Steps for Parental Consent for Background Referral Checks

  1. Download and print this form out:
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  2. Have your parent/guardian read and sign the form.

  3. Either scan with a computer or take a good picture with your phone.

  4. Do not mail the form to the CEF State Office.

  5. Send the picture of the signed form to Martha Krebeck, CEFNKY Local Director, via text to 859-667-4599 or email to