What is the Act 24 PDE 6004 form?
The Act 24 PDE 6004 form is a standardized document developed by the Pennsylvania Department of Education. It is used by current and prospective employees of public and private schools, intermediate units, and area vocational-technical schools to report any arrests or convictions for specific offenses. This form ensures compliance with state laws regarding the safety and suitability of individuals working in educational settings.
Who is required to complete the PDE 6004 form?
All current and prospective employees of public and private educational institutions in Pennsylvania must complete the PDE 6004 form. This includes teachers, administrators, and support staff. The form must be submitted as part of the employment process, ensuring that all individuals working with students meet the necessary legal requirements.
What types of offenses must be reported on this form?
The form requires reporting any arrests or convictions for offenses listed under 24 P.S. §§1-111(e) and (f.1). These include serious crimes such as homicide, assault, sexual offenses, and certain drug-related charges. A detailed list of reportable offenses is provided in the form's instructions, ensuring clarity on what must be disclosed.
What should I do if I have no arrests or convictions to report?
If you have not been arrested or convicted of any reportable offenses, you should check the appropriate box in Section 3 of the form. This indicates that you have no relevant history to disclose, allowing you to proceed with the rest of the form without additional information regarding criminal history.
What is the deadline for submitting the PDE 6004 form?
The form must be submitted within seventy-two (72) hours of any arrest or conviction for a reportable offense. This requirement ensures that educational institutions can make timely decisions regarding the employment status of individuals based on their legal standing.
What happens if I provide false information on the form?
Providing false information on the PDE 6004 form can lead to serious legal consequences. Under 18 Pa.C.S. §4904, individuals who submit false statements may face criminal prosecution. It is crucial to ensure that all information provided is accurate and complete to avoid potential legal repercussions.
Is there an exemption for employees who completed the form before?
Yes, current employees who completed a PDE 6004 form on or before December 27, 2011, and who have not been arrested or convicted of any reportable offenses since that time are exempt from completing a new form. This exemption helps to streamline the process for individuals who have already been vetted.
How should I fill out the form?
It is important to fill out the PDE 6004 form legibly and completely, using ink. Ensure that all personal information, including your full legal name and date of birth, is accurate. When reporting arrests or convictions, provide detailed information, including the offense, date, location, docket number, and applicable court.
Where do I submit the completed form?
The completed PDE 6004 form should be submitted to the administrator or the person responsible for employment decisions within the school entity. If you are unsure about the appropriate recipient, consult your supervisor or the administration office for guidance.
What resources are available if I have questions about the form?
If you have questions about the PDE 6004 form or the reporting process, it is advisable to reach out to your supervisor or the administration office of your school entity. They can provide clarification and assistance regarding the completion and submission of the form.