Mississippi Administrative Code
Title 18 - HUMAN SERVICES
Part 7 - Division of Family & Children Services Licensing Requirements
Chapter 1 - Licensing Requirements Manual for Residential Child Caring and Child Placing Agencies
Section 18-7-1-XIX - APPENDIX
PERMISSION FOR BACKGROUND CHECK

Purpose

This form is for applicants for foster parent, adoptive parent, or employee of a residential care facility, child placing agency, or day care center to authorized permission for background screening check.

Instructions

The applicant is to fill in date, agency in which seeking employment, and check category of application, and sign. A copy of this form is to be maintained in the agency files.