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ochildline and abuse registry  box 8170 harrisburg, pa 17105-8170

371. Child Protective Services History Requests are provided to the following:A successful appeal before the Pennsylvania Department of Human Services’ Office of Children, Youth and Families clears someones’s name from the ChildLine and registry database of suspected. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. The Taskforce had theClearance results will be mailed within 14 days from the date that the clearance is received. CHIP. purpose of certification (check one box only)ChildLine is Pennsylvania's child abuse hotline and registry operated by the Department of Public Welfare and operates twenty-four hours, seven days a week. o. The s ChildLine supervisor will assist on how to apply for the NSOR verification, in the absence of a social security number. It includes anyone who has been accused of abuse. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. 1 of Form CY-113, enclose an $13 money order and mail the form to Childline and Abuse Registry, Department of Public Welfare, PO Box 8170, Harrisburg PA 17105-8170. People are initially placed in the database. Our service provides a means for individuals to apply for PA Child Abuse History Clearance online and for mandated reporters to report child abuse in Pennsylvania. A signed consent is also required for each registry portal request. Then click Begin editing. Oral reports require a written report within 48 hours to the department or county agency assigned to the case. O. send to childline and abuse registry, pa department of human services, p. They suffered these consequences before they ever had a chance to present their case before a judge, and some never got that chance at all. To make a report, you should contact child protection at the office that covers the local government area (LGA) where the child normally resides. Contact Us If you aren't reporting a new case of child abuse, please use the information below to reach us. P. o. As a result, they are barred from working in certain jobs,taking in foster children, and from from volunteering at their children’s schools. S. send to childline and abuse registry, pa department of human services, p. send to childline and abuse registry, pa department of human services, p. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. o. (a) ChildLine shall immediately transmit reports of suspected child abuse verbally to the county agency of the county where the suspected abuse occurred. WITHIN 48 HOURS SUBMIT A WRITTEN REPORT: to the Pennsylvania Department of Human Services a CY-47 form and mailing it to the Department headquarters or, if known, the Pennsylvania county children and youth. If they miss that window, they may be on the list for life. Scan the completed application and email to: [email protected]. BOX 8170 HARRISBURG, PA 17105-8170 Questions: Call 717-783-6211 or Toll free- 877-371-5422 You do have the option of Driving directly to the Child Abuse Background check site. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. The constitutionality of Pennsylvania’s current process under the CPSL, which allows the name of a certificated teacher to be placed on the ChildLine Registry as a perpetrator in an indicated report without a pre-deprivation hearing, is a matter of first impression. ChildLine and Abuse Registry Pennsylvania Department of Human Services PO Box 8170 Harrisburg, PA 17105-8170 The instructions for how to complete the Pennsylvania Child. purpose of certification (check one box only)1 The ChildLine and Abuse Registry is a statewide system for receiving reports of suspected child abuse, referring reports for investigation, and maintaining those reports. BOX 8170 HARRISBURG, PA 17105-8170. REPORTING CHILD ABUSE ChiidLine and Abuse Registry ChildLine is the 24-hour toll-free telephone line, 1-800-932-0313, (1-800-932-0316 for the hearin. CHILDLINE AND ABUSE REGISTRY Office of Children, Youth & Families 5 Magnolia Drive Hillcrest, 2nd Floor • P. For questions about FBI clearances, contact the ChildLine Verification Unit at 717-783-6211 or 1-877-371-5422. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. Child Welfare Portal. ChildLine and Abuse Registry Report child abuse online OR call 800-932-0313. O. PO Box 8170 Harrisburg, PA 17105-8170. o. Act 151 - Child Abuse Report (Fee: $13). purpose of certification (check one box only)Pennsylvania Child Abuse History Clearance (ACT 151) Negative TB Test. box 8170 harrisburg, pa 17105-8170. Definition. section iOral Report – ChildLine. Between 2015 and 2021, Black people, who make up 12% of the state’s general population, represented an average of 22% of child abuse investigations and an average of 23% of substantiated cases. send to childline and abuse registry, pa department of human services, p. If a child or youth is in immediate danger, call police (call 9-1-1 or your local police) to intervene and then call a child. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. purpose of certification (check one box only)Statewide Resources. L. Mike Doyle‘s climate town hall. box 8170 harrisburg, pa 17105-8170. When you apply online you need to upload any supporting documents in PDF, JPG or PNG format. • Failure to comply with the instructions will cause considerable delay in processing the results of an applicant's child abuse history certification application. P. Individuals who come into contact with children in the course of practicing their. 7. box 8170 . CY113: Child Abuse Clearance (English) CY113: Child Abuse Clearance (Spanish). applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. That case follows adjustments in 2022 to New York’s Statewide Central Register of Child Abuse and Maltreatment. The term "central registry" is used by many states to refer to a. After ChildLine has processed the report, they pass it on to the relevant Child, Youth, and Family (CYF) services agency within no more than 24 hours. send to childline and abuse registry, pa department of human services, p. ChildLine reporting to the county agency. Please request that the applicant apply again to obtain a current certification. Apply online. Instead of tapping his shoulder, she hit his head and caused a laceration to his scalp. Box 8170 Harrisburg, PA 17105-8170 The $13. The $10. click link below to download Child Abuse History form. implementation of an Abuse/Neglect Registry in Pennsylvania. As a result, they are barred from working in certain jobs,taking in foster children, and from from volunteering at their children’s schools. CHILDLINE AND ABUSE REGISTRY P. York, PA 17403-2032. send to childline and abuse registry, pa department of human services, p. send to childline and abuse registry, pa department of human services, p. o. W. CHILDLINE AND ABUSE REGISTRY P. Pennsylvania Department of Human Services. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. The instructions for completing the Pennsylvania Child Abuse History Clearance application are now included on the last page of the application and can be printed for easy reference when completing the application. This notice should come from the ChildLine and Abuse Registry with a form for appeal attached to the notification. ChildLine is responsible for receiving verbal and electronic referrals 24 hours a day, seven days a week. NSOR Verification Application — English; NSOR Verification Application — Spanish Suspect Child Abuse? Call Childline: 1-800-932-0313. J. If someone calls ChildLine and reports you for child abuse, your name automatically goes into the registry, even if the allegations are untrue. send to childline and abuse registry, pa department of human services, p. About DHS. On June 12, 2000, the Department of Public Welfare (now the Department of Human Services) 3 sent a letter to Petitioner, informing. The petition for review was filed on Aug. Contacts: Stephanie Ross: 307-777-5894 or sross@wyo. O. box 8170 harrisburg, pa 17105-8170. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. A new clearance result will be mailed within one week of receiving the original clearance at the ChildLine and Abuse Registry Office. send to childline and abuse registry, pa department of human services, p. PHILADELPHIA, AUGUST. send to childline and abuse registry, pa department of human services, p. gov with "NSOR Verification Applicant_ (Your Last Name)" in. While Black Pennsylvanians make up 12% of the population, they make. returned unprocessed. box 8170 harrisburg, pa 17105-8170. 1 The ChildLine and Abuse Registry is an organizational unit of the Department thatsend to childline and abuse registry, department of public welfare, p. Our mission is to support the provision of quality services and best practices designed to ensure the safety, permanency, and well-being of Pennsylvania's children, youth, and families. CONSENT/RELEASE OF INFORMATION AUTHORIZATION FORM FOR THE PENNSYLVANIA CHILD ABUSE HISTORY CERTIFICATION. send to childline and abuse registry, pa department of human services, p. harrisburg, pa 17105-8170. As we look toward economic recovery from the COVID-19 pandemic, it is more urgent than ever to reform the child abuse registry system in Pennsylvania to ensure that low-wage workers are not unnecessarily excluded from desperately needed employment. 800. PO Box 8170 Harrisburg, PA 17105-8170. Please enable javascript before you are allowed to see this page. send to childline and abuse registry, department of public welfare, p. O. You have more than 8 alleged perpetrators and/or the child has a list of extensive injuries. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. box 8170 harrisburg, pa 17105-8170. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. This database contains the names of individuals who have been accused of child abuse. Fax. A report of suspected child abuse may be either “indicated,” “founded,” or “unfounded. applications that are incomplete, illegible or received without fee will be . ) La divulgación de su número de Seguro Social. §§ 6337, 6338. Pennsylvania Department of Human Services. box 8170 harrisburg, pa 17105-8170. To report a concern, call 1-800-932-0313. Please read our new report to learn more about this harmful system and. An oral report of suspected child abuse may be submitted by calling ChildLine at 1-800-932-0313. National Sex Offende r Registry. If you are a mandated reporter, you MUST call ChildLine to report suspected abuse. Tom Wolf has no public events scheduled. Harrisburg, PA 17105-8170 . S. o. purpose of certification (check one box only)The widespread use of the ChildLine abuse registry as a screening tool for many human services jobs means some prospective employers offering higher wages can’t hire her, including a behavioral. The instructions for how to complete the Pennsylvania Child Abuse History Clearance application are now included on the last page of the application and can be printed for easy reference when completing the application. harrisburg, pa 17105-8170. g impaired), established by the CPSL to receive reports of suspected child abuse and to relay the information to the appropriate CPS or regional office for investigation. S. ChildLine to release my Pennsylvania Child Abuse History Clearance information directly to ( ). CONSENT/RELEASE OF INFORMATION AUTHORIZATION FORM FOR THE PENNSYLVANIA CHILD ABUSE HISTORY CERTIFICATION , hereby authorize the PA Department of Human Sevices, ChildLine to . Child Welfare Information Gateway, a service of the Children's Bureau, provides information about the laws governing the central registry in each state in the following summaries of state statutes: Disclosure of Confidential Child Abuse and Neglect Records summarizes state laws regarding the protection of confidential child abuse and neglect. An oral report of suspected child abuse may be submitted by calling ChildLine at 1-800-932-0313. Contact Us If you aren't reporting a new case of child abuse, please use the information below to reach us. Box 8170, Harrisburg, PA 17105-8170. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. purpose of certification (check one box only)send to childline and abuse registry, pa department of human services, p. o. ’s ChildLine abuse registry violates the state constitution, a new lawsuit alleges. o. o. O. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. date received by childline. A ChildLine investigation is what occurs after the ChildLine Abuse Registry gets notice of suspected abuse or neglect. send to childline and abuse registry, pa department of human services, p. I, ( _____ ), hereby authorize the PA Department of Human Sevices, ChildLine to . o. ”. 3. ChildLine is responsible for receiving verbal and electronic referrals 24 hours a day, seven days a week. o. All substantiated cases are recommended for. Our service provides a means for individuals to apply for PA Child Abuse History Clearance online and for mandated reporters to report child abuse in Pennsylvania. o. Learn more about abuse and reporting at Keep Kids Safe. Department of Health and Human Services: Child Welfare Information Gateway. L. Box 8170, Harrisburg, PA 17105-8170. 23 Pa. box 8170 harrisburg, pa 17105-8170. date received by childline. box 8170 harrisburg, pa 17105-8170. after the case closed. childline use only date received by childline social security numberThese are stories of some parents who landed on Pennsylvania’s ChildLine and Abuse Registry, and they are included in a new study that looks at how the state’s child abuse reporting system. The hotline is available 24 hours a day, 7 days a week. Edit childline and abuse registry. purpose of certification (check one box only)send to childline and abuse registry, pa department of human services, p. 5” X 11” paper that when copied will reveal “Void if Copied. 1-800-962-2873. The Child Abuse Register keeps a record of the names of people that the Nova Scotia provincial court or family court has found to have caused harm to a child. Box 2675 Harrisburg, PA 17105-2675 Administrative Office (717) 783-8744 or (717) 783-1964 Child Abuse Hotline. you should complete and mail the “Pennsylvania Child Abuse History Certification” form to the Childline and Abuse Registry at the address listed on the form and make sure you choose Volunteer as the. o. CHILDLINE AND ABUSE REGISTRY Office of Children, Youth & Families 5 Magnolia Drive Hillcrest, 2nd Floor • P. g impaired), established by the CPSL to receive reports of suspected child abuse and to relay the information to the appropriate CPS or regional office for investigation. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. members facing substance abuse and mental health issues. IF YOU HAVE QUESTIONS CALL 717-783-6211, OR (TOLL FREE) 1-877-371-5422. Once completed, use one of the following options to submit the application for processing: Mail to the Clearance Verification Unit, ChildLine at the following address: Department of Human Services, PO Box 8170, Harrisburg, PA 17105-8170; Scan and email the application to: RA-PWNSOR@pa. box 8170 harrisburg, pa 17105-8170. o. 55 Pa. A paper copy of the clearance application may be found HERE: ChildLine and Abuse Registry Department of Human Services P. If the child is in immediate danger, call 911 as well as 1-877 NJ ABUSE (1-877-652-2873). If you are concerned about a child, please call ChildLine right away," Secretary Miller said. o. 4 (definition of “ChildLine”). o. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. Call our firm at 215-348-1776 to request a free consultation during which we can discuss your case and what can be done to protect you throughout the. (1) Under 23 Pa. PART 1: GENERAL PROVISIONS RULE 1 Deinitions 4 RULE 2 Title and Citation of Rules 5 RULE 3 Jurisdiction & Conidentiality 5 RULE 4 Scope and Interpretation 5 RULE 5 Special Accommodations 5 PART 2: ATTORNEYS RULE 6 Representation by an Attorney 6. You have more than 8 alleged perpetrators and/or the child has a list of extensive injuries. JOB CODE: 40010. send to childline and abuse registry, pa department of human services, p. You must submit the request within 90 days of receiving the notice. purpose of certification (check one box only)Contact the Lento Law Firm at 888. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. They receive reports of suspected child abuse and provide information, counseling, and referral services. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. Op. Box 8170 Harrisburg, PA 17105-8170 1-877-371-5422. 28 South Queen St. org For 24/7 information or support for you or someone you know Women in Transition. purpose of certification (check one box only)Thousands of people in Pennsylvania are placed on that registry each year for allegations of child abuse after what advocates say are only cursory investigations and — unless they appeal within a 90-day window — with no hearing. BOX 8170 HARRISBURG, PENNSYLVANIA 17105-8170. "We all share the responsibility of protecting children in our communities from abuse and neglect. 1-800-962-2873. Code § 3490. You have more than 8 alleged perpetrators and/or the child has a list of extensive injuries. With regards to the FBI. Hotlines and other resources that will assist and support you with getting help or reporting it, if you know or suspect of abuse, neglect, abandonment, or exploitation of a child or vulnerable adult. ) There are times when employees may be foreign nationals that have FBI record. O. C. § 6341 (a)(1) (2014). BOX 8170 HARRISBURG, PA 17105-8170. Facts and Procedural History: Lancaster County Children and Youth Social Services Agency (CYS) appealed a DHS, BHA order that granted Mother’s appeal to expunge an indicated report of child abuse naming Mother as the perpetrator. ChildLine is part of a mandated statewide child protective services program designed to accept child abuse referrals and general child well-being concerns, and transmit the. W. Our service provides a means for individuals to apply for PA Child Abuse History Clearance online and for mandated reporters to report child abuse in Pennsylvania. purpose of certification (check one box only)In Washington state, Shrounda Selivanoff was added to the child abuse registry for neglect in 2007, at a time when she was suffering from addiction to alcohol and narcotics. Source PhillyDailyNews. Department of Human Services . Applicants who do not possess a social security number must contact a ChildLine upervisor. This federal legislation requires additional criminal and child abuse registry record checks on certain individuals. 1-800-962-2873. DO NOT send cash or personal check. ChildLine and Abuse Registry Pennsylvania Department of Human Services PO Box 8170 Harrisburg, PA 17105-8170. On June 2, 2000, the Philadelphia Department of Human Services (Philadelphia DHS) submitted a report of student abuse to the ChildLine and Abuse Registry, naming Petitioner as the perpetrator. Code, Chapter 275 (and 6 Pa. o. section iObtaining information from this system is governed by O. Child Welfare Portal. box 8170 harrisburg, pa 17105-8170. applications that are incomplete, illegible or received without fee will be . O. The federal legislation was signed into law on July 27, 2006 and was effective October 1, 2006. Frequently, the reporter is a state-mandated reporter, such as a teacher, physician or medical professional, or social worker. 1. ChildLine is maintained in accordance with the Child Protective Services Law, 23 Pa. Suspected child abuse—mandated reporting requirements. o. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. box 8170 harrisburg, pa 17105-8170. box 8170 harrisburg, pa 17105-8170. Pennsylvania was permitted delayed implementation as state statutory amendments were necessary to comply with thePennsylvania Child Abuse History Clearance – Act 151 ($13. O. Governor Josh Shapiro; Directory;49 Pa. About DHS. According to an article from MSN, the Registry only requires that there has been enough credible evidence of abuse or neglect to trigger an investigation. ’s request to have her name removed from the. Box 8170, Harrisburg, PA 17105-8170. box 8170 . purpose of certification (check one box only)Javascript is required. Department of Public Welfare . ChildLine and Abuse Registry Pennsylvania Department of Human Services. In 2018, 435,000 children in Pennsylvania. BOX 8170 HARRISBURG, PA 17105-8170 Questions: Call 717-783-6211 or Toll free- 877-371-5422 You do have the option of Driving directly to the Child Abuse Background check site. Once the application is received in the ChildLine and Abuse Registry’s Verification Unit, the results of the Pennsylvania Child Abuse History Clearance will be mailed to the applicant’s address that was noted on the application within 14 days from the date that the application is received in the ChildLine Verification Unit. send to childline and abuse registry, pa department of human services, p. A report by Penn and Temple law schools says that the state's ChildLine and Abuse Registry does not actually protect children and should be abolished. Users of the Child Welfare Portal can apply for a Pennsylvania child abuse history clearance or submit child abuse referrals. o. box 8170 harrisburg, pa 17105-8170 applications that are incomplete, illegible or received without fee will be returned unprocessed. Box 8170, Harrisburg, PA 17105-8170. Mental Health. purpose of certification (check one box only)send to childline and abuse registry, pa department of human services, p. REPORTING CHILD ABUSE ChiidLine and Abuse Registry ChildLine is the 24-hour toll-free telephone line, 1-800-932-0313, (1-800-932-0316 for the hearin. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. The building is inAct 151 - PA Child Abuse History Clearance Procedure for KCASD Employees. . box 8170 harrisburg, pa 17105-8170. purpose of certification (check one box only)send to childline and abuse registry, pa department of human services, p. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. foster parent prospective adoptive parentCHILDLINE AND ABUSE REGISTRY P. childline use only. o. Toll Free. “Mandated Reporters: Professionals Who Work With Children” brochure Child abuse history clearances ChildLine 1-877-371-5422 Pennsylvania State Police 1-888-783-7972 FBI 1-877-371-5422 KeepKidsSafe. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. CWIS Worker Portal Access (for County Children and Youth Services Agency Workers); CWIS Citizen Account (for Creating Accounts to Submit Referrals or Child Abuse History Clearance Requests); CWIS Business Partner (for Organizations Needing to Generate Payment Codes); CWIS County Children & Youth. REPORTING CHILD ABUSE ChiidLine and Abuse Registry ChildLine is the 24-hour toll-free telephone line, 1-800-932-0313, (1-800-932-0316 for the hearin. eing permanently listed in the child abuse database has immediate and lifelong consequences: Any time people apply for a caregiving job or volunteer role that involves children, their names will be flagged during a background check. Applicant’s Name Once completed, use one of the following options to submit the application for processing: Mail to the Clearance Verification Unit, ChildLine at the following address: Department of Human Services, PO Box 8170, Harrisburg, PA 17105-8170; Scan and email the application to: [email protected] maintains a central registry that identifies individuals accused of and found to have committed child abuse or neglect. Childline and Abuse Registry. If you do not provide your Social Security number additional levels of identity verification may be required by ChildLine staff, reducing the. Text for help with any type of crisis and get 24/7 emotional support and information. People who lose, or never appeal, are listed for life on the state’s ChildLine and Abuse Registry, which is searched during background checks for certain types of jobs and volunteer work. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. APPLICATIONS THAT ARE. Previously, those who were accused stayed on that registry for up to 28 years; now. IMMEDIATELY CALL: Pennsylvania's ChildLine at 800-932-0313; and b. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. harrisburg, pa 17105-8170. ChildLine and Abuse Registry, which will then process the information with the appropriate state(s). I, ( _____ ), hereby authorize the PA Department of Human Sevices, ChildLine to . . 1 The ChildLine and Abuse Registry is a statewide system for receiving reports of suspected child abuse, referring reports for investigation, and maintaining those reports. A nonprofit law firm and youth basketball league have filed a lawsuit alleging Pennsylvania’s ChildLine Registry, which determines who ends up on its list of child abusers, is unconstitutional. gov In the subject line list ‘NSOR Verification Applicant Last Name (i. How and When to Report Child Abuse/Neglect. box 8170 harrisburg, pa 17105-8170. Applicant’s Name. I understand that this information is Name of Requesting Agency confidential in nature pursuant to §6339 (relating to information in confidential reports) of. 29, one day after a former day care employee called the Pennsylvania Department of Human Services' Childline and Abuse Registry for the abuse of two children. Download and print the form: English version/Spanish version. box 8170 harrisburg, pa 17105-8170. purpose of certification (check one box only)1. You can make a difference. purpose of certification (check one box only)Visitor Information. o. services í — also known as the hildLine and Abuse Registry — never have their cases heard in a criminal court. By the end of 2018, the ChildLine and Abuse Registry contained 151,595 substantiated reports, according to the Annual Child Protective Services Report. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. O. The instructions for how to complete the Pennsylvania. Organizations can manage PA Child Abuse History Clearances online for their employees and volunteers. Florida law requires any individual who suspects that a child has been abused by any person to report that to the Florida Abuse Hotline. C. The $10. DEFINITION: This is professional work receiving, evaluating, and processing reports of suspected child abuse and neglect for Pennsylvania’s mandated. Pennsylvania Child Abuse History Clearance. e. Heidi Teasley: 307-777-5491 or heidi. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. ChildLine keeps a registry of names of people who have been reported for child abuse. o. The allegations against parents and caregivers often arise from situations like missed doctor appointments, accidental injuries, or medical conditions with unknown causes. All NJ DCF information and records are considered confidential pursuant to N. box 8170 harrisburg, pa 17105-8170. Code §3490. ChildLine. 1-800-962-2873. send to childline and abuse registry, pa department of human services, p. Individuals who are encouraged, although not required by law, to make a report of suspected child abuse, can make a report to ChildLine by calling 1-800-932-0313. We aresend to childline and abuse registry, pa department of human services, p. Report Child Abuse or Neglect. Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an accountable steward of commonwealth resources. o. In order to pre-register for an FBI background check and/or find a fingerprinting location, applicants should visit the IdentoGO website. BOX 8170 HARRISBURG, PA 17105-8170. o. ” See 23 Pa. §§6301-6386. A state registry claims to protect children. o. The baby was placed with his great-grandmother for a few months before being returned to P. o. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. purpose of certification (check one box only)send to childline and abuse registry, department of public welfare, p.