DFCS - Child Abuse and Neglect - DOC

							                                   CENTRAL ABUSE HOTLINE
                                 RECORD SEARCH REQUIREMENT

Your home study requires a current search of Florida’s Central Abuse Hotline. Please complete the top
portion of page 1 and page 2 which can be found and printed at:

                     http://www.dfps.state.tx.us/Documents/Child_Care/pdf/Florida.pdf

Complete this form and mail it to us with your application and we will process this form for you. There is no
fee for this service.

                                          Options 4 Adoption, Inc.
                                           210 North Betty Lane
                                           Clearwater, FL 33755
                                           Phone: (727) 639-4266


Reason for Record Search is: Adoption Applicant

Should there be any reported hotline history it will be necessary for you to obtain any and all reports as well
as provide a written explanation as to the circumstance involving the Department of Children and Families.

Please sign below confirming you understand this is a requirement for the home study process.




_____________________________________                               ___________________
Adoptive Father’s Signature                                         Date




____________________________________                                ___________________
Adoptive Mother’s Signature                                         Date




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                           Main Office: 5957 Henley Drive, Powder Springs, GA 30127
                                   Phone: (770) 928-1871 Fax: (770) 200-3748
                            Florida Office: 210 North Betty Lane, Clearwater, FL 33755
                                               Phone: (727) 637-4266