has not yet been determined. However, the Pennsylvania Department of Education typically requires school districts to submit the forms by June 30 of the school year.
The penalty for the late filing of an Act 168 form is a fine of up to $500.
Act 168, also known as the Pennsylvania Child Protective Services Law (CPSL), requires specific background checks and clearances for individuals who have direct contact with children in Pennsylvania's schools. The Act 168 form is one of the components of the background check process. It is a disclosure form used by schools to collect information from job applicants regarding any founded or indicated child abuse or neglect report against them, substantiated or not, as well as any criminal convictions relevant to the safety of children. The information provided on this form helps the school in evaluating the applicant's suitability for working with children.
The Act 168 form is required to be filed by all public and nonpublic schools, charter schools, intermediate units, and area vocational-technical schools in the state of Pennsylvania.
To fill out an Act 168 form, follow these steps: 1. Obtain a copy of the Act 168 form from your employer or the Pennsylvania Department of Education. 2. Read the form carefully, ensuring that you understand the information being requested and the purpose of the form. 3. Provide your personal information in the designated fields, such as your full name, address, phone number, and email address. 4. Complete the employment history section by listing all your previous employers or educational organizations, starting with the most recent. Include the name, address, phone number, and dates of employment for each organization. 5. Sign and date the form, confirming that the information provided is accurate and complete. If there is a separate section for a witness to also sign, ensure that it is completed. 6. If required, attach any additional documents or certifications requested on the form, such as clearances or background checks. 7. Make a copy of the completed form for your records before submitting it to your employer or the appropriate authorities. Remember to check with your employer or the Pennsylvania Department of Education for any specific guidelines or additional requirements related to the Act 168 form.
The purpose of Act 168 form varies depending on the specific context, but it generally refers to a Pennsylvania law known as Act 168 of 2014. This law requires school entities, including public schools and charter schools, to conduct thorough employment history reviews for potential employees who will have direct contact with children. The Act 168 form is a tool used to gather information about an applicant's previous employment history, including any allegations of child abuse or other inappropriate behavior. The purpose of this form is to ensure the safety and protection of children by requiring schools to obtain information about any potential red flags in an applicant's employment history before making a hiring decision. It provides an additional layer of screening to help prevent individuals with a history of child abuse or misconduct from gaining employment in positions that involve working with children.
The ACT 168 form, also known as the Sexual Misconduct and Abuse Disclosure Release, is a disclosure document required by Pennsylvania law for certain individuals seeking employment or volunteering in schools or institutions that provide care to children. The form must include the following information: 1. The name, address, date of birth, and social security number of the individual disclosing the information. 2. The name and address of the school or institution where the individual is seeking employment or volunteering. 3. A detailed description of any founded or indicated child abuse or sexual misconduct by the individual. 4. Any criminal charges or convictions related to child abuse or sexual misconduct. 5. Information about any disciplinary actions taken against the individual's professional or occupational license. 6. Any restrictions, limitations, or conditions imposed on the individual's employment or voluntary service due to child abuse or sexual misconduct. 7. Any previous employment or voluntary service in positions involving direct contact with children in other schools or institutions and any information related to child abuse or sexual misconduct during that employment. It's essential to note that the specific details required on the ACT 168 form may vary slightly depending on the school district or institution's policy and the position being applied for. Therefore, it is advisable to consult the relevant school or institution for any additional requirements or modifications to the form.
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