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 caseworker(s) and the results will be shared with the appropriate parties.
Step 1 of 617% Complete

Caseworker Selection

Select your assigned caseworker

Important Notice

Please select your assigned caseworker(s) from the list below. You can select multiple caseworkers if needed. If you are unsure who your caseworker is, please contact CCDSS at (301) 609-6000 before proceeding.

This form will be sent to your selected caseworker(s) for processing. Select all relevant caseworkers.