This version of the form is not currently in use and is provided for reference only. Download this version of Form HS-2680 for the current year.
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.
Q: What is Form HS-2680?
A: Form HS-2680 is the Adult Day Care Criminal/Juvenile History & State Registry Review Disclosure form.
Q: What is the purpose of Form HS-2680?
A: The purpose of Form HS-2680 is to disclose criminal or juvenile history and state registry information for individuals working in adult day care in Tennessee.
Q: Who needs to fill out Form HS-2680?
A: Anyone applying to work in adult day care in Tennessee needs to fill out Form HS-2680.
Q: What information is required on Form HS-2680?
A: Form HS-2680 requires the disclosure of criminal or juvenile history and state registry information, such as past convictions or registrations on the state's abuse or neglect registry.
Q: Is there a fee for submitting Form HS-2680?
A: No, there is no fee for submitting Form HS-2680.
Form Details:
Download a printable version of Form HS-2680 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.