Prior to proceeding with this intent to apply for an exemption from disqualification, you must verify you understand the following information by checking the box next to each statement, sign and date this form, By clicking submit you agree you are electronically signing and dating this form and submitting this form electronically to the department. %%EOF Yes, another agencys exemption may be considered, but each agency makes their own decisions regarding exemptions. Forms MUST be typed. PDF Frequently Asked Questions (FAQs): Exemption from Disqualification Process Since the child is not required to be licensed and is not providing any service for which the license is being issued, the information is to be used in the same way other information from employment checks or local law enforcement checks is utilized to assist in the decision making rather than as an automatic disqualification for the license applicant. Three years or more have passed since I have been released from prison, parole or other criminal-related supervision that had been court ordered for a disqualifying felony criminal offense. The Background Screening Unit reviews the Level 2 criminal history results for all background screenings submitted as part of the employment process for a health care provider and/or for participation as a provider in the Florida Medicaid program. Background Screening Exemption Process for Medical Workers I understand that the decision of the Department of Children and Families or the Agency for Persons with Disabilities regarding this Exemption may be contested through a hearing under the provisions of Chapter 120, F.S. These section provide that members of the operators family or persons residing with the operator who are between the ages of 12 years and 18 years are not required to be fingerprinted but must be screened for delinquency records., Click edit button to change this text. Intent to Apply for an Exemption from Disqualification | Florida What Disqualifies You from a Level 2 Background Check in 2023?
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