Office of Children and Family Services

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Currently showing 601 to 700 of a total of 781 form(s) in the database

Category
Form Title
Form #
Home and Community-Based Services Waiver (B2H)
Detailed Service Plan (WORD)
OCFS-8020
Home and Community-Based Services Waiver (B2H)
Entendiendo el Programa de Exención del Medicaid B2H
Understanding the Bridges to Health Medicaid Waiver Program
OCFS-8003S
Home and Community-Based Services Waiver (B2H)
Formulario de Exención de los Derechos del Participante
Waiver Participants Rights Form
OCFS-8008S
Home and Community-Based Services Waiver (B2H)
Formulario de Libre Selección
Freedom of Choice Form
OCFS-8002S
Home and Community-Based Services Waiver (B2H)
Formulario de Reautorización
Reauthorization Form
OCFS-8014S
Home and Community-Based Services Waiver (B2H)
Formulario de Solicitud de Inscripción
Application Form for Enrollment
OCFS-8004S
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (PDF)
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (DOC)
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (PDF)
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (WORD)
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (PDF)
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (WORD)
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (PDF)
OCFS-8007
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (WORD)
OCFS-8007
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (PDF)
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (WORD)
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (EXCEL)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (PDF)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (WORD)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (PDF)
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (WORD)
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (PDF)
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (WORD)
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (PDF)
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (WORD)
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Medication Error Report (PDF)
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Medication Error Report (WORD)
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (PDF)
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (WORD)
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (PDF)
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (WORD)
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (PDF)
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (WORD)
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (PDF)
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (WORD)
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (PDF)
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (WORD)
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
OCFS-8010A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVI POU DESIZYON - REFI POU ENSKRIPSYON
OCFS-8010A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVVISO DI DECISIONE - DINIEGO DELL’ISCRIZIONE
OCFS-8010A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
결정 통지서 – 등록 거부
OCFS-8010A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
決定通知– 拒絕註冊
OCFS-8010A-TC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVI POU DESIZYON - SISPANSYON NAN
PWOGRAM EGZANPSYON
OCFS-8011A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVVISO DI DECISIONE - INTERRUZIONE DEL
PROGRAMMA WAIVER
OCFS-8011A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
УВЕДОМЛЕНИЕ О РЕШЕНИИ: ПРЕКРАЩЕНИЕ УЧАСТИЯ
В АЛЬТЕРНАТИВНОЙ ПРОГРАММЕ
OCFS-8011A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
결정 통지서 – 면제 프로그램
중단
OCFS-8011A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
決定通知−中止
減免計畫
OCFS-8011A-TC
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión - Discontinuación del Programa de Exención
Notice of Decision - Discontinuance from Waiver Program
OCFS-8011A-S
Home and Community-Based Services Waiver (B2H)
Notificacion de la Decision-Denegacion de Inscripcion
Notice of Decision – Denial of Enrollment
OCFS-8010AS
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión-Discontinuación de Servicios de Exención, Proveedor(es) de Servicio(s) y/o Reducción de Servicio(s)
Notice of Decision-Discontinuance of Waiver Service(s), Service Provider(s) an/or Reduction of Service(s)
OCFS-8011B-S
Home and Community-Based Services Waiver (B2H)
Progress Notes (PDF)
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Progress Notes (WORD)
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Qualification Form (PDF)
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Qualification Form (WORD)
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (PDF)
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (WORD)
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Referral Form (PDF)
OCFS-8000
Home and Community-Based Services Waiver (B2H)
Referral Form (WORD)
OCFS-8000
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (PDF)
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (WORD)
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (PDF)
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (WORD)
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (PDF)
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (WORD)
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Service Summary Form (PDF)
OCFS-8018
Home and Community-Based Services Waiver (B2H)
Service Summary Form (WORD)
OCFS-8018
Home and Community-Based Services Waiver (B2H)
Status Progress Report (WORD)
OCFS-8022
Home and Community-Based Services Waiver (B2H)
Transition Plan (PDF)
OCFS-8030
Home and Community-Based Services Waiver (B2H)
Transition Plan(WORD)
OCFS-8030
Home and Community-Based Services Waiver (B2H)
Understanding the Bridges to Health Medicaid Waiver Program (PDF)
OCFS-8002
Home and Community-Based Services Waiver (B2H)
Understanding the Bridges to Health Medicaid Waiver Program (WORD)
OCFS-8002
Home and Community-Based Services Waiver (B2H)
Wait List Notification Form (PDF)
OCFS-8012
Home and Community-Based Services Waiver (B2H)
Wait List Notification Form (WORD)
OCFS-8012
Home and Community-Based Services Waiver (B2H)
Waiver Participants Rights Form (PDF)
OCFS-8008
Home and Community-Based Services Waiver (B2H)
Waiver Participants Rights Form (WORD)
OCFS-8008
Human Trafficking
Initial Trafficking Interview Tool for Youth
OCFS-2175
Juvenile Justice and Opportunities for Youth
ADVISORY BOARD APPLICATION (WORD)
OCFS-4934
Juvenile Justice and Opportunities for Youth
Application for Certificate to Board Children (PDF)
OCFS-0700B
Juvenile Justice and Opportunities for Youth
Application for Certificate to Board Children (WORD)
OCFS-0700B
Juvenile Justice and Opportunities for Youth
Application to Operate a Detention Facility (PDF)
OCFS-0291
Juvenile Justice and Opportunities for Youth
Application to Operate a Detention Facility (WORD)
OCFS-0291
Juvenile Justice and Opportunities for Youth
Application to Operate a Family Boarding Facility (PDF)
OCFS-0290
Juvenile Justice and Opportunities for Youth
Application to Operate a Family Boarding Facility (WORD)
OCFS-0290
Juvenile Justice and Opportunities for Youth
Detention Care Provided and Fiscal Summary (PDF)
OCFS-0014
Juvenile Justice and Opportunities for Youth
Detention Care Provided and Fiscal Summary (WORD)
OCFS-0014
Juvenile Justice and Opportunities for Youth
Detention Cost Report Instructions (PDF)
OCFS-DET
Juvenile Justice and Opportunities for Youth
Detention Cost Report Instructions (WORD)
OCFS-DET
Juvenile Justice and Opportunities for Youth
Detention Program Cost Report (EXCEL)
OCFS-DET-2652
Juvenile Justice and Opportunities for Youth
Detention Program Income Report (EXCEL)
OCFS-DET-2654
Juvenile Justice and Opportunities for Youth
Detention Program Salary Itemization (EXCEL)
OCFS-DET-2668
Juvenile Justice and Opportunities for Youth
Detention Program Statistics(EXCEL)
OCFS-DET-2651
Juvenile Justice and Opportunities for Youth
Detention Services Unusual Incident Report (PDF)
OCFS-4830
Juvenile Justice and Opportunities for Youth
Detention Services Unusual Incident Report (WORD)
OCFS-4830
Juvenile Justice and Opportunities for Youth
DJJOY Transition Plan (WORD)
OCFS-4924
Juvenile Justice and Opportunities for Youth
Family Boarding Care Driver Information (PDF)
OCFS-0295
Juvenile Justice and Opportunities for Youth
Family Boarding Care Driver Information (WORD)
OCFS-0295
Juvenile Justice and Opportunities for Youth
Family Boarding Care Facility Home Study (PDF)
OCFS-0390
Juvenile Justice and Opportunities for Youth
Family Boarding Care Facility Home Study (WORD)
OCFS-0390
Juvenile Justice and Opportunities for Youth
Fire Safety Checklist Non-Secure Detention Family Boarding Homes (PDF)
OCFS-0293
Juvenile Justice and Opportunities for Youth
Fire Safety Checklist Non-Secure Detention Family Boarding Homes (WORD)
OCFS-0293

 

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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