Cover Sheet For DCFS-CPS Background Check Information
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Cover Sheet For DCFS-CPS Background Check Information Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Cover Sheet For DCFS-CPS Background Check Information, CU 03.0520, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re the Custody of:
No.
Child(ren),
Petitioner(s),
and
Respondent(s).
Cover Sheet for DCFS/CPS
Background Check Information
(Nonparental Custody)
(CSBKGD)
Clerk’s Action Required:
Access is 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 Petitioner’s 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 of Petitioner or Lawyer/WSBA No.
_________________________________________
Print or Type Name
__________________________________________
Date
Cover Sheet for DCSF/CPS Background Check (CSBKGD) - Page 1 of 1
WPF CU 03.0520 (6/2006) – RCW 26.10.135(2)(a), RCW 13.50.100, GR 22(c)(3)
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