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Child Abuse and Neglect Information Requests to Other States

Questions regarding Child Abuse and Neglect information from Washington State pertaining to potential foster or adoptive parents, please contact:

CA/N History Checks
Phone: 1-800-562-5624
Fax: 206-341-7930
E-mail: CANhistorychecks@dshs.wa.gov
Mail: 500 First Avenue South, Suite 501
Seattle, WA 98104-9958

Washington State Department of Social and Health Services, Children's Administration Social Workers: Check the Child Abuse and Neglect History Nationwide Contacts list for information on other state's CA/N History Request requirements and forms.

If the state you are requesting the CA/N history from does not have their own form, use DSHS form 23-033. Send the completed and signed form via fax, secure email or by mail.

  • Child Abuse and Neglect History Nationwide Contacts Excel
  • Child Abuse and Neglect Information Request Form (DSHS #23-033) Word | PDF

Division of Licensed Resources (DLR) staff will continue to handle requests from Child Placing Agencies (CPAs) for the purpose of foster home licensing.

These requests will be completed for state child welfare agencies, private adoption agencies, and persons who are qualified under RCW 26.33 to complete adoption pre-placement or post-placement reports only. If you are seeking to become an adoptive or foster parent, the agency or individual who is completing your home study must make the request for this information.

Others seeking information about child abuse and neglect history must request the records from the local Division of Children and Family Services (DCFS) Office.

Washington State Child Abuse and Neglect Founded Findings Request Forms and Instructions

The documents below contains contact information, as available, for states providing child abuse and neglect information required by the federal Adam Walsh Child Protection and Safety Act of 2006.

For Washington State Child Placing Agencies (CPAs) needing to request this information as part of a licensing or adoption background check process, in anticipation of placing a child who is in the custody of DSHS, should review the information, complete the required forms as indicated, and return the completed and signed forms to the Division of Licensed Resources (DLR) staff processing the background check.

Private adoption agencies should work directly with the other state to request this information.

If a Public Child Welfare agency is requesting CA/N history as part of a CPS investigation, the social worker needs to make the request on their state agency's letterhead and fax or email the CA/N history request.

  • Child Abuse and Neglect History Nationwide Contacts Excel
  • In-State Child Abuse and Neglect Founded Findings Request (DSHS #23-032) Word
    This form (DSHS #23-032) is to be used only for requestors within Washington State for the purpose of foster home licensing and adoption background check requests processed by the Children's Administration. Private adoption agencies must use their own authorization form when requesting child abuse and neglect information from other states.

    NEW instructions: Form must be typewritten and signed. Any handwritten or incomplete forms will be returned for correction.

    1. Complete one form for each individual for whom a child abuse/neglect findings request is being requested.
    2. Mail completed requests to:
      DSHS Children's Administration CA/N History Checks
      500 First Avenue South, Suite 501
      Seattle, WA 98104-9968
    3. Or fax completed requests to 1-206-341-7930 or e-mail to CANhistorychecks@dshs.wa.gov
  • Washington State Child Abuse and Neglect Founded Findings Request from Another State (DSHS #23-041) Word
    This form (DSHS #23-041) is to be used for all requestors outside of Washington State. Effective November 11, 2013, State of Washington DSHS Children's Administration will require a fee of $20 for each inquiry of an individual's child and abuse/neglect findings request.

    NEW instructions: Form must be typewritten and signed. Any handwritten or incomplete forms will be returned for correction.

    1. Complete one form for each individual for whom a child abuse/neglect findings request is being requested.
    2. Include a check in the amount of $20.00, per individual inquiry, made payable to DSHS Children's ADMN
    3. Mail completed requests to:
      DSHS Children's Administration ATTN: Fiscal
      PO Box 45710
      Olympia, WA 98504-5710
End Harm Call 1-866-363-4276

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