Congregate Care Payment Issues (CCPI) Request Form DCS Disclaimer Department of Child Safety (DCS) records and files are confidential and protected by A.R.S. ยง 8-807, ยง 8-807.01 and ยง 41-1959, which require DCS to protect its records and data from unauthorized access and misuse while maintaining security and confidentiality. I am aware that various laws and rules, as well as policies and procedures of DCS, govern the confidentiality of DCS information and I agree to abide by all such applicable laws, rules, policies and procedures. I agree that I may not copy, print, or re-disseminate DCS information in any form other than that required to meet my obligations. I understand that I do not have the right now nor am I authorized to disclose or reveal or use in any way for my own purpose or the purpose of any third parties any confidential DCS information that I have obtained or had access to. I understand that if I violate the laws, rules, policies or procedures regarding the use or disclosure of confidential DCS information, I may be charged with a class 2 misdemeanor pursuant to A.R.S. ยง 8-807 (W). I understand that I am responsible for reporting to DCS any unauthorized disclosure of confidential information that I may become aware of. Only proceed if using for offical business as part of a CCPI Request Start Request Back to AZDCS Be Advised This application will time out after 10 minutes of inactivity, ensure to have all documents ready prior to starting the application process. |