Clearances
The following clearances must be renewed every 5 years.
Child Abuse History Clearances
- Apply Online:
- Apply by PDF form:
PA State Criminal Record Check
- Apply online:
- Apply by PDF form:
- SP4-164 Request for Criminal Record Check PDF Form (for Paid Employees)
- SP4-164A Request for Criminal Record Check PDF Form (for Volunteers)
FBI Fingerprinting Process
- Register Online for FBI Fingerprinting & Criminal History Report
- Under "Enter your Service Code to get started:"
- Employees enter 1KG756
- Volunteers enter 1KG6ZJ
- Once the service code is entered, you will be taken to a form where you can fill out your information.
- Once your information is submitted, you will be taken to an appointment scheduling page.
- Under "Enter your Service Code to get started:"
Further Information:
- Pennsylvania Clearance Forms - Information from Pennsylvania's Department of Human Services.
Hiring & Volunteer Information:
- Volunteer Approval FAQs (PDF)
- Employee Approval FAQs (PDF)
- List of Disqualifying Offenses (PDF)
Additional Forms
- Release of Information For Child Abuse History Clearance [PDF] – This form authorizes the Department of Public Welfare to release the applicant’s Pennsylvania Child Abuse History Clearance information to your church.
- FBI Fingerprint Affidavit/Disclosure Statement for Volunteers - These forms should be signed be each volunteer and employee to indicate that they have been informed of and will comply with the requirement to notify the church of any arrest or conviction of an offense that would disqualify them from working with kids.
- Sample Employment Volunteer/Employee Application Form [PDF] – A sample application form to ensure that any volunteers and employees who work with youth are familiar with Safe Sanctuary policies.
Contact Us
The Rev. Jacqueline D. Daniszewski
Chair, Safe Sanctuaries Committee
pastorjackiedd@gmail.com