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INDIANA REQUEST FOR A CHILD PROTECTION SERVICES (CPS) HISTORY CHECK State Form 52802 (R6 / 8-15) / CW 2128 DEPARTMENT OF CHILD SERVICES All spaces must be completed and typed or printed in all capital letters.PLEASE NOTE: If Indiana CPS history is required prior to 1998, the request form must be sent to the DCS local office in the count(ies) of interest.
When more than one county is included in the search period prior to 1998, the request must be sent to each DCS local office. All DCS local offices
can also perform statewide CPS searches for dates January 1, 1998, through the present. Contact information of each of Indiana’s DCS local