Currently processing forms received on August 27, 2025.
When a background check revealed a criminal conviction (including a deferred judgement), founded child or dependent adult abuse, or a combination thereof, complete the
- Record Check Evaluation form in black ink or typed.
- Registro VerificaciĆ³n EvaluaciĆ³n EspaƱol
Evaluation materials may be submitted via email, fax or mailed to:
Iowa Department of Health and Human Services
321 E. 12th St., FWBP/CPS/Operations/RCE Des Moines, IA 50319