(a) An application for name removal from the Adult and Long-term Care Facility Resident Maltreatment Central Registry shall conform to the following:

1. (1) The offender will submit his or her request/petition to: DAABHS/Adult Maltreatment Registry Name Removal P.O. Box 1437 – Slot W241 Little Rock, AR 72203-1437 ; and

2. (2) The offender shall also submit:

   1. (A) A personal letter describing:

(i) The offender’s reason for the removal request;

1. (ii) The events and circumstances surrounding the adult maltreatment finding;

   1. (iii) The offender’s rehabilitation; and

      1. (iv) Why the offender does not pose a risk of maltreatment to vulnerable populations, including without limitation:

(b) (b) The elderly;

1. (c) (c) Persons with a disability; and

   1. (d) (d) Persons with a mental health illness;
   2. (B) Registry results free from a true finding of the same maltreatment type for the preceding year, or for one (1) year following the completion of any court-ordered sentence, if applicable;
   3. (C) Registry results from the offender’s current state of residence and any state in which the offender has resided in the preceding year free from a true finding of the same maltreatment type for the preceding year, or for one (1) year following the completion of any court-ordered sentence, if applicable;
   4. (D) Arkansas Crime Information Center background check and an adult maltreatment-related check that is free from disqualifying offenses for the preceding one (1) year, one (1) year prior to the date of application;
   5. (E) State background check results from the offender’s current state of residence and any state in which the offender has resided in the preceding year free from adult maltreatment-related offenses for the preceding one (1) year, one (1) year prior to the date of the application;
   6. (F) Description and documentation (e.g., court records, letter from the offender’s attorney, probation officer, or prosecuting attorney) of any current pending criminal charges, if applicable;

   7. (G) Evidence of the offender’s rehabilitation, including, but not limited to:

      1. (i) Documentation proving completion of treatment, remediation, or rehabilitation programs as related to the specific offense, if applicable; and
      2. (ii) For removal requests related to sexual abuse, proof of rehabilitation must include documentation from a licensed mental health professional that:

(b) (b) States total length of time the requestor has participated in therapy with the licensed mental health professional to address the issues related to the sexual abuse offense and the frequency of therapy sessions during that period of time;

1. (c)
2. (1) (c)(1) Indicates whether a sex offender specific assessment was conducted during the therapy period (e.g., the Vermont Assessment of Sex Offender Risk (VASOR), Clarke Sex History Questionnaire for Males Revised, Hare Psychotherapy Scale).

3. (2) (2) Note. The use of such an assessment is not necessarily a requirement for removal but the presence or absence of such an assessment will be considered; and

   1. (d) (d) Provides the licensed mental health professional’s assessment of the requestor’s participation during the therapy period; and

   2. (H)

      1. (i) One (1) to three (3) letters of reference from professionals (not to include Adult Protective Services Unit of the Department of Human Services employees), employers, spiritual counselors, friends, or family describing the offender’s rehabilitation and whether the offender poses a risk of maltreatment to vulnerable populations, including without limitation:

(b) (b) The elderly;

1. (c) (c) Persons with a disability; and

   1. (d) (d) Persons with a mental health illness.

      1. (ii) No more than one (1) letter of reference can be submitted from a family member.