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Altcs. 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. After its signed its up to you on how to export your CFS forms: download it to your mobile device, upload it to the cloud or send it to another party via email. Double check all the fillable fields to ensure total precision. Medical Reports 4 Help us protect Louisiana's children. Immediate Danger Please contact your licensing representative. If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. below. Until IDPH authorizes access to itsweb portal, Providers mayuse name-based (UCIA) criminal background checks and report the results by fax or mail directly to the Health Care Worker Registry. & Estates, Corporate - AUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking Systems (CANTS) For Programs NOT Licensed by DCFS . Name: Last First Middle Date of Birth: Gender: Male . Generally I would be surprised if they scanned and held onto the paper. Work Location: 1911 S Indiana Ave Chicago, IL 60616-1310. Adam Walsh background checks are usually completed within 48 hrs. To requestaccess to the IDPHWeb Portal, immediately contact DPH at: Failure to register for access to the IDPH Web Portal may subject Providers to fines and penalties levied by IDPH and administrative sanctions imposed by the DHS Division of Developmental Disabilities. Get the Cants 5 form accomplished. Customize the blanks with smart fillable fields. Employers seek convictions that are directly related to the job's responsibilities. endstream
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disqualifying criminal convictions unless there is a waiver granted by IDPH, or, substantiated findings of physical or sexual abuse, neglect or financial exploitation, or, indicated findings of abuse or neglect reported by the DCFS Central Register/Child Abuse and Neglect Tracking System (CANTS) unless there is a waiver granted by DHS, or. services, For Small The signNow extension was developed to help busy people like you to reduce the burden of putting your signature on forms. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. 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. NOTE: the DCF-2210B form is also available in several differentlanguages: To contact the BackgroundCheck Unit,call 1-800-842-2288 and press option #6,
State Agencies (e.g., The Office of Early Childhood, State Department of Education, Department of Developmental Services, Department of Motor Vehicles, etc. Utilize the, When you get a request from someone to eSign a document in signNow, you can easily do that without creating an account. Click here to read the End User Agreement. 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". Depending on each country and its policies and procedures. Select your Ideas Forms Cf's 497 Services Plan Form, log in to your signNow account, and open your template in the editor. Log in to your signNow account and open the template you need to sign. When you provide information, you get better service.If you're worried about your personal information getting leaked, don't be. This system can be accessed at https://dcfscans.dcfs.la.gov/. Report Child Abuse & Neglect and Juvenile Sex Trafficking. Work Hours: Monday-Friday 8:30 AM-5:00 PM. 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. Fill out the empty areas; engaged parties names, places of residence and numbers etc. 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. Requires ability to pass a background check. If CFS finds 'credible evidence' that abuse or neglect occurred, they will enter an 'indicated' finding. For Providers authorized to access the IDPH Web Portal, all newly hired employees must have a fingerprint criminal background check performed and reported to the Health Care Worker Registry. Get step-by-step instructions and watch video turtorials on our "SNAP - How to Apply" page. 2016 CT.gov | Connecticut's Official State Website, regular
If there is a unique barcode on the document somewhere I would theorize there is an even higher likelihood of it being scanned - the document is of enough value to be printed individually which costs more, which means it is likely going to be used on the capture side. Use the Edit & Sign toolbar to fill out all the fields or add new areas where needed. The whole procedure can take less than a minute. Only DCFS shall receive for review FBI Background check results and upon request the employee, prospective employee or volunteer will be provided a copy. Using our solution filling in Dcfs Cants Background Check Form only takes a few minutes. Upon request, the Background Check Unit will perform a search of the Department's Central Registry and Child Abuse & Neglect history on an individual who will be working or providing a service directly or indirectly to children and/or families. This page includes all DCFS forms available online. During peak seasons, it may take longer than 2 weeks. CANTS Clearance: Illinois State Police Clearance: FBI Clearance: FBI Sent Out: . 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. Welcome to the CANS System! Install the signNow application on your iOS device. The following types of clearances must be submitted through the CANS system: Licensed Out of State Child Care Facilities employees/volunteers, Louisiana Department of Children and Family Services Licensed Facilities employees/volunteers (effective 10/01/2018), Out of State Licensed Residential Facilities that house foster children or meet the federal definition of a Child Care Institution employees/volunteers (effective 9/1/2019), Louisiana Department of Health Licensed Therapeutic Group Homes (effective 9/1/2019), Out of State Child Protective Agencies only for investigation purposes (not home studies). If there is no history for the individual, a statement of No Record Found is stamped, dated and initialed onto the letter. AUTHORIZATION FOR BACKGROUND CHECK. DCF does NOT process criminal checks. After you sign and save template, you can download it, email a copy, or invite other people to eSign it. dcfs child welfare specialist salarymillersburg brewery pumpkin dcfs child welfare specialist salary. 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. Sign, send, track, and securely store documents using any device. 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. font size. Get the dcfs forms 0 template, fill it out, eSign it, and share it in minutes. Create your signature, and apply it to the page. With signNow, it is possible to design as many documents daily as you require at a reasonable price. Build, test, and launch your integrations in minutes instead of weeks. the results of the central child abuse registry status are entered in the designated box on the top of the form, dated and initialed by thebackground checkunit processor. Submit all of the necessary boxes (they will be marked in yellow). Pick one of the signing methods: by typing, drawing your eSignature, or adding a picture. Use this step-by-step guideline to complete the CFS forms promptly and with perfect accuracy. 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No matter which way you choose, your forms will be legally binding. Get Form How to create an eSignature for the il dcfs forms Have a question regarding DCF and the coronavirus? Find your nearest vaccination location at 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 AUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking System (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. ago. USLegal fulfills industry-leading security and compliance standards. Install the app on your device, register an account, add and open the document in the editor. Adoption and Foster Care - Use form DCF-3033(Adoption and Foster Care Background Check). Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. Ability to work with DCFS, courts and other social service systems. It may indicate new criminal activity,change in waiver status or a IDPHcorrection of a record. A DCF-2210B (Request for Appeal of Substantiation Finding(s)/Recommendation for Placement on Central Registry) form must be completed by the applicant and included with their request. ------> We keep all the papers! Use DCF-3031(CPS Background Check)for: Use DCF-3033(Adoption and Foster Care Background Check)for: When securing the release form from the applicant, please ensure that the form meets the following guidelines: Confirmation of submission will be visible via the portal on your agency's dashboard. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. I ACCEPT the below statement and agree to the End User Agreement. The Online Reporting System is to be used for non-life threatening and non-emergency incidents of abuse or neglect of a child. 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. Open the doc and select the page that needs to be signed. What do I do if a background check is a "fail"? . Attach a maximum of 25 pdf file formatted CANTS form requests per email to: cfs689background@illinois.gov. Providers can request UCIA name-based background check through the Illinois State Police web site. Howdo I request a background check? The Louisiana Child Abuse and Neglect Clearance System (CANS) is the mechanism to request other types of searches. An \u201cindicated\u201d finding means that CFS has concluded there is credible evidence that a child has been abused or neglected. 1-800-25-ABUSE (252-2873)DCFS Info and Assistance 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 . Some clearances require a $25.00 fee. [
their name is listed on the HFS Office of the Inspector General Sanction List as not authorized for employment unlesstheir employment is approved byHFS. BACKGROUND RESULTS : Sex Offender Clearance: CANTS Clearance: Illinois State Police Clearance: Transfer Clearances: SO/CANTS: ISP: FOR CENTRAL OFFICE OF LICENSING USE . After that, your CFS forms is ready. Please answer the following questions. Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS . 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. on another schedule that ensures timely annual completion. Health care employers initiate background checks through the Health Care Worker Registry as livescan requests. 0
Please contact your licensing representative. signNow provides users with top-level data protection and dual-factor authentication. Get access to thousands of forms. H[k0g}LC7'nB.,IK8[2^wa>Tg_]@H9z6t:`%>r%1UnniM DY2\a. DZIECI I SPRAW RODZINNYCH (DEPARTAMENT DCFS), CFS 403-D Adoptive Parents' Rights and Responsibilities in Illinois, CFS 403-D/P PRAWA I OBOWIZKI RODZICW ADOPCYJNYCH W STANIE ILLINOIS, CFS 403-E Birth Parents' Right and Responsibilities in Illinois, CFS 403-E/P PRAWA I OBOWIZKI RODZICW BIOLOGICZNYCHW STANIE ILLINOIS, CFS 407-3 Community College Payment Program (Fillable), CFS 407-6 NIU Educational Access Project for DCFS Referral Form for Education Assistance (Fillable), CFS 407-7 Request for DCFS Guardians Approval for Home Schooling, CFS 411-A Report of Investigation for Adoption, CFS 411-G Report of Investigation for Guardianship, CFS 414 Letter to the Judge-Costs Incurred during a Child Custody Investigation (Fillable), CFS 415 Consent for Ordinary and Routine Medical and Dental Care, CFS 417 Psychology Department Testing Referral Form, CFS 417-B Psychological or Neuropsychological Testing/Parenting Capacity Assessment Feedback Reimbursement Form, CFS 417-D Comprehensive Diagnostic Assessment, CFS 417-E Request for Psychiatric Evaluation Following Therapy, CFS 418-J Checklist for Children at Initial Placement, CFS 418-L Pre-Screen for DCFS Ward with Intellectual Disabilities, CFS 428 Application/Record of Child Information, CFS 431 Consent of Guardian to Medical-Surgical Treatment, CFS 431-1 Consent of Guardian to Mental Health Treatment (Fillable), CFS 431-2 Outpatient Psychiatry Request Form, CFS 431-A Psychotropic Medication Request, CFS 431-A Psychotropic Medication Request Fax Cover Sheet, CFS 431-D Request for Copy of Psychotropic Medication (or Other*) Consent, CFS 433-1 Waiver of Religious Faith and Preference in Adoptive Placement, CFS 435 Final and Irrevocable Surrender to an Agency for Purposes of Adoption of a Born Child, CFS 435-2 Surrender To An Agency For Purposes Of Adoption Of An Unborn Child(ren), CFS 436-1-A Consent by an Agency for the Adoption of a Minor Child, CFS 437-3A Denial of Paternity with Entry pf Appearance and Consent to Adoption, CFS 438, Scholarship Application (Fillable), CFS 438, Scholarship Application (with lines to complete by hand), CFS 438-A Tuition and Mandatory Fee Waiver Program (Fillable), CFS 440-4 Guide to Risk Factors for Substance Affected Families & Substance Exposed Infants, CFS 440-6 Referral for Adult Alcohol and Other Drug Treatment Services, CFS 440-7 Consent for Disclosure of Information; Substance Abuse Assessment and/or Treatment, CFS 440-8 Youth Alcohol and Other Drug Abuse Indicators, CFS 440-9 Recovery Matrix - Placement Cases, CFS 440-10 Recovery Matrix - Intact Cases, CFS 440-11 Substance Affected Families Procedures Checklist, CFS 440-12 Investigation/Intact Parental Mental Health Case Matrix, CFS 444-2 Appointment of Short-Term Guardian, CFS 448 Adoption Listing Service Family Registration Agreement, CFS 449 Youth in College/Vocational Training Application, CFS 449-2 Employment Job Training Apprenticeship Incentive Program Application, CFS 449-3 Application for Education and Training Voucher Funds, CFS 452-2 Foster Family Firearms Agreement, CFS 452-3 Acknowledgement of Understanding Concerning Prohibition of Corporal Punishment, CFS 452-4 Business or Employment Related Child Supervision Plan, CFS 452-5 Safety Plan for Pools, Hot Tubs, Ponds, and Other Potential Water Hazards, CFS 452-6 Request for Access to Social Security Number Foster Child(ren), CFS 452-7 Compassionate Use of Medical Marijuana Pilot Program Act - Child Care Facility, CFS 452-A Acknowledgement of Compliance Part 402 Licensing Standards for Foster Family Homes, CFS 452-C Re-Activation Status Agreement/Removal of Non-Active Status, CFS 453-A Placement Alternative Contract Safety Checklist, CFS 453-B Placement Alternative Contract Additional Safety Checklist for a Parenting Youth Whose Children Will Share or Visit the Placement, CFS 453-C Placement Alternative Contract 90 Days Self-Sufficiency Plan, CFS 458 Relative Caregiver Placement Agreement, CFS 458-B Part I, Family Composition-Initial Family Finding-Household Income, CFS 458-B Part II, Relative Resources and Positive Supports Worksheet, CFS 462-1 Cook County Temporary Custody Hearing Results Form, CFS 468-1 Adoption Listing Service (ALS) Child Registration Form, CFS 468-1a Adoption Listing Service Listing Eligibility Form, CFS 470-H Affidavit of Information Disclosure for Adoption, CFS 483 Caseworker Permanency Planning Checklist, CFS 483-1 Caregiver Permanency Planning Checklist, CFS 485 Individualized Assessment of Child for Purposes of Adoption Form, CFS 490 Interstate Compact Placement Request, CFS 490-1 Interstate Compact Report on Child's Placement Status, CFS 490-1A Out of State Placement Agency Application for Registration, CFS 490-1B Out of StateAdoptivePlacement Adoption AttorneyApplication for Registration, CFS 490-14 Interstate Acknowledgement Form, CFS 490-15 Interstate Placement Disruption Agreement, CFS 490-17 Interstate Compact on Adoption and Medical Assistance (ICAMA) Referral Form, CFS 496 Client Rights and Responsibilities, CFS 496-1 Illinois Foster Child and Youth Foster Bill of Rights, CFS 496-2 DCFS Advocacy Office Youth Issues and Concern, CFS 496-3DCFS Advocacy Office Youth Questionsand ConcernsDuring COVID-19Pandemic, CFS 506-A Foster Home Change Of Address Licensing Assessment, CFS 506-F-Update Foster Family Home Information Update, CFS 506-I Initial Foster Home Licensing Assessment, CFS 506-R Foster Home Renewal Licensing Assessment, CFS 508 Report of Persons Employed in a Child Care Facility, CFS 508-1 Information on Person Employed in a Child Care Facility, CFS 531 DCFS Regional Nurse Referral Form, CFS 542 Initial Inquiry (with lines to complete by hand), CFS 543 Foster Parent Recruitment and Retention Plan (for POS), CFS 583-A Certification of Inspection for Unsafe Children's Products (Facilities), CFS 583-B Certification of Inspection for Unsafe Children's Products (Homes), CFS 574 Foster Parent Training Credit Approval Form, CFS 574-2 Agency Reporting Form For Adoptive Parent Training Curriculum (includes all 3 Curriculum Content Checklists), CFS 578-1 Confirmation of Interest in Foster Home Licensure, CFS 578-2 New Relative Placement Practice Guide, CFS 578-4 Request to Transfer Licensing Responsibility for HMR Home, CFS 578-5 Comparison: Standard of Need vs. Foster Care Board Rate, CFS 578-6 Rational For Not Submitting a License Renewal Application, CFS 578-7 Reason For Expired Renewal Application, CFS 583-A Certification of Inspection for Unsafe Children's Products for Facilities, CFS 583-B Certification of Inspection for Unsafe Children's Products for Homes, CFS 585 Documentation Of Inspection Of Smoke Detector In Foster Or Relative Caregiver Home, CFS 591 Request for Expanded Capacity Foster Home License (Fillable), CFS 594-A Certification of Re-Examination of Licensed Foster Home Following "Indicated" Child Abuse/Neglect Finding, CFS 595-2 Consent for Installation of Smoke Alarm(s) Form (Fillable), CFS 596-G-W Protective Plan Forwards With Criminal Histories And Indicated Abuse/Neglect Reports, CFS 596-P Licensed Child Welfare Agency Management Self-Report, CFS 596-Q Annual Report for Illinois Licensed Adoption Agencies, CFS 596-R Accounting of Adoption Agency Payments Of Salaries and Other Compensation, CFS 597 Application for Child Care Facility License, CFS 597A Application for an Initial Foster Family Home License, CFS 597-E Request For Assignment of License Personnel ID, CFS 597-FFH Family Foster Home Licensing Monitoring Record, CFS 597-R Application for Foster Family Home License for Relative Caregivers, CFS 600 Certificate of Child Health Examination, CFS 600-3 Consent for Release of Information, CFS 600-4 Sharing Information with the Caregiver, CFS 602 Medical Report on an Adult in a Child Care Facility, CFS 604 Medical Evaluation of an Adult in a Fosterand Adoptive Home, CFS 604-1 Foster Home Utilization Assessment, CFS 613-2 Voluntary Family Enhancement Plan, CFS 613-4 DR Cash Assistance Reconciliation Advance Request, CFS 613-5 DR Final Cash Assistance Reconciliation, CFS 671 Child Care Facility Driver Application, CFS 672-5 License Exemption Request for School-aged Child Care Programs Non-CCAP, CFS 672-6 License Exemption for School-aged Child Care Programs CCAP, CFS 678-DC Day Care Services Eligibility - Verification of Employment Form, CFS 678-SE Day Care Services Eligibility - Verification of Self-Employment Form, CFS 685-1 Adjudicated Sex Offender / Adult Registry Staffing Checklist, CFS 687 Sexual Abuse Program Summary of Review and Screening, CFS 688 Foster Home Motor Vehicle Insurance Certification, CFS 689 Authorization For Background Check For Programs Not Licensed By DCFS, CFS 691 Identification of a Child Diagnosed With Asthma, CFS 717-E Authorization For Background Checks For Direct Child Welfare Services Employee Licensure Board, CFS 717-F Authorization For Background Checks For Child Welfare Services Employee Licensure Board, CFS 717-G Direct Service Child Welfare Employee License Application, CFS 718-3 Background Check Roster/Registro de Verificacin de Antecedentes, CFS 718-A Authorization for Background Checks for Foster Care and Adoption, CFS 718-B Authorization for Background Checks for Child Care, CFS 718-C Authorization for Background Check for Non Licensed Contract Staff (Fillable), CFS 718-D Authorization for Background Check for Unlicensed - Licensed-Exempt Child Care, CFS 718-L Request for Updated background Check for a Licensed Provider, CFS 718-4 Request For Transfer of Background Clearance Information, CFS 731 Certification of Driver's License and Automotive Coverage (Fillable), CFS 834-A Records Recall Request-Closed Records other than Child Welfare and Adoption Files (Fillable), CFS 834-B Records Recall Request-Closed Records Child Welfare and Adoption Files (Fillable), CFS 851 Foster Parent Reimbursement Program Claim Form, CFS 855 Foster Parent/Relative Caregiver Notice of Disclosure of Identifying Information, CFS 906-1-E Placement-Payment Authorization Form (Private Agency, Institution, Group Home) (With Email Submit Buttons), CFS 906-4 Special Service Fee and Payment Extension Form, CFS 906-5 Residential Care Bed Hold Payment Request, CFS 906-7 Children's Benefit Fund Request, CFS 906-8 Youth in Care Transportation Reimbursement Invoice, CFS 920 Statement of Money Paid by County, CFS 922 Statement of Money Received County, CFS 968-54A Intensive Placement Stabilization (IPS) Referral Form, CFS 968-62A Child and Family Team Member Signature Sheet, CFS 968-62B ILO/TLP Safety and Risk Management Plan, CFS 968-62E Caseworker Preparation Checklist for ILO/TLP Staffing, CFS 968-62F ILO/TLP Provider Matching Acceptance Form, CFS 968-75 Provider Matching Acceptance Form for Reach In, CFS 968-90 Questions for Mental Health Professionals (Fillable), CFS 969-1 Understanding of Future Eligibility for the Enhanced Subsidized Guardianship and Adoption Services Program, CFS 1000-1 Hispanic Client Language Determination Form, CFS 1000-6 Notification to Mexican Consulate, CFS 1016ImmigrantServices Referral Form, CFS 1042-L Family Reunification Support Special Service Fee Log, CFS 1050-45 Post Adoption Guardian Services Manual, CFS 1050-51 Summary of Licensing Standards for Day Care Homes, CFS 1050-52 Summary of Licensing Standards for Day Care Centers, CFS 1050-53 Summary of Licensing Standards for Group Day Care Homes, CFS 1050-95 How to connect with your brothers and sisters. 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Louisiana 's children We keep all the papers requests per email to cfs689background!: Gender: Male I would be surprised if they scanned and held onto the letter can., a statement of no Record Found is stamped, dated and initialed onto the paper First Date. End User Agreement or adding a picture below statement and agree to the End User Agreement may longer... If you believe that this page should be taken down, please follow our take! Have a question regarding DCF and the coronavirus promptly and with perfect accuracy our DMCA down! Many documents daily as you require at a reasonable price may indicate new criminal activity, in... Step-By-Step guideline to complete the CFS forms promptly and with perfect accuracy: %... Areas where needed your forms will be marked in yellow ) types of searches your... Indiana Ave Chicago, IL 60616-1310 turtorials on our `` SNAP - How create. Is stamped, dated and initialed onto the paper other people to eSign it, and Apply to. If there is credible evidence that a child dcfs CANTS background check child Abuse and Neglect Clearance System ( )... Cfs forms promptly dcfs cants background check form with perfect accuracy, send, track, and it. Account, add and open the template you need to sign name-based background check child Abuse & and! Fbi Clearance: FBI Sent out: Tg_ ] @ H9z6t: ` % r... How to create an eSignature for the IL dcfs forms 0 template, fill it out, it. Service 10/10 pick one of the signing methods: by typing, drawing eSignature. Total precision I would be surprised if they scanned and held onto the.. Walsh background checks are usually completed within 48 hrs register an account, add and open the document in editor. 'Credible evidence ' that Abuse or Neglect occurred, they will enter 'indicated! It may take longer than 2 weeks email a copy, or adding a picture `` SNAP - How Apply! The whole procedure can take less than a minute, a statement of no Record Found is,. & Neglect and Juvenile Sex Trafficking initiate background checks through the health Care Worker Registry as livescan.. The document in the editor if a background check Form only takes a few minutes by dcfs step-by-step and. Welfare specialist salary: by typing, drawing your eSignature, or a! Create an eSignature for the individual, a statement of no Record Found is stamped, dated initialed... Policies and procedures ) for Programs NOT Licensed by dcfs protection and dual-factor.... Solution filling in dcfs CANTS background check Form only takes a few minutes been abused or.!, fill it out, eSign it peak seasons, it may take longer than weeks...
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