Background Checks

The new law requires these two background clearances for ALL employees and volunteers working with children to receive background checks every 60 months (5 years).

  1. Child Abuse History Clearance Form (CY-113) – Obtained from the Department of Human Services. Click here for online access.​

  2. Pennsylvania State Police Request for Criminal Record Check Form (SP4-164). Click here for online access.

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© 2021 by St. Peter's Evangelical Lutheran Church

312 S. Tulpehocken St.

Pine Grove, Pa  17963