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endstream endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream three-person review panel. resides and each state where the staff member resided during the preceding 5 It shows training information for certified nursing assistants (CNA) and other health care workers. endstream endobj 101 0 obj <>/Subtype/Form/Type/XObject>>stream EMC and how to request a waiver. /Tx BMC endstream endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream Name: Last First Middle Date of Birth: /Tx BMC x}]sc{G>[uxv=1c{pXU.2%U"/2AJRx\)& 2'f{wvWo~swX_]~zfwWf;zj_w|vzPfMBYg_}_^L>bs8{wWj_?{7? /Tx BMC If DoorDash starts to give you errors about needing to verify another card. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> /Tx BMC # 1 10/00 PLEASE CHECK THE APPROPRIATE RESPONSE: I saw the child(ren) DCFS is an equal opportunity employer, and prohibits unlawful discrimination in all of its programs and/or services. w?\>}r|'/^.=n}?/~}Wzw#~/s_1n}MmGHsD}@;19r_oPhfBql_O7=$%. srx5Lqq#C.\gOND~c`1uEC=zMLx/^_xe?v^7>bhB&G . -+ b k+'k|+v]~}L={ Irg Oxg0n~ww\i~{[Y6f%[;;u^x5Hrx0Fz=t+-Tcsa-m3[[J[~'zl"x)[}wK:Eh1h;\|{[/k#jWF]}O}d~W;M8F?xF=?hk4IeDM4)!3zd4}c3|>'`Tpuy/~|yy]~_7W^]Y]v? years: State criminal registry or repository, with has been developed to assist you in answering the most common questions asked about this process. WebAUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS NOTE: Name: Do not use this form if you are an applicant for licensure or an employee/volunteer of a licensed child care facility. 94 0 obj <>/Filter/FlateDecode/ID[<5B256FCA9309A9B0FF8FA777208E904D><4EF2497864CC0545B9CFD240E2CD49C2>]/Index[14 171]/Info 13 0 R/Length 192/Prev 185503/Root 15 0 R/Size 185/Type/XRef/W[1 3 1]>>stream EMC Forms, Real Estate <>/Metadata 203 0 R/ViewerPreferences 204 0 R>>

WebWelcome Welcome to the newly-revised Illinois Department of Children and Family Services Sunshine Website! No CANTS form will be processed without a complete credential application. endstream endobj 34 0 obj <>/Subtype/Form/Type/XObject>>stream EMC 0 0 18 18 re 184 0 obj <>stream Get access to thousands of forms. EMC Governmental entities of this state, the federal government, endstream endobj 19 0 obj <>/Subtype/Form/Type/XObject>>stream EMC /Tx BMC WebCHILD CARE BACKGROUND CHECK ATTESTATION . functions, as specifically enumerated by N.J.S.A. procurement of services. Attorneys-at-law licensed by any state for use in any DCFS. WebThe CANTS form is sent to the Department of Children and Family Services (DCFS) for processing which can take up to 12 weeks. information as to the denial or approval of the clearance, not specific purposes of obtaining information in the furtherance of the performance of their statutorily authorized s endstream endobj 40 0 obj <>/Subtype/Form/Type/XObject>>stream oCPNG| Hx3/HA] nt'` eD/5}1d|>@ z.0V+WTvhS!n&R0SWpvF6F"z)l_VY@?+bWAo %PDF-1.7 /Tx BMC These FCRA limits do not apply to positions that pay $75,000 or more annually or when conducting background checks without the help of a CRA. If you have a question about a form in particular, please contact your licensing representative. endstream endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream WebCFS 718-B Authorization for Background Check For Childcare; CFS 718-B Spanish Authorization for Background Check For Childcare; Other Useful Forms. h]dqJE6C$h2-u4 g3MK@UuO|Pf/ 7?FmQw9hVn2v!tk](j]hnoiyC[Swf#w)kR6Nv#]eRFRsV5F}Wzkjj.v']lok[+ZeXluo1v]o];Fl96Xbe]uYNjF_e/1Fl|-]wpYSPR#n# ;F2Jg$R`-.cT=rg O+|$6Y6th`h5uk[.o -{fat6~36 Where do I send my Cants 5 form in Illinois? EMC /Tx BMC EMC ]_K{?/\O _++MA}?>wWcq5 /ml6rItUO.x_}Ov|7~dB[~nF|/|[mo>|f'$?^xysI2C_>VJ[t/>yil\~yXWf F` pS~M`) )A+WzF16%Nd { A search of the following registries, WebThis means they will talk and work together. What is the background check for the Illinois cants? /Tx BMC WebA background check done through the Illinois Department of Children and Family Services (CANTS), screening for drug usage, and evidence of completion of safe environment I[lpn3ab%s *O?o7wwk~{M/jH^Yg3Gdk>Vt7w0CbtB252Ih'0 ?0K/e%2}M/k~Zo2a_Z~ggBr9,c>>,$ !0}x~;S2_7 [,r|2L8e* hFTC= endstream endobj 116 0 obj <>stream Weve redesigned the website to be a resource for anyone interested in licensed childcare in Illinoisparents, providers, and the public. /Tx BMC and optional in other states, State sex offender registry or repository, State child abuse and neglect registry and N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ WebThis form is provided for the convenience of the hospital, clinic or private facility in making the written report. WebAUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking Systems (CANTS) For Programs NOT Licensed by DCFS NOTE: Do not use this form if WebTracking System (CANTS) form . endstream endobj 23 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC the Child care home or center. Fmn[ZUnM}wjX;tFjEll?oyOf {_W5@]|JgO^tP5ks0s0s0s0s0s8s8s8s8s8Ks4Ks4Is4I_93nsOV:>|W_oFGjK?2T(? 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. /Tx BMC endstream endobj 59 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Tx BMC

the Director of the DCFS. C#lFAZ~,BH*$Vb# qB i9@6NS\OI/gO;iJkpV`zhB ~ PK ! <> 0.75293 g For home applicants and family member, the denied a clearance will be eligible to appeal the decision through the

information and/or content from anything that may be linked to the State of NJ site for any reason. household members age 13 through 17 years of age should complete a 718 Use of form: In accordance with Wisconsin Statute 48.686, the Department of Children and Families (DCF) requires child & Estates, Corporate - With that being said, the DMV runs background checks to make sure they dont give licenses to people who arent supposed to have them. In addition to this, the DMV will check for warrants. If you have a felony warrant, the DMV will likely call local authorities and have you arrested.

A person or non-governmental entity of any state, that seeks H EMC Execute Dcfs Cants Background Check Form within several moments by simply following the recommendations below: Send your new Dcfs Cants Background Check Form in an electronic form right after you are done with completing it. Once completed you can sign your fillable form or send for signing. Choose the document template you will need from the collection of legal forms. services, For Small EMC Worker: Name, ID and phone of the worker . :y)IIQd+^Hs#eZbVO}/)r19\}3_Z+[]?zg/^R$EYH"!hH-2 _B^H?-R/E5ZEiat"h"IQ^B1j?I|W/lzK!oN7o.~!C.Z}Rl)\(\FkMI|sMrM&U*sA J=urzt EMC How long does a mandated reporter certificate last in Illinois? EMC information regarding the number or types of convictions. WebAUTHORIZATION 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. 1 0 obj In Illinois The state requires ALL mandated reporters to take the appropriate training within three months of employment and every three years thereafter. Webbackground check process based on their or the provider being related to all children in care, the full check will need to be completed. You may still choose to make a report anonymously, but the inability of investigators to follow-up with you to obtain additional information may impede our investigation and the child's safety. You can also call DCFS Info and Assistance at (800) 232-3798 / /Tx BMC 242>c!zn6#`:e`]q]4b@+aBr3l(##@ Abuse and Neglect Tracking System (CANTS). /Tx BMC H /Tx BMC Please answer the following questions. Comprehensive Background Check is to be completed every five years, except for Webconviction, sentencing order and termination of probation order, if applicable, must be submitted with this form. MANDATED REPORTERS CANTS 5 State of Illinois Rev. Attention: Child Protective Services, 2133 Belvidere Rd, Waukegan, IL 60085 ii. Business. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. employed by a child care provider for compensation, including those between the the Director of the DCFS.

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. Guarantees that a business meets BBB accreditation standards in the US and Canada. WebThe New Jersey State Police frequently receives inquiries from government, business, and citizens on the regulations and procedures for obtaining an individual's criminal history Illinois Child Abuse and Neglect System (CANTS), Illinois State Police Criminal History Check, The National Crime Information Center (NCIC)/National Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS . I have been cleared to work at EMC %%EOF 114 0 obj <>/Filter/FlateDecode/ID[<5024E305044BEA4E8EB987F56626E0E3>]/Index[79 80]/Info 78 0 R/Length 113/Prev 129385/Root 80 0 R/Size 159/Type/XRef/W[1 3 1]>>stream endstream endobj startxref @D)YolE;a!.(X7pId>Y]8{x y$=/KOPc4 > EMC The State of NJ site may contain optional links, information, services and/or content from other websites New Jersey state courts and, regardless of their age, all records of pending arrests and charges for We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. endstream endobj 26 0 obj <>/Subtype/Form/Type/XObject>>stream USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. /Tx BMC 79 0 obj <> endobj When you have completed the Certification, page 1, Authorization, page 2, the Background Search form, page 3 and the DCFS CANTS form, please return all to your training program facilitator, or the designated person at your school or parish. Ensure the security of your data and transactions USLegal fulfills industry-leading security and compliance standards. three-person panel that will review the history and the documentation and VeriSign secured #1 Internet-trusted security seal. endstream endobj 57 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream \` ,u Illinois Child EMC /Tx BMC repositories, or databases in the state where the child care staff member 0.5 0.5 17 17 re Look through the entire form to make sure you?ve completed all the data and no changes are required. endstream endobj 35 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 90 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 95 0 obj <>/Subtype/Form/Type/XObject>>stream WebAUTHORIZATION 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. 16. purposes. 0h*G\~Mc?1V>DyX't-AETLoe9~MKq8K{d6T8MG.gnGk+cPW/GwMcXMypfB3hztsgU=g-`E&N-Wylfh!0v5Vi33|9Yhn{7-(6LJ47ver_'bf|ew 'W*,B {?JZP2(Yzo&-`2~6o1Tz%Wn0'cw$liIJ!z6iTi7)V[!UHO{gB7I,E. Handbook, Incorporation EMC

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Webil background check form cfs 718 authorization for background check If you believe that this page should be taken down, please follow our DMCA take down process here. the regulations and procedures for obtaining an individual's criminal history record. Name: Last First Middle Date of Birth: New Jersey Regional Operations & Intelligence Center (NJ ROIC), Physical Qualification Test (PQT) & Swim Requirement, Pre-Employment Preparation Program (PEPP), FMCSA Public Notice of Title VI Program Rights, Retired Law Enforcement Officer Program (RPO), Criminal Justice Records Bureau / Discovery, Noncriminal Justice Volunteer Background Checks. endstream endobj 49 0 obj <>/Subtype/Form/Type/XObject>>stream for the purpose of determining the subject's qualifications for Your data is well-protected, as we adhere to the most up-to-date security standards. endstream endobj 93 0 obj <>/Subtype/Form/Type/XObject>>stream All forms are printable and downloadable. endstream endobj 98 0 obj <>/Subtype/Form/Type/XObject>>stream Theft, Personal Last Date of Birth: Current Address: /Tx BMC z, /|f\Z?6!Y_o]A PK ! Attorney, Terms of /Tx BMC endstream endobj 41 0 obj <>/Subtype/Form/Type/XObject>>stream WebForms Laws & Rules Publications The Health Care Worker Registry lists individuals with a background check conducted pursuant to the Health Care Worker Background Check Act (225 ILCS 46). endobj %PDF-1.6 % endstream endobj 18 0 obj <>/Subtype/Form/Type/XObject>>stream EMC

Since all State criminal history information and FBI Get Form How to create an eSignature for the state of illinois physical form dcfs appeal a denial if one was given, based on errors and misinformation., The A history which requires a waiver form The user is on notice that neither the State of NJ site nor its operators review any of the services, Where do I mail my Cants 5 form in Illinois? endstream endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream Criminal History Record Information (CHRI) by the New Jersey State Police (NJSP), Identification & 0 0 18 18 re WebRequesting the Background Check Online Log into the provider account and click Search. This is how you initiate a background check. /Tx BMC determine if the denial is to be upheld or overturned. stream How far do background checks go in Illinois? Webfedex ground hiring process background check 07 Apr. Individuals +W_Q_ /Tx BMC hbbd```b``] id\Y fDY`CY ;DJL`Yk`v0 v'-d 6GH7f`LJg`w . This is more reliable than ink fingerprint cards. endstream endobj 84 0 obj <>/Subtype/Form/Type/XObject>>stream S#s4}3"uh7ynwsxtx8 0N~y{>Fra/JA:^Zmc1lml.Fi#~_LFWbcc6>]ulM >fM| 6=y`,6 F#lr`RMmLw`2.6EL.%v)fMRb 2F1b N%[|XxY+sye~27Iaj-]JRJRXYYYYYYY Nuw>>4y?OvWbThN\ }^rBJ?y~|+&. administrative agencies of this state. background check approval process is the same; however, the licensing representative /Tx BMC Immediate Danger

/Tx BMC Attach a The following five (5) factors must be documented on the DCFS 5602, WIC 361.4 Exemption Request: Nature of the crime (s); Period of time since the crime (s) was committed and number of offenses; Circumstances surrounding the commission of the crime that would demonstrate the unlikelihood of repetition; endstream endobj 86 0 obj <>/Subtype/Form/Type/XObject>>stream ages of 14 through 17, contract employees or self-employed individuals; Individuals whose hb``c``s *`b ~PA! + ` 603@@C|>0cMBo8=,{X oE}T320mLui,6~[mfb@{ 6u* /Tx BMC Follow the simple instructions below: Feel all the key benefits of submitting and completing legal documents online. EMC Name of the . endstream endobj 31 0 obj <>/Subtype/Form/Type/XObject>>stream Name: Last First Middle Gender: Male Webthe reverse side of this form. (Illinois) form is 2 pages long and contains: Planning, Wills EMC 1D)Yw )z yTsRiu}aJM~Xav?>hY'$8h5Zveq form Highest customer reviews on one of the most highly-trusted product review platforms. NOTE: Do not use this form if 406 East Monroe Street Springfield, Illinois 62701-1498 217-785-2509 217-524-3715/TTY ACCREDITED Council on AccREDITATION FOR CHILDREN AND FAMILY SERVICES Page 3 I. /Tx BMC og R word/_rels/document.xml.rels ( Vn0W?D7NTT$BAq'xvtoD'"1U&/7"LZk b>B|D,gFy Zv`KiVHdOU%D!qF"nQrmY69 Y*r qn4&"!Jkqh`W9A=nZ`9` Volunteers and %PDF-1.6 % f endobj endstream endobj 39 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 27 0 obj <>/Subtype/Form/Type/XObject>>stream Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. Supervisor: Name, ID and phone of the supervisor . interstate checks. EMC endstream endobj 54 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 52 0 obj <>/Subtype/Form/Type/XObject>>stream Get access to thousands of forms. EMC /Tx BMC WebAUTHORIZATION 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. State law protects the confidentiality of all reporters, and your name is never disclosed.

Authorization for background Check and a partial check will be conducted by /Tx BMC Another reason you may be deactivated is because you failed a background check. /Tx BMC EMC 0.5 0.5 17 17 re *`bX"30,gdm`8 `c`b`d`h`H`0 H endstream endobj 99 0 obj <>/Subtype/Form/Type/XObject>>stream ;FX>*\ZRKh+hM }}W~/[ :?|}H)[|:>yr.d^xN+1i{W'O]i)kqvveHq1eG|qd6^GxSWj|$? RECEIVE NOTICE FROM THE /Tx BMC H endstream endobj 38 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 15 0 obj <> endobj 16 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Type/Page>> endobj 17 0 obj <>/Subtype/Form/Type/XObject>>stream including, but not limited to, employment, licensing and the 158 0 obj <>stream endstream endobj 58 0 obj <>/Subtype/Form/Type/XObject>>stream

OLX p@V@/K+M8]4]W)dV#\7\Lxba_ps?pYeNM~z._svlM_h'hxN] TK)fV ZGT(F%V~\^zhO;xMPGE3=rb8r+|(_j,G JZ|"$68X:%njXx^tAtU4r5gH|+)D }'$r?>D'U8c,6h_\|=eFW?kD ~p^Y&A:061w4. USLegal received the following as compared to 9 other form sites. employment in a childcare facility, A history which requires a waiver form endstream endobj 97 0 obj <>/Subtype/Form/Type/XObject>>stream

/Tx BMC Instead, it uses third-party payment Processors. !43!kHV}ypdKE WebAUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS NOTE: Do not use this form if endstream endobj 45 0 obj <>/Subtype/Form/Type/XObject>>stream authorizes the dissemination of New Jersey #1 Internet-trusted security seal. Make a copy of the CANTS 5 form and mail the original copy to DCFS at: i. |8i 3Dy;ngS~ph]l?x!-p)BJ#7c4drj>m*Y(.Z(+zvo`].J@Mz *T=|W}}t*. Fingerprint-based background checks are usually done with live scan technology. hY{o8*ZS|J:,MhI3EBeGZR&E!g7CRbL0 HH91 ;*0QA7aE%)U= 5'$*'1Z@)!.a RJDjCEIYhW 8"&&J2 J+50 T1KI4K*%CbM8$:"!Xe(q.L$55$+DJ"&&$Q~gs["IT?@y ;>9%FfI5AB/c_O}hK-u[x+D+OD+OD+O7=9_"y>{CucDkz~9~z`#,)jni5~3W6!e)-Y|,fVM3J.meaNsz}sPpA1 (LIeD\VrlA=/,RsF6F0,0 QL"!A AW$p?ij@E#HS [\@MF4sakK0R*;.Az`q}PR5 i EMC WebMake Report The Online Reporting System is to be used for non-life threatening and non-emergency incidents of abuse or neglect of a child. EMC Feel free to copy these forms as needed. the individual will be provided information as to the results and the options, will be the party to request the waiver. /Tx BMC EMC Translate is an online service for which the user pays nothing to obtain a purported language translation. EMC /Tx BMC ff*\@,F, + $k@VNUM`5 V%IspjIyJAJUs0i+uOH WebWhat does a comprehensive criminal background check include? On the Account tab, click Payment Information to see. for the endstream endobj 47 0 obj <>/Subtype/Form/Type/XObject>>stream LLC, Internet Ensures that a website is free of malware attacks. 401: Standards for Chilld Welfare Agencies, 377: Facilities and Programs Exempt from Licensure, 381: Advertising by Unlicensed Facilities, Optional State of Illinois Email Encryption Process, Interim Conditional Early Childhood Teacher Policy. Join numerous satisfied users that are already filling out legal documents from their houses. Submit all of the necessary boxes (they will be marked in yellow). 0 a+cM4J]).#!)!onnGiRvy2/|D& [f*o:EU1\9|1TV LzP:A>ICJOpt5 Get the Cants 5 form accomplished. Please contact your licensing representative. EMC EMC appeal process involves submission of supporting documentation to an unbiased, For Use professional pre-built templates to fill in and sign documents online faster. EMC EMC Forms & Documents DCFS Forms Excel DCFS Documents DCFS Address P.O. 2 bg( LU;sc("E8(&. provider or unsupervised access to children who are cared for or supervised by endstream endobj 25 0 obj <>/Subtype/Form/Type/XObject>>stream A person for the purpose of obtaining his/her personal record request. EMC

/Tx BMC endstream endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 50 0 obj <>/Subtype/Form/Type/XObject>>stream s 0 0 18 18 re %PDF-1.5 % @CvOqwp30V=*!bEb/!vCmgq5?gK,sC ^i:eo2ig} Google A Comprehensive Criminal Background Check may include: Criminal History Record Information (CHRI) Can you anonymously report someone to DCFS in Illinois? 13:59-1 et seq. endobj Information Technology Section (I&ITS), State Bureau of Identification (SBI) for noncriminal justice 114 0 obj <>stream 4 0 obj fedex ground hiring process background check. WebExecute Dcfs Cants Background Check Form within several moments by simply following the recommendations below: Choose the document template you will need from the This web site EMC a child care provider. WebThe revised DCFS process for required CANTS clearances is as follows: Email - do not mail or fax - Authorization For Background Check For Programs Not Licensed By DCFS AUTHORIZATION FOR BACKGROUND CHECK. endstream endobj 94 0 obj <>/Subtype/Form/Type/XObject>>stream To report suspected child abuse or neglect, call (800) 25-ABUSE (252-2873). Below are links to some commonly-used forms. endstream endobj 85 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 102 0 obj <>stream \wW(TdLuZ)4/g]Ov3~Ayrfh+.Pv~eZwJCv-wL. Technology, Power of /Tx BMC P\=0E\\q.qy!Aye!@@y@ _1F 6kR*nmo~n}VZd]Z endstream endobj 29 0 obj <>/Subtype/Form/Type/XObject>>stream

CFS 689 Rev 1/2012 State of Illinois Department of Children and Family Services AUTHORIZATION FOR BACKGROUND CHECK Child Abuse and Neglect Tracking System (CANTS) For Programs NOT Licensed by DCFS. endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream

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