Licensed Foster/Adopt Parent Forms

ACCEPTANCE OF NEW PLACEMENT FORMS NEEDED:

Upon acceptance of a new placement, these are the forms you will need to complete: (click on form name to access the form)

  • 3 Day Medical Screening Form (The 3 day medical screen, must be completed within 3 days of accepting placement)
  • 30 Day Medical Screening Form (This appointment should be scheduled at the time of placement with a Primary Care Physician and completed within 30 days of the child being placed in the home)
  • Clothing Inventory (To be completed and given to the caseworker with the 3 day medical form)
  • Dental Exam Document (To be scheduled at time of placement and completed within 6 months of accepting placement unless otherwise instructed by ECDJFS.
  • Optical Exam Document (To be scheduled at time of placement and completed within 6 months of accepting placement unless otherwise instructed by ECDJFS.

MONTHLY FOSTER PARENT FORMS:

Annual Review Documents: 

These forms will be mailed to you at a minimum of 120 days prior to the Annual Review date of your license:  (Please complete them and return them to your licensing specialist at a minimum of 30 days prior to the due date)

Recertification Documents

These forms will be mailed to you at a minimum of 120 days prior to the Annual Review date of your license:  (Please complete them and return them to your licensing specialist at a minimum of 30 days prior to the due date)

New Member to the Household Foster/Adopt: