Instructions for obtaining the request form (DHR-FCS-1598)
To obtain the request form, please contact:
State Department of Human Resources
Office of Child Protective Services
CAN Central Registry
50 Ripley Street, Montgomery, AL 36130
Please note: this form must be sent to you by mail; the copy on the DHR website is for information only. The form must be original - internet and photocopies will not be accepted.
Instructions for completing the request form
Please leave the top portion of the request form blank, only filling in your personal information and signing the form. Wide Horizons will complete the remainder of the information and submit the request on your behalf.
Once complete, please mail this form to:
Wide Horizons For Children, Inc.
375 Totten Pond Road, Suite 400
Waltham, MA 02451
Attn: Applications Coordinator