Office of Children and Family Services

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Currently showing 101 to 200 of a total of 783 form(s) in the database

Category
Form Title
Form #
Adoption
Transmittal for Parent Locator Service Search (PDF)
OCFS-LDSS-7031
Adoption
Transmittal for Parent Locator Service Search (WORD)
OCFS-LDSS-7031
Adult Protective Services
Application for Approval Family Type Home for Adults
LDSS-2865
Adult Protective Services
Fire Safety Inspection For Family Type Homes For Adults
LDSS-4388
Adult Protective Services
FTHA Application Independent-Verification Check List (PDF)
LDSS-2865B
Adult Protective Services
FTHA Application Independent-Verification Check List (WORD)
LDSS-2865B
Adult Protective Services
FTHA Family Type Home for Adults Certification of Child Support Obligations (PDF)
LDSS-4505
Adult Protective Services
FTHA Family Type Home for Adults Certification of Child Support Obligations (WORD)
LDSS-4505
Adult Protective Services
FTHA Personal History of Applicant Family Type Home for Adults (PDF)
OCFS-LDSS-7014
Adult Protective Services
FTHA Personal History of Applicant Family Type Home for Adults (WORD)
OCFS-LDSS-7014
Adult Protective Services
Incident Report FTHA (DARC)(DAS)(PDF)
LDSS-3123
Adult Protective Services
Incident Report FTHA (DARC)(DAS)(WORD)
LDSS-3123
Adult Protective Services
Medical Evaluation (Operator) (PDF)
LDSS-3239
Adult Protective Services
Medical Evaluation (Operator) (WORD)
LDSS-3239
Adult Protective Services
Plan for Fire, Disaster or Other Emergency Evactuation of Residents Operator or Substitute Caretaker (WORD)
OCFS-LDSS-7016
Adult Protective Services
Resident Medication Record (PDF)
LDSS-3634
Adult Protective Services
Resident Medication Record (WORD)
LDSS-3634
Adult Protective Services
Residential Placement Assessment Form
LDSS-4055
Child Care
意欲中斷兒童照護福利的通知
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
OCFS-LDSS-4782-TC
Child Care
意欲變更兒童照護福利與家庭分攤支付的通知
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
OCFS-LDSS-4781-TC
Child Care
托兒補助家庭自付額欠款通知
Delinquent Family Share for Child Care Benefits
OCFS-LDSS-4783-TC
Child Care
申請兒童照護福利獲批通知
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779-TC
Child Care
申請兒童照護福利遭拒通知
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780-TC
Child Care
關於您兒童照護福利資格重定的核准
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784-TC
Child Care
關於您過渡期兒童照護福利資格的核准
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785-TC
Child Care
보육 지원 혜택 신청 승인
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779-KO
Child Care
보육 지원 혜택 신청 승인
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780-KO
Child Care
보육 지원 혜택 중단 의향 통지서
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
OCFS-LDSS-4782-KO
Child Care
보육 혜택 재결정 승인
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784-KO
Child Care
한시적 보육 혜택 재결정 승인
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785-KO
Child Care
Acuerdo del Proveedor(a) de Cuidado Infantil a Domicilio Legalmente Exento
Legally Exempt In-Home Child Care Provider
OCFS-LDSS-4699-2S
Child Care
Administración de Medicamentos por el Proveedor de Cuidado Infantil Legalmente Exento (WORD)
Administration of Administration by Legally Exempt Provider
OCFS-LDSS-7008S
Child Care
Administration of Medication by Legally-Exempt Child Care Provider (WORD)
OCFS-LDSS-7008
Child Care
APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
Application for Child Care Assistance
OCFS-6025-HC
Child Care
Application for Child Care Assistance
OCFS-6025
Child Care
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779
Child Care
Approval of Your Redetermination for Child Care Benefits (Sample Only)
OCFS-LDSS-4784
Child Care
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785
Child Care
APPROVAZIONE DELLA DELIBERAZIONE DI SUSSIDI PER I SERVIZI ALL’INFANZIA
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784-IT
Child Care
APPROVAZIONE DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL’INFANZIA
Approval of Your Application for Child Care Benefits
OCFS-LDSS-4779-IT
Child Care
APROBACIÓN DE SU REDETERMINACIÓN PARA BENEFICIOS DE CUIDADO INFANTIL
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784-S
Child Care
Aprobación de Su Solicitud para Beneficios de Cuidado Infantil (Ejemplo Solamente)
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779-S
Child Care
Aprobacion de Sus Beneficios de Cuidado Infantil en Transicion
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785S
Child Care
APWOBASYON POU APLIKASYON OU FÈ POU AVANTAJ GADRI
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779-HC
Child Care
APWOBASYON POU AVANTAJ GADRI PWOVIZWA OU
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785-HC
Child Care
APWOBASYON RE-DETÈMINASYON OU POU AVANTAJ GADRI
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784-HC
Child Care
Attachment to the Home Inspection Report for Legally Exempt Family Child Care Provider (WORD)
OCFS-LDSS-7028-3
Child Care
Authorized Person Designation/Notarized Sworn Statement Form
JC-CBC-1Ap
Child Care
AVI POU FÈ KONNEN PEMAN ANPLIS POU GADRI AK KONDISYON POU RANBOUSMAN
Notice of Child Care Assistance Overpayment and Repayment Requirements
OCFS-LDSS-7009-HC
Child Care
AVI POU FÈ OU KONNEN ENTANSYON POU CHANJE AVANTAJ GADRI OU AK PEMAN KOTIZASYON FANMI OU
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
OCFS-LDSS-4781-HC
Child Care
AVI POU FÈ OU KONNEN ENTANSYON POU SISPANN AVANTAJ GADRI OU
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
OCFS-LDSS-4782-HC
Child Care
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785-IT
Child Care
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
Notice of Intent to Discontinue Child Care Benefits
OCFS-LDSS-4782-IT
Child Care
AVVISO DI MODIFICA DEI SUSSIDI PER I SERVIZI ALL’INFANZIA E DEI PAGAMENTI DI CONTRIBUTI FAMILIARI
Notice of Intent to Change Child care Benefits
OCFS-LDSS-4781-IT
Child Care
BIWO SÈVIS POU TIMOUN AK FANMI
RE-DETÈMINASYON KALIFIKASYON POU GADRI KI PRAL RIVE NAN DAT POU FÈT
Child Care Eligibility Re-determination Coming Due (Sample Only)
OCFS-4773HC
Child Care
Calificaciones del Proveedor(a)
Caregiver Qualifications
OCFS-6002S
Child Care
Caregiver Employee Volunteer Attendance Form
OCFS-6008
Child Care
Child Abuse and Maltreatment Safety Plan (DCC & SACC)
OCFS-6023
Child Care
Child Care Attendance Sheet
LDSS-4443
Child Care
Child Care Attendance Sheet - Seven Days
OCFS-6027
Child Care
Child Care Eligibility Re-determination Coming Due (Sample Only)
OCFS-4773
Child Care
Child Care On Site Inspection Report
LDSS-4553
Child Care
Child Day Care Program Training Tracking Chart
LDSS-4879
Child Care
Child In Care Medical Statement
OCFS-LDSS-4433
Child Care
Child Support Obligation Statement
OCFS-6036
Child Care
Cómo Completar la Solicitud de Asistencia para Cuidado Infantil
How to Complete the Application for Child Care Assistance
OCFS-6026-S
Child Care
Corrective Action Plan for Legally Exempt Child Care Provider (WORD)
OCFS-LDSS-7028-2
Child Care
Criminal Conviction Statement
Child Day Care Programs
OCFS-6005
Child Care
Day Care Registration (WORD)
OCFS-LDSS-0792
Child Care
Declaración de Antecedentes Penales del Proveedor(a)
CAREGIVER CRIMINAL CONVICTION STATEMENT
OCFS-6005S
Child Care
Declaración de Condena Criminal del Voluntario
Volunteer Criminal Conviction Statement
OCFS-6017-S
Child Care
Declaración Médica de un Niño(a) en Cuidado Infantil
Child in Care Medical Statement
OCFS-LDSS-4433-S
Child Care
Declaración Médica del Personal, Voluntarios y Miembros del Hogar
Staff, Volunteer, and Household Member Medical Statement
OCFS-6004-S
Child Care
Delinquent Family Share for Child Care Benefits
OCFS-LDSS-4783
Child Care
Denegación de Su Solicitud de Beneficios para Cuidado Infantil
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780-S
Child Care
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780
Child Care
Directions for Completing the Environmental Hazards Statement (WORD)
OCFS-LDSS-7041
Child Care
District Notification to Legally -Exempt Caregiver Enrollment Agency
OCFS-2114
Child Care
DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
Application for Child Care Assistance
OCFS-6025-IT
Child Care
Emergency Plan - Child Day Care Centers and School Age Child Care Programs
OCFS-LDSS-4438
Child Care
Emergency Plan - Shelter in Place
OCFS-LDSS-6011
Child Care
Emergency Plan-Evacuation
OCFS-LDSS-6012
Child Care
Employment of Minors Form (WORD)
OCFS-LDSS-4699-1
Child Care
Employment of Minors Information (WORD)
OCFS-LDSS-4699-1A
Child Care
Enrollment Form for Provider of Legally Exempt Family Child Care and Legally Exempt In-Home Child Care (WORD)
OCFS-LDSS-4699
Child Care
Enrollment Form for Provider of Legally -Exempt Group Child Care
OCFS-LDSS-4700
Child Care
Enrollment Information Packet for Legally-Exempt Providers (WORD)
OCFS-7026
Child Care
Environmental Hazard Information Form Parts I and II (WORD)
OCFS-LDSS-7042
Child Care
Environmental Hazards Guidance Sheet (WORD)
OCFS-LDSS-7040
Child Care
Evaluation of my Most Recent Licensing-Registration Experience (WORD)
OCFS-LDSS-7024
Child Care
Exención de Identificación con Foto para Menores - New York Photo ID Waiver for Minors
OCFS-4931-S
Child Care
Exención de Presentar una Tarjeta de Huellas Dactilares Duplicada
Waiver for Submission of a Duplicate Fingerprint Card
OCFS-4659-S
Child Care
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website (WORD)
OCFS-4932
Child Care
FASON POU RANPLI APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
How to Complete the Application for Child Care Assistance
OCFS-6026-HC
Child Care
Formulario de Consentimiento de Transportación
Transportation Consent Form
OCFS-6013S
Child Care
Formulario de Consentimiento Escrito para Medicamentos
OCFS-LDSS-7002S
Child Care
Formulario de Consentimiento para Administrar Productos que No Son Medicamentos, Non-Medication Consent Form
OCFS-6010-S
Child Care
Formulario de Consentimiento Verbal y Administración del Registro
Verbal Medication Consent Form and Log of Administration
OCFS-LDSS-7003S
Child Care
Formulario de Empleo para Menores de Edad (WORD)
Employment of Minors Form
OCFS-LDSS-4699-1-S
Child Care
Formulario de Informe de Error de Medicacion
OCFS-LDSS-7005S

 

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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) and mail your request to:

OCFS Forms and Publications Unit
52 Washington Street, Room 134 North Bldg.
Rensselaer, NY 12144-2834
OR
Call the Forms Hotline: 518-473-0971


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    To order hard copies of available publications developed by the New York State Office of Children and Family Services (OCFS), call the Forms/Publications Hotline at 518-473-0971 or complete the"Request for Forms and Publications" form (OCFS-4627) and mail your request to:

    OCFS Forms and Publications Unit
    52 Washington Street, Room 134 North Bldg.
    Rensselaer, NY 12144-2834