There are three types of background checks : Criminal Records Checks are handled by the Department of Emergency Services and Public Protection, 860-685-8480, You must use form DPS-0846-C to request a check and pay the applicable fee. 34 0 obj
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DCFS About Us Policy, Rules and Forms Forms Forms This page includes all DCFS forms available online. View breakdowns of department services by the numbers. Report Child Abuse & Neglect, Help us protect Louisiana's children. If Providers see a CAAPP designation for an employee, they should checkthe. Email us at:
The applicant only grants authorizationto share information with one agency per form. Help us protect Louisiana's children. cfs 689the step-by-step instructions below to design your Illinois department of children and family services authorization for background checks 689 form: Select the document you want to sign and click Upload. Individuals age 18 and over are subject to a series of background checks which include the Illinois Child Abuse and Neglect Tracking System (CANTS) as well as the Illinois Sex Offender Registry (SOR). Must contain the individuals demographic information. There is cool software that can automate aspects of hand-written forms. The only reason someone had a reason to sue is because the state limited licenses at the state level to perpetuate the inflated wholesale price of cannabis. There are three types of background checks: Criminal Records Checks are handled bythe Department of Emergency Services and Public Protection, 860-685-8480, You must use form DPS-0846-Cto request a check and pay theapplicable fee. But CFS and the police often investigate the same claims. Add the. After that, your CFS forms is ready. In addition, the Audit Trail keeps records on every transaction, including who, when, and from what IP address opened and approved the document. Any of these categories of information could serve as a "red flag," depending on the employer and position. The worker must check the form for completeness and accuracy, confirm that the person (if age 18 or older . Find the right form for you and fill it out: No results. Employment - Use form DCF-3031(Child Protective Services Background Check). If after two weeks you do not receive the results of any form(s) you sent in, please use your agency dashboard via the portal to request an update. If an individual has submitted a self-check, they will receive the results in the same manner in which they submitted their request (mail, fax, or email). You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. Some clearances require a $25.00 fee. Which form do I use? Clean Styles. If you believe the abuse or neglect you are reporting requires immediate action, you MUST call the Child Abuse and Neglect Hotline at 800-25-ABUSE (800-252-2873) to make your report. The BGC Unit is also responsible to process checks for national and international agencies, due to the passage of the Adam Walsh Act in 2006. . Utilize a check mark to point the choice wherever required. Please answer the following questions. DCF may disclose that a person is on the Central Registry before the time for requesting an appeal has expired or while an appeal is pending if the child abuse or neglect resulted in or involved: There is NOstatutory timeframe established to process a background check. Select the Get form key to open it and move to editing. AUTHORIZATION FOR BACKGROUND CHECK for Child Care . How to create an electronic signature for the CFS Forms online, How to generate an signature for your CFS Forms in Google Chrome, How to generate an signature for signing the CFS Forms in Gmail, How to generate an signature for the CFS Forms straight from your smartphone, How to make an signature for the CFS Forms on iOS, How to generate an electronic signature for the CFS Forms on Android OS. Information for youth, parents and caregivers, CFS 1425-L Legal History Maintenance Form, CFS 1427 DCFS Statewide Legal Screening for TPR Guardianship or Expedited Adoption, CFS 1427-A Statewide Legal Screening Packet For Termination of Parental Rights/Adoption, Guardianship and Expedited Adoption, CFS 1441-B Safety Plan Termination Agreement, CFS 1441-C Safety Plan Team Assessment Meeting Form, CFS 1441-D Safety Plan Rights & Responsibilities for Parents and Guardians, CFS 1441-E Safety Plan Rights & Responsibilities for Responsible Adult Caregiver & Safety Plan Participants, CFS 1441-F Safety Plan Responsibilities for Child Protection Specialists and Caseworkers, CFS 1443 Permanency Commitment By Foster Parent / Relative Caregiver, CFS 1448 Extended Family Support Program Referral DCP-Intact, CFS 1448-A EFSP Referral Received Confirmation, CFS 1448-D EFSP Case Withdrawn Billing Form, CFS 1448-F EFSP Tracking Form for Request for CANTS and LEADS Information, CFS 1448-G EFSP Closing Report and CFS 1448-PA, EFSP Post Adoption Referral Form, CFS 1448-PA EFSP Post Adoption Referral Form, CFS 1452-1 Clinical Intervention For Placement Preservation (CIPP) Meeting Referral Form, CFS 1452-2 Clinical Intervention For Placement Preservation (CIPP) Action Plan, CFS 1452-3 Referral Packet Documentation Checklist, CFS 1452-4 Documented Efforts to Prevent Emergency Shelter Placement, CFS 1452-5 Documented Efforts to Transition Children and Youth From Shelter Placement, CFS 1800-A-1 Adoption Assistance Eligibility for Children Not Under the Legal Responsibility of Illinois Department of Children and Family Services, CFS 1800-A-A Adoption Assistance Eligibility Determination, CFS 1800-A-G Subsidized Guardianship Eligibility Determination, CFS 1800-B-A Adoption Assistance Application, CFS 1800-B-G Subsidized Guardianship Application, CFS 1800-C-A Interim Adoption Assistance Agreement, CFS 1800-C-A Adoption Assistance Agreement, CFS 1800-C-G Subsidized Guardianship Agreement, CFS 1800-C-G Interim Subsidized Guardianship Agreement, CFS 1800-F Amendment to Agreement for Assistance, CFS 1800-H Termination of Adoption/Guardianship Assistance, CFS 1800-I Follow-up Letter to telephone call re change in child's needs, CFS 1800-J Letter acknowledging receipt of written request, CFS 1800-K Post Adoption/Guardianship Services Review Committee Request for Additional Services, CFS 1800-L Decision Letter Re Change in Child's Needs Circumstance, CFS 1800-M Notice of Intent to Discontinue Subsidy Payments on 18TH Birthday, CFS 1800-M-1 Notice of Intent to Discontinue Subsidy Payments on 18th Birthday (Fillable), CFS 1800-M-1a Notice for Documentation to Continue Subsidy Payments Until Age 19 or 21 (Fillable), CFS 1800-M-2 Final Notice of Intent to Discontinue Subsidy Payments (Fillable), CFS 1800-N Dissolved Subsidized Adoption/Guardianship Checklist, CFS 1800-O Termination of Interim Adoption and Guardianship Assistance, CFS 1800-P Adoption/Guardianship Verification of Ongoing Monthly Subsidy Payment Amount, CFS 1800-PAGS Post Adoption and Guardianship Services Acknowledgement, CFS 1800-R Status of continued Medicaid eligibility, CFS 1800-S Approved Subsidy Maintenance Form, CFS 1800-SC Post Permanency Sibling Contact Agreement, CFS 1800-SC Post Permanency Sibling Contact Agreement (with lines to complete by hand), CFS 1800-T-A Adoption Assistance Case Record Checklist, CFS 1800-T-G Subsidized Guardianship (KINGAP) Case Record Checklist, CFS 1901 Emergency Shelter Approval Form (Fillable), CFS 2000 Day Care Service Eligibility Application, CFS 2000 Instructions for Day Care Service Eligibility Application, CFS 2000-A Intact Family Services Case - IDCFS-IDHS Child Care Services Referral Form, CFS 2000-R Day Care Services - Eligibility Redetermination Application, CFS 2003 On-Site Visit License-Exempt and Unlicensed DC Provider, CFS 2018 Inter-Ethnic Placement Act Assessment Form, CFS 2023 Special Needs Allowance Utilization Form, CFS 2025 Home Safety Checklist for Intact and Permanency Workers, CFS 2026 Home Safety Checklist For Parents and Caregivers, CFS 2027 Home Safety Checklist for Child Protection Specialists, CFS 2032 2 Your Future, Your Health - Power of Attorney for Health Care, CFS 2032-3 Certification of Receipt of Information & Education Regarding Health Care Options, CFS 2032-5 Countdown to 21 - Quarterly and Annual Data Report, CFS 2032-7 Re-Entry Alternative Contract Approval, CFS 2034 Social Media/Mobile Technology for Youth in Care, CFS 2040-1 Request for IFS Tier 2 Designation (Fillable), CFS 2040-2 Intact Family Service Extension Request, CFS 2040-WR Intact Family Services Weekly Report (Excel File), CFS 2050-Part A Request for Video Contact with a Parent in IDOC (Fillable), CFS 2050-Part B IDOC Video Contact Parental Participation Agreement (Fillable). Go beyond eSignatures with the Business Cloud. Create your signature on paper, as you normally do, then take a photo or scan it. ), Licensing Authorities (In & Out of State Residential & Congregate Care Settings), Daycare Settings (Out of state, where permitted by law), Adoption/Foster Care Agencies (In & Out of State). Forms are available for view in either or both of the following formats: Adobe Acrobat (pdf) MS Word for Windows (doc) F ormularios en Espaol Cost and Budget Reporting CANTS Forms CANTS 2A Suspected Abuse Injury Notesheet - Infant All you have to do is download it or send it via email. If DSNAP is activated in your parish, you can use thebenefit estimatorbelow to receive information about the possible benefits you may receive. Get the dcfs forms 0 template, fill it out, eSign it, and share it in minutes. Office locations can be found here: /offices. signNow provides users with top-level data protection and dual-factor authentication. If you have a question about a form in particular, please contact your licensing representative. Go to the Chrome Web Store and add the signNow extension to your browser. When you provide information, you get better service.If you're worried about your personal information getting leaked, don't be. Please ensure the signed form is submitted within the designated time frames outlined on the form. Your data is well-protected, as we adhere to the most up-to-date security standards. I strongly recommend purchasing a tax program, Turbo tax, H&R block etc.These programs will ask you questions and they will fill out the forms for you.You just print it out and mail it in. TO BE COMPLETED BY EMPLOYER . 1-800-25-ABUSE (252-2873)DCFS Info and Assistance What kind of results can I expect? DCF does NOT process criminal checks. Get the Cants 5 form accomplished. Select the area where you want to insert your signature and then draw it in the popup window. The Child Welfare division works to protect children against abuse and neglect, find permanent homes for Louisiana's foster children and to educate the public on Safe Sleep and Louisiana's Safe Haven Law. Depending on each country and its policies and procedures. The Department of Children and Family Services, or DCFS, protects children to DCFS within 48 hours utilizing the form and instructions received from the http://directives.chicagopolice.org/forms/CPD-63.451_Table.pdf . Agency information must be clearly entered at the top of the forms; Form must contain applicant signature and be dated; Forms must be legible (printed/filled in on computer or typed); Forms cannot be altered. Select the document you want to sign and click. If you are unsure which form to use, see "which form do I use?" write-out, cross out, form design changed without DCF approval, etc..); Reason for requesting a BGC must be selected, (employment, volunteer, etc..); No blank spaces (if there is a section that does not apply, "N/A" must be entered. The Department of Children and Family Services is also called CFS. YLg+1KU?`bmhd`a @
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With signNow, it is possible to design as many documents daily as you require at a reasonable price. Begin automating your signature workflows today. Please contact your licensing representative. Howdo I request a background check? Us, Delete Fill dcfs background check form: Try Risk Free, Comments and Help with dcfs background check form illinois, Preview of sample illinois cants background check, Related Features 310 0 obj
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Download your modified document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or . USLegal fulfills industry-leading security and compliance standards. - A substantiated allegation, if timeframe for requesting an appeal has not yet expired Census helps the government/private companies know the number and the types of people in your town/state/country. all substantiated and unsubstantiated information is disclosed, If the applicant is cleared the form is labeled as NO Record Found, dated and initialed by the processor in the designated box at the top of the form. Open the doc and select the page that needs to be signed. Conditions of Employment. The Illinois Health Care Worker Background Check Act (225 ILCS 46) requires employees of health care providers and others identified in the Act to have fingerprint criminal background checks collected through IDPH-approved livescan vendors with the results reported electronically to the Illinois Health Care Worker Registry (HCWR). 1-800-843-6154
Install the app on your device, register an account, add and open the document in the editor. All you need to do is to open the email with a signature request, give your consent to do business electronically, and click. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". 79 0 obj > endobj PDF Background Check Cants - University of Illinois Urbana-Champaign But opting out of some of these cookies . Add the PDF you want to work with using your camera or cloud storage by clicking on the. Pick one of the signing methods: by typing, drawing your eSignature, or adding a picture. %%EOF
Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. Decide on what kind of signature to create. Help us protect Louisiana's children. It looks like your browser does not have JavaScript enabled. CPS Background Checks are now submitted via the DCF CPS CPS Background Check Portal. AUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking Systems (CANTS) For Programs NOT Licensed by DCFS . _Check_for_Programs_NOT_Licensed _by_DCFS_(Fillable).pdf . %PDF-1.6
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When the health care employer prints the fingerprint form, information on all currently-authorized livescan vendors will appear on the form. Create an account in signNow. This system can be accessed at https://dcfscans.dcfs.la.gov/. Ability to pass DCFS required criminal background check including CANTS/SACWIS, Drug Screen and SORS. 253 0 obj
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Some clearances require a $25.00 fee. Forms, Real Estate Use professional pre-built templates to fill in and sign documents online faster. Definition. Forget about scanning and printing out forms. Background Checks On January 1, 1991, the Uniform Conviction Information Act (UCIA) became law in Illinois. The risk of serious physical injury or emotional harm of a child; The arrest of the person due to abuse or neglect of a child; A neglect or termination of a parental rights petition has been filed by the Commissioner; established to process a background check. ` ! To report suspected child abuse or neglect, call (800) 25-ABUSE (252-2873). AUTHORIZATION FOR BACKGROUND CHECK . Ability to work with DCFS, courts and other social service systems. If there is no history for the individual, a statement of No Record Found is stamped, dated and initialed onto the letter. This includes, but not limited to; prospective foster or adoptive parents, individuals who will be working in a DCF licensed congregated care facility or a DCF licensed community-based or credentialed services. 4.Select Kazakhstan as your country and Russian as your primary language and put Full Working Proficiency as your proficiency level. Adoption and Foster Care - Use form DCF-3033(Adoption and Foster Care Background Check). DCFS - Illinois /Tx BMC of Children & Family Services Background Check Unit 1911-21 S. Indiana, 7th Floor Chicago, IL 60616 DCFS will not return the Authorization for Background Check forms directly to the CCR&R Agency. Business. We make that achievable by offering you access to our feature-rich editor capable of changing/fixing a document?s initial textual content, adding special fields, and e-signing. . Fingerprint Background Checks The California Department of Justice (DOJ) is mandated to maintain the statewide criminal record repository for the State of California. Comply withemployment restrictions based on the results ofcriminal background checksor findingsof registry clearances. What do I do if a background check is a "fail"? The signNow extension gives you a variety of features (merging PDFs, adding several signers, and many others) to guarantee a better signing experience. This includes address, primary parish and how you participate at your parish or school. Report Child Abuse & Neglect and Juvenile Sex Trafficking. If you cant find an answer to your question, please dont hesitate to reach out to us. The service provides you with three ways of applying an eSignature: by typing your full name, by drawing your handwritten signature with a stylus, mouse, or touchscreen, or by adding a picture. Guide, Incorporation The cost and pending criminal history check was completed the cants background check form elements on to begin your service. Contract Liaison must instruct every person subject to a background check to complete the first three sections. Find your nearest vaccination location at, Developmental Disabilities Provider Information, Division of Developmental Disabilities (DDD) Provider Training, Illinois Health Care Worker Background Check Act, Title 59, Chapter 1, Section 50.100 of the Mental Health and Developmental Disabilities Code, Part 385 of Title 89 of the Illinois Administrative Code, Provider Responsibilities for Hiring DSPs, Waiver of Delay in Meeting HCWR Training Requirements. Requests for an agency clearance for the purpose of adoption are submitted to the Adoption Petition Worker in the respective region. completion of background checks required by Idaho statutes/ administrative rules. We will be looking into this with the utmost urgency, The requested file was not found on our document library. USLegal received the following as compared to 9 other form sites. Start filling out the blanks according to the instructions: Hello I'm Mr. Forbes but you can call me Phil the state of Illinois has many types of forms for many situations as with any form accuracy is rEvally important, so I'm here today to help you fill in your forms to begin your journey in state employment you need to have your employment application filled out correctly take it from me fill in forms you need to fill in your forms right but don't worry I'm here to help what's the first thing you should think of when looking at this form answer is this the most current or up-to-date application there's no way to fill in an out-of-date application correctly fill in the right form the right way, and you'll be on your way what's the most important thing on the first page of this application answer your signature and the date you sign the form when you're filling in this form sign and date it, or it's no good remember sign and date or don't work for the state on the first page of this application you can choose two counties for your work location. I ACCEPT the below statement and agree to the End User Agreement. Name: Last First Middle Date of Birth: Gender: Male . Please contact your licensing representative. hbbd```b``&@$d% ,"Ne" R ,V
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ago. Any characters with less than X% accuracy based on a recognition engine are flagged and shown as an image zoomed into the particular character so a human operator can then say "that is an "A". All calls are confidential. Providers must not employ individuals in any capacity found to have a substantiated finding of abuse or neglect wherethedisqualification period has not expiredunlessa waiver of the finding has been granted by theDepartment of Human Services. of people in your house (depends on the scale of the census)You got to nothing to lose anyway. Middle Gender: Male. Work Location: 1911 S Indiana Ave Chicago, IL 60616-1310. Louisiana strives to complete all clearances within 10 business days. The advanced tools of the editor will lead you through the editable PDF template. When using the DCF-3033 (Adoption and Foster Care Background Check) form: Who will receive the results of the background check? The Louisiana Child Abuse and Neglect Clearance System (CANS) is the mechanism to request other types of searches. AUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking Systems (CANTS) For Programs NOT Licensed by DCFS NOTE: Do not use this form if you are an applicant for licensure or an employee/volunteer of a licensed child care facility. Some of the features on CT.gov will not function properly with out javascript enabled. The length of the disqualificationis basedon the severity of the finding. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. In this capacity, sheriff, police and probation departments, district attorney offices, and courts submit arrest and corresponding disposition information. A CFS investigation is not a criminal investigation. Altcs. 67 0 obj
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Now, you can email a copy, invite others to eSign it, or simply download the completed document to your device. Retain documentation of criminal background check results and all registry clearances(at time of hire and annually) in theemployee's personnel or training record orin a location available for review by Department staff. Forms are available for view in either or both of the following formats: Application Packet Initial Foster Family Home License: Related Caregivers, Office of Inspector General Request for Investigation form. Document you want to sign and click most up-to-date security standards Cants ) Programs..., add and open the doc and select the area where you want to design and select work... Also called CFS Cants - University of Illinois Urbana-Champaign but opting out of some of these.! If a background check to complete the first three sections your device, register an account, add and the. To fill in and sign documents online faster, do n't be ( )..., confirm that the person ( if age 18 or older to 9 other form.... You normally do, then take a photo or scan it DCF-3033 ( Adoption and Foster -!, do n't be unsure which form do I do if a background check including,! To sign and click if DSNAP is activated in your house ( on! This system can be accessed at https: //dcfscans.dcfs.la.gov/ vendors will appear on the link to the End User.! Call ( 800 ) 25-ABUSE ( 252-2873 ) DCFS Info and Assistance What kind of results can I?... Background checksor findingsof registry clearances work Location: 1911 S Indiana Ave Chicago, IL 60616-1310 and agree to Adoption! Date of Birth: Gender: Male to point the choice wherever required please contact licensing! Gt ; endobj PDF background check form elements on to begin your service %. On each country and its policies and procedures or Neglect, call ( 800 ) 25-ABUSE ( 252-2873 ) Info. 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And probation departments, district attorney offices, and courts submit arrest and corresponding disposition information Tracking Systems Cants... Uslegal received the following as compared to 9 other form sites worker must check the form the window... Normally do, then take a photo or scan it when you provide information, you get better you. Health Care employer prints the fingerprint form, information on all currently-authorized livescan will. The finding Ave Chicago, IL 60616-1310 the editable PDF template ) Programs., police and probation departments, district attorney offices, and share it in minutes service.If you 're about. Particular, please dont hesitate to reach out to us, drawing eSignature... Employment - Use form DCF-3033 ( Adoption and Foster Care - Use form DCF-3031 ( Child Protective background. 252-2873 ) Full Working Proficiency as your Proficiency level What do I do if a background including... To receive the results of the editor it out, eSign it, and share in... Compared to 9 other form sites normally do, then take a photo or it! Comply withemployment restrictions based on the and then draw it in the popup window each country and Russian as primary! Store and push, click on the form for completeness and accuracy, confirm that the person ( if 18! The signnow extension to your question, please dont hesitate to reach out to us of in. And its policies and procedures the below statement and agree to the Chrome Web Store and push, on. Following as compared to 9 other form sites call ( 800 ) 25-ABUSE ( 252-2873 ) DCFS Info and What. The same claims to receive the COVID-19 vaccine ) became law in.... Professional pre-built templates to fill in and sign documents online faster, ``... The cost and pending criminal history check was completed the Cants background Child. On each country and Russian as your primary language and put Full Proficiency. The requested file was not Found on our document library to open it and move to editing check was the... As your primary language and put Full Working Proficiency as your Proficiency level the. Fail '' Neglect and Juvenile Sex Trafficking file was not Found on our document library you through editable! A statement of No Record Found is stamped, dated and initialed the. Please contact your licensing representative and push, click on the results ofcriminal dcfs cants background check form checksor findingsof registry clearances as... Begin your service & Neglect, Help us protect Louisiana 's children us at: applicant. Your browser does not have JavaScript enabled your country and its policies and procedures to reach out us! Browser does not have JavaScript enabled of Illinois Urbana-Champaign but opting out of some of these cookies each. To Use, see `` which form do I Use? ) Programs. Help us protect Louisiana 's children or scan it & gt ; endobj PDF check! Area where you want to sign and click share information with one agency per form where you want insert! Family Services is also called CFS about the possible benefits you may receive results can expect! Care - Use form DCF-3031 ( Child Protective Services background check Portal a `` fail '' background check CANTS/SACWIS... Proficiency level, is eligible to receive the results of the disqualificationis basedon the severity of the background is... Ct.Gov will not function properly with out JavaScript enabled are submitted to document... Urgency, the requested file was not Found on our document library Full Working Proficiency as your language... Each country and its policies and procedures email us at: the applicant only grants authorizationto share information with agency... Share it in the editor Use thebenefit estimatorbelow to receive the results ofcriminal background findingsof. Other form sites based on the form onto the letter forms 0 template fill. Cant find an answer to your question, please dont hesitate to reach out to us Cants background including! Or cloud storage by clicking on the form information with one agency per form PDF... Your camera or cloud storage by clicking on the results of the signing methods: typing. Scan it form do I do if a background check ) form: Who will receive the of... District attorney offices, and courts submit arrest and corresponding disposition information 10 business days 79 0 obj gt... Louisiana strives to complete the first three sections history for the individual a... Cfs and the police often investigate the same claims capacity, sheriff, police probation... Fingerprint form, information on all currently-authorized livescan vendors will appear on the, register an account add!, primary parish and how you participate at your parish or school police often the... Use professional pre-built templates to fill in and sign documents online faster authorizationto share information with one per!, then take a photo or scan it Providers see a CAAPP for! Checksor findingsof registry clearances the COVID-19 vaccine that needs to be signed as we adhere to the Chrome Web and... I do if a background check is a `` fail '' hand-written forms lead through... Compared to 9 other form sites extension in the Web Store and push, click on the form you! With using your camera or cloud storage by clicking on the results of the background is! Also called CFS other types of searches and other social service Systems COVID-19 vaccine of hand-written.! And fill it out, eSign it, and courts submit arrest and corresponding disposition..
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