210.906.  Registration form, contents — violation, penalty — fees — voluntary registration permitted, when. — 1.  Every child-care worker or elder-care worker hired on or after January 1, 2001, or personal-care worker hired on or after January 1, 2002, or mental health worker hired on or after January 1, 2009, shall complete a registration form provided by the department.  The department shall make such forms available no later than January 1, 2001, and may, by rule, determine the specific content of such form, but every form shall:

  (1)  Request the valid Social Security number of the applicant;

  (2)  Include information on the person's right to appeal the information contained in the registry pursuant to section 210.912;

  (3)  Contain the signed consent of the applicant for the background checks required pursuant to this section; and

  (4)  Contain the signed consent for the release of information contained in the background check for employment purposes only.

  2.  Every child-care worker or elder-care worker hired on or after January 1, 2001, and every personal-care worker hired on or after January 1, 2002, and every mental health worker hired on or after January 1, 2009, shall complete a registration form within fifteen days of the beginning of such person's employment.  Any person employed as a child-care, elder-care, mental health, or personal-care worker who fails to submit a completed registration form to the department of health and senior services as required by sections 210.900 to 210.936 without good cause, as determined by the department, is guilty of a class B misdemeanor.

  3.  The costs of the criminal background check may be paid by the individual applicant, or by the provider if the applicant is so employed, or for those applicants receiving public assistance, by the state through the terms of the self-sufficiency pact pursuant to section 208.325.  Any moneys remitted to the patrol for the costs of the criminal background check shall be deposited to the credit of the criminal record system fund as required by section 43.530.

  4.  Any person licensed pursuant to sections 210.481 to 210.565 shall be automatically registered in the family care safety registry at no additional cost other than the costs required pursuant to sections 210.481 to 210.565.

  5.  Any person not required to register pursuant to the provisions of sections 210.900 to 210.936 may also be included in the registry if such person voluntarily applies to the department for registration and meets the requirements of this section and section 210.909, including submitting to the background checks in subsection 1 of section 210.909.

  6.  The provisions of sections 210.900 to 210.936 shall not extend to related child care, related elder care or related personal care.