Each CASA volunteer is required to pass Act 33 & 34 clearances.
Please click on the links below to download and fill out the required state and CASA forms:
Pennsylvania Child Abuse History Clearance Form (CY-113)
Pennsylvania State Police Request for Criminal Record Check Form (SP4-164)
CASA Volunteer Application
All forms need to be completed and mailed into CASA Beaver County before a volunteer will be admitted into our training program. Please complete all forms and mail them (or drop them off) to:
CASA Beaver County, Inc.
250 Insurance St.
Beaver, PA 15009
Please feel free to contact our Volunteer Coordinator, Jennifer Middleman, with any questions you may have regarding this Volunteer Opportunity. Her email is
. You may also email her your completed Volunteer Application Form. Once your application is received, she will be contacting you to schedule an interview. Please make sure to include all your contact information.
For more information on the PA State forms, please Click Here to visit PA Dept. of Welfare