CRCCPA CERTIFICATION

• Residential Child Care Program Administrator Application

• Professional Reference Form

• State Licensure or Certification Affidavit 

• Maryland Consent for Release of Information / CPS Background Clearance Request

• LiveScan Pre-Registration Application - CJIS

• Agency Non Criminal Justice Applicant's Privacy Rights

• Federal Privacy Act Statement

• Applicant Record Notification

CRCCPA RENEWAL

• Renewal Application for Program Administrators

• License Reinstatement Application for Program Administrators

• Affidavit of Attendance of Continuing Education Courses

• LiveScan Pre-Registration Application - CJIS

• Maryland Consent for Release of Information / CPS Background Clearance Request

• Release to Process Renewal Application

• Agency Non Criminal Justice Applicant's Privacy Rights

• Federal Privacy Act Statement

• Applicant Record Notification​
  

• Application for Non Renewed Status

ACTING CAPACITY PROGRAM ADMINISTRATOR

• Acting Capacity Application Instructions

• Acting Capacity Application

• LiveScan Pre-Registration Application - CJIS

• Maryland Consent for Release of Information / CPS Background Clearance Request

• Agency Non Criminal Justice Applicant's Privacy Rights

• Federal Privacy Act Statement

• Applicant Record Notification

RCYCP CERTIFICATION

• Residential Child and Youth Care Practitioners Certification Application 

• Information for Completing the Residential Child and Youth Care Practitioners Certification Application

• Maryland Consent for Release of Information / CPS Background Clearance Request

• State Licensure or Certification Affidavit 

• LiveScan Pre-Registration Application - CJIS

• Completion of On-Site Program Orientation

• Agency Non Criminal Justice Applicant's Privacy Rights

• Federal Privacy Act Statement

• Applicant Record Notification

RCYCP RENEWAL

• Instructions for Completing the Renewal Form for Residential Child and Youth Care Practitioners

• RCYCP Renewal Application

RCYCP REINSTATEMENT APPLICATION

• RCYCP License Reinstatement Application

• Affidavit of Attendance of Continuing Education Courses

• Maryland Consent for Release of Information / CPS Background Clearance Request

• Agency Non Criminal Justice Applicant's Privacy Rights

• Federal Privacy Act Statement

• Applicant Record Notification

• LiveScan Pre-Registration Application - CJIS

OTHER RELATED DOCUMENTS

• Virginia Child Protective Services form

• DC Child Protective Services form

• Delaware Child Protection Registry Consent form

• Pennsylvania Consent of Authorization Form

• Pennyslvania Child Abuse History Certification form

• West Virginia Authorization and Release for Protective Services Record Check

• Request for Duplicate Certificate

• License Probation Work Site Form

• Change of Information Form

• ADA Policy

• ADA Policy Request Form

FOR CONSUMERS

• Complaint Form

SERVICES

• For Limited Language Accessibility, please call 1- 877- 463-3464