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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective

Date:

Volume:

X

Forms

Chapter:

A

Forms

10-30-2006

Subchapter:

1

Forms

Issuance:

5.2f

CP&P Form 5-2f, Police Check Cover Letter

 

Click here to view CP&P Form 5-2f.

 

PURPOSE AND USE

The form is used to accompany the CP&P Form 5-25, Police Check, to request a municipal criminal history check for prospective or licensed resource family parents and adult members of their households; and volunteer applicants. Use official office letterhead when printing this form from the computerized Forms Manual.

The cover letter (and Police Check) is used to obtain information for the:

         Study/licensing of prospective resource family parents and volunteer applicants;

         Reevaluation of resource family parents; and

         Assessment of a new adult member of a resource family parents' household.

 

INSTRUCTIONS FOR COMPLETING THE FORM

For prospective resource family parents and their adult household members, and new adult household members in a licensed resource family home, address the cover letter to the Police Chief in:

         Each municipality in which the person named in the Police Check has lived during the last five years, and

         The nearest municipalities in the bordering state, when the person lives in a municipality that borders on another state.

As part of the resource family reevaluation, for licensed resource family parents and their adult household members, address a cover letter to the Police Chief in the municipality where the resource family parent resides.

Attach the CP&P Form 5-25, Police Check, before forwarding.

 

DISTRIBUTION

Original

-

Chief of Police of the municipality listed on the Police Check Cover Letter

Copy

-

Prospective or approved resource family parent file