CPS Background / Adam Walsh Background Clearance Request
State of Maryland-Child Protective Services ProgramConsent For Release of InformationThis form authorizes the Maryland Department of Human Services to conduct a background check for Child Protective Services and Adam Walsh Act purposes. Multiple agents can be selected.
CPS Background / Adam Walsh Background Clearance Request - Consent For Release of Information
This form will be processed by your selected Family Development Specialist(s) and the results will be shared with the appropriate parties.
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Family Development Specialist

Select your assigned Family Development Specialist

Important Notice

Please select your assigned Family Development Specialist from the list below. You can select multiple specialists if needed. If you are unsure who your Family Development Specialist is, please contact CCDSS at (301) 392-6727 before proceeding.

This form will be sent to your selected Family Development Specialist(s) for processing. Select all relevant specialists.