PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form HS-2779
for the current year.
Form HS-2779 Child Care Fingerprint Sample Registration / Criminal / Juvenile History & State Registry Review Disclosure - Tennessee
What Is Form HS-2779?
This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form HS-2779?
A: The form is used for Child Care Fingerprint Sample Registration/Criminal/Juvenile History & State Registry Review Disclosure in Tennessee.
Q: Who needs to fill out Form HS-2779?
A: Individuals applying to work in child care facilities in Tennessee.
Q: What information is required on Form HS-2779?
A: The form requires personal information, criminal and juvenile history, and a review of state registries.
Q: Can I get a copy of my completed Form HS-2779?
A: Yes, you can request a copy of your completed form from the child care facility or the Tennessee government agency.
Form Details:
- Released on February 1, 2021;
- The latest edition provided by the Tennessee Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HS-2779 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.
Download Form HS-2779 Child Care Fingerprint Sample Registration / Criminal / Juvenile History & State Registry Review Disclosure - Tennessee
1
2
3
4
