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CCR&R - Arizona
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How to Submit a Request for:
'Search of Background Checks
'

The Child Care Administration (CCA) would like to thank you for your commitment to serving Arizona’s families and children.  Effective February 1, 2021, there are changes to the “Request for Search of Backgrounds Checks” process that we would like to share with you.  ADES Contracted providers are now required to submit their Request for Search of Background Checks (CC-112A) through an online format by Cognito form. 

​The Cognito form application is available online through the following:  

How to Submit Arizona Central Registry Background Check Request

Online Application- Application Link – ( Request for Search of Background Check)
  1. You must meet the following criteria
    1. This application contains a sworn statement and may only be completed by the owner of the individuals responsible for hiring staff and volunteers for this facility
  2. All individuals must have a Social Security Number to apply online
    1. The following Individual’s Personal Information is required:
                      ●     Full name
                      ●     Alias or maiden name (If Applicable)
                      ●     Social security number
​
If you do not have a Social Security Number, please complete an application (CC-112A) Request for Search of Background Checks Fillable Form (You must include a Passport for identification.) and scan all documents to ccacentralregistry@azdes.gov  
​
​How to access the “Request for Search of Background Checks” paper fillable form CCA-1211A from our website?
(only if individual does not have a Social Security Number)

                      ●     Arizona Department of Economic Security website address:      https://des.az.gov/documents-center?qt-content-tab=0
                      ●     The new document is “Request for Search of Background Checks” (effective 10/1/2017, Form number CCA-1211A) see image below for example
Picture
The Following Individual’s Personal Information is required:
                   ●      Date of birth
                   ●      Sex
                   ●      Current address
                   ●      Out of state addresses within the last 5 years (If Applicable) (Please Read)
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Child Care Resource and Referral (CCR&R) meets a need that no one else does - providing the bridge between parents, providers, community leaders, and policymakers about anything related to child care in Arizona.  

Funding provided by the Arizona Department of Economic Security’s Child Care Administration through federal Child Care Development Block Grant funds. 

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  • Home
  • Families
    • Looking for Quality Child Care >
      • Child Care Options
      • Quality Indicators
      • Child Care Checklist
      • Find Quality Child Care
    • Financial Assistance >
      • Child Care Eligibility and Assistance
      • Health and Social Services
      • Child Care Costs
    • Child Development >
      • Brain Development
      • Ages and Stages
      • Language and Literacy
      • Social Development
      • Behavior Guidance and Discipline
      • Special Needs
      • School Readiness
      • School Age
    • Rules and Regulations >
      • State Monitoring
      • Expulsion and Suspension Prevention
      • File a Complaint
      • Data Reporting Requirement
    • Resources and Advocacy
  • Providers
    • Professional Development and Education >
      • Career Planning
      • Training and Continued Education
      • Registry
      • Health and Safety Pre-Service
      • Early Childhood Associations
    • Best Practice and Quality Initiatives >
      • Curriculum Design
      • Expulsion Prevention
      • Group Size and Ratio
      • AZ Early Learning Standards and Guidance
      • Healthy Eating and Active Movement
      • National Accreditation
      • Star Rating
    • How to Become a Child Care Provider >
      • DES Child Care Options
      • Create a Vision-Mission
      • Guidance Policy
      • Disaster Preparedness
    • Background Checks
    • Resources
  • Community
    • Reporting Child Abuse >
      • Arizona Child Abuse Hotline
      • National Child Abuse Hotline
      • Who do you trust with your child - Campaign
    • Community Outreach and Presentations >
      • Community Education Services Offered by CCR&R
      • An Outreach Marketing Specialist is Available to
    • Child Friendly Employer Policies
    • News and Events
    • Community Resources >
      • Arizona Resources
      • National Resources
      • Research and Data
      • Child Care Resources & Referral
      • State Licensing Information
      • Child Care Policy and Advocacy
  • About Us
    • Mission - Services
    • Contact
    • COVID-19 Information and Resources