Foster Care Forms

• Authorizing (SILP) Letter
  (Authorizing Word 34 KB)
• B2H Rates (1-1-08) 081229
  (B2H PDF 31 KB)
• Connections Job Aid
  (Connections Word 97 KB)
• Foster Parent Reference
  (Foster PDF 34 KB)
• LDSS-2999 School District Notification of Foster Child Placed in a Foster Family, Agency Boarding, Or Group Home
  (LDSS-2999 Word 44 KB) (LDSS-2999 PDF 28 KB)
• LDSS-3424 School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution
  (LDSS-3424 Word 112 KB) (LDSS-3424 PDF 71 KB)
• LDSS-3751 Fire Safety Review for Foster Parent Applicants or Foster Homes
  (LDSS-3751 Word 110 KB) (LDSS-3751 PDF 77 KB)
• LDSS-4809 Initial Foster Child Eligibility Checklist
  (LDSS-4809 PDF 122 KB)
• LDSS-4810 Re-determination of Title IV-E Eligibility Checklist (Foster Care)
  (LDSS-4810 PDF 87 KB)
• OCFS-2656 Voluntary Agency Application for Supervised Independent Living Program (SILP)
  (OCFS-2656 Word 91 KB) (OCFS-2656 PDF 18 KB)
• OCFS-2657 Notice of SILP Closing, Transferring, Recertification and Opening
  (OCFS-2657 Word 44 KB) (OCFS-2657 PDF 9 KB)
• OCFS-4883 AGENCY CHECKLIST FOR SILP OPERATION
  (OCFS-4883 Word 34 KB)
• OCFS-4884 SUPERVISED INDEPENDENT LIVING PROGRAMS
  (OCFS-4884 Word 275 KB)
• OCFS-4922 Transition Plan FormPart One
  (OCFS-4922 Word 245 KB)
• OCFS-4923 Transition Plan Form Part Two
  (OCFS-4923 Word 94 KB)
• OCFS-4930 ASFA Request for NYS Fingerprinting Services - Information Form
  (OCFS-4930 Word 76 KB) (OCFS-4930 Word 70 KB)
• OCFS-7065 Agency Reporting Form for Serious Injuries, Accidents, or Deaths of Children in Foster Care and Deaths of Childern in Open Child Protectice or Preventive Cases
  (OCFS-7065 Word 69 KB) (OCFS-7065 PDF 20 KB)
• OCFS-741 Foster Care Placement Agreement
  (OCFS-741 PDF 63 KB)
• OCFS-LDSS-0738 Medical History of Prospective or Certified Foster Parent(s)
  (OCFS-LDSS-0738 Word 32 KB) (OCFS-LDSS-0738 PDF 15 KB)
• OCFS-LDSS-7031 Transmittal for Parent Locator Service Search
  (OCFS-LDSS-7031 Word 58 KB) (OCFS-LDSS-7031 PDF 17 KB)

Order Hard Copies of Forms

To order hard copies of available forms developed by the New York State Office of Children and Family Services (OCFS), complete the "Request for Forms and Publications" form (OCFS-4627) Microsoft Word - OCFS-4627 / Adobe PDF - OCFS-4627 and mail your request to:

OCFS Resource Distribution Center
11 Fourth Ave
Rensselaer, NY 12144-2629
OR
Call the Forms Hotline: 518-473-0971