What is the Act 24 PDE 6004 form?
The Act 24 PDE 6004 form is a standardized document used by the Pennsylvania Department of Education. It requires current and prospective employees of public and private schools, including intermediate units and vocational-technical schools, to report any arrests or convictions for specified offenses. This form ensures that schools comply with Act 24 of 2011 and Act 82 of 2012 and helps maintain safe educational environments.
Who needs to complete the PDE 6004 form?
Current and prospective employees of public and private schools, intermediate units, and area vocational-technical schools must complete the PDE 6004 form. This includes any individual applying for a job or who is already employed in these educational institutions.
What should I include in Section 2 of the form?
In Section 2, you must report any arrests or convictions for offenses specified in 24 P.S. §§1-111(e) or (f.1). This section requires details about each reportable offense, such as the type of offense, date and location of the incident, docket number, and the court involved. If you have no reportable offenses to disclose, you should proceed to Section 3.
What happens 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 corresponding box in Section 3 of the form. This indicates that you are exempt from providing further information regarding arrests or convictions.
What are the penalties for providing false information on this form?
Providing false information on the PDE 6004 form can result in serious legal consequences. Individuals could face criminal prosecution under 18 Pa.C.S. §4904, which addresses unsworn falsification to authorities. It is crucial to ensure that all the information provided is truthful and accurate, as false statements can lead to significant penalties.
What types of offenses are considered reportable?
Reportable offenses include a range of serious crimes outlined in 24 P.S. §1-111(e) and (f.1). They encompass crimes like homicide, assault, sexual offenses, and certain drug-related offenses. Additionally, felonies and misdemeanors, depending on the degree and the time elapsed since the sentence, may also qualify as reportable.
Is there an exemption for current employees regarding this form?
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 then are not required to complete an additional form. This is a provision meant to ease the burden on long-term employees who have already complied.
How should I submit the completed form?
After completing the PDE 6004 form, it must be submitted to the school administrator or the individual responsible for employment decisions within the school entity. If you are unsure about whom to send the form to, consult with your supervisor or contact the school administration office for guidance.
What is the time frame for reporting arrests or convictions?
Individuals must provide written notice of any arrests or convictions for reportable offenses within seventy-two (72) hours of the incident. Timely reporting is essential to comply with legal requirements and maintain transparency within the educational institution.