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OCFS-LDSS-7029-3 - Site Verification of Health Care Plan for Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7029-4 - Supervision, Ratios and Group Sizes in Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7029-6 - Site Verification of Staff Records for Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7028-3 - Site Verification of Health Care Plan for Legally Exempt Child Care Provider
English
Child Care: Exempt Providers
Forms
2019
OCFS-5052 - ICPC Quarterly Supervision Report Form
English
Adoption
Forms
2020
ICPC-102 - Receiving State Priority Home Study
English
Adoption
Forms
2020
ICPC Regulation 7 Form Order for Expedited Placement Decision
English
Adoption
Forms
2020
OCFS-6007-S - Registro de Simulacros de Refugio en el Lugar del Programa
Record of Shelter-in-Place Drills
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6007 - Record of Shelter in Place Drills
English
Child Care: L/R Providers
Forms
2019
LDSS-4439 - Record of Evacuation Drills
English
Child Care: L/R Providers
Forms
2019
OCFS-5107 - FFPSA of 2018 Out of State Child Abuse Register Check Letter
English
Protective Services State Central Register
Forms
2019
OCFS-5108 - Family First Prevention Services Act - Out of State Child Abuse Register Check
English
Protective Services State Central Register
Forms
2019
OCFS-LDSS-7021-TC - 健康照護方案 - 家庭日托/團體家庭日托/小型日托中心
Health Care Plan – Family Day Care, Group Family Day Care, Small Day Care Center
Chinese, traditional
Child Care: L/R Providers
Forms
2019
OCFS-4930-1 - Guidelines for Fingerprinting
English
Child Care: L/R Providers
Forms
2019
OCFS-4930-1-S - Guía para Obtener Huellas Dactilares
Guidelines for Fingerprinting
Spanish
Child Care: L/R Providers
Forms
2019
FFPSA Goal Monitoring Worksheet
English
Strategic Planning and Policy Development
Foster Care
Forms
2019
OCFS-4777 - Federal Foster Care Candidacy Determination Form
This form is used to Determination or six-month Redetermination Foster Care Candidacy reimbursement.
English
Foster Care
Forms
2019
OCFS-6002-S - Calificaciones-Programas de Cuidado Diurno Infantil
Qualifications-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-5183L-S - Reautorización Anual−Evaluación y Determinación
Annual Reauthorization Assessment and Determination
Annual Reauthorization Assessment and Determination
Spanish
Foster Care
Adoption
Forms
2019
OCFS-3446 - Release of Confidential Information
English
Commission for the Blind
Forms
2019
OCFS-6022-S - Solicitud de Verificación de la Lista de Exclusión de Personal
Request for Staff Exclusion List Check
Spanish
Child Care: All Providers
Forms
2019
OCFS-5183C-S - Informacion del Registro de Adopcion para Familias
Family Adoption Registry Information
Foster/Adoptive Home Certification or Approval Process
Spanish
Foster Care
Adoption
Forms
2019
OCFS-6002 - Qualifications-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-2201-BN - গার্হস্থ্য হিংসার তথ্য প্রকাশ
Domestic Violence Release of Information
Bengali
Domestic Violence
Forms
2019
OCFS-2201-TC - 家庭暴力資訊披露授權書
Domestic Violence Release of Information
Chinese, traditional
Domestic Violence
Forms
2019
OCFS-2201-KO - 가정폭력 정보공개
Domestic Violence Release of Information
Korean
Domestic Violence
Forms
2019
OCFS-2201-HC - DIVILGASYON ENFOMASYON SOU VYOLANS DOMESTIK
Domestic Violence Release of Information
Haitian Creole
Domestic Violence
Forms
2019
OCFS-2201-RU - Разрешение на раскрытие информации о домашнем насилии
Domestic Violence Release of Information
Russian
Domestic Violence
Forms
2019
OCFS-5183B-S - Solicitud de Padres de Crianza o Adoptivos
Foster/Adoptive Parent Application
Foster/Adoptive Home Certification or Approval Process
Spanish
Foster Care
Adoption
Forms
2019
OCFS-5050i - Residential Placements Checklist for School Districts
English
Adoption
Forms
2019
OCFS-5050j - Residential Placements Checklist for Parents/Guardians
English
Adoption
Forms
2019
OCFS-5183L - Annual Reauthorization Assessment and Determination
Annual Reauthorization Assessment and Determination
English
Foster Care
Adoption
Forms
2019
OCFS-6038-S - Solicitud de Cuidado Infantil
Request for Child Care
Spanish
Child Care: All Providers
Forms
2019
OCFS-6038 - Child Care Request Form
English
Child Care: All Providers
Forms
2019
OCFS-2201-S - Autorización para Divulgar Información Sobre la Violencia Doméstica
Domestic Violence Release of Information
Spanish
Domestic Violence
Forms
2019
OCFS-2200 - District of Fiscal Responsibility (Word)
English
Domestic Violence
Forms
2019
OCFS-2200 - District of Fiscal Responsibility (PDF)
English
Domestic Violence
Forms
2019
OCFS-2201 - Domestic Violence Release of Information
English
Domestic Violence
Forms
2019
OCFS-2201 - Domestic Violence Release of Information
English
Domestic Violence
Forms
2019
OCFS-6025-KO - 보육 지원 신청서
Application for Child Care Assistance
Korean
Child Care: LDSS
Forms
2019
OCFS-6025-HC - APLIKASYON POU JWENN ÈD POU GADRI
Application for Child Care Assistance
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-6025-IT - DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
Application for Child Care Assistance
Italian
Child Care: LDSS
Forms
2019
OCFS-6025-RU - ЗАЯВЛЕНИЕ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Application for Child Care Assistance
Russian
Child Care: LDSS
Forms
2019
OCFS-6025-TC - 托兒補助申請表
Application for Child Care Assistance
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-5183J - Foster Parent Agreement With Authorized Agency
Part of the OCFS-5183 certification approval packet.
English
Foster Care
Adoption
Forms
2019
OCFS-5183F - Household Composition and Relationships Form
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183C - Family Adoption Registry Information
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183A - Self Assessment
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183B - Foster-Adoptive Parent Application
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183G - Sample Genogram Template
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183H - Personal References
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-5183I - Resource Characteristics
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2019
OCFS-4599 - Report of Legal Blindness-Request for Information
English
Commission for the Blind
Forms
2019
OCFS-6025-BN - শিশু পরিচর্যার সহায়তার জন্য আবেদন
Application for Child Care Assistance
Bengali
Child Care: LDSS
Forms
2019
OCFS-6026-BN - কীভাবে শিশু পরিচর্যা সহায়তার জন্য আবেদনটি সম্পূর্ণ করবেন
How to Complete the Application for Child Care Assistance
Bengali
Child Care: LDSS
Forms
2019
OCFS-6026-TC - 如何填寫托兒補助申請表
How to Complete the Application for Child Care Assistance
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-6026-IT - MODALITÀ DI COMPILAZIONE DELLA DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
How to Complete the Application for Child Care Assistance
Italian
Child Care: LDSS
Forms
2019
OCFS-6026-HC - FASON POU RANPLI APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
How to Complete the Application for Child Care Assistance
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-6026-KO - 보육 지원 신청서 작성 방법
How to Complete the Application for Child Care Assistance
Korean
Child Care: LDSS
Forms
2019
OCFS-6026-RU - ПОРЯДОК ЗАПОЛНЕНИЯ ЗАЯВЛЕНИЯ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
How to Complete the Application for Child Care Assistance
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4433 - Child In Care Medical Statement
English
Child Care: L/R Providers
Forms
2019
OCFS-3900 - Federal Fund Advance Request Form
English
Contracts and Grants
Forms
2019
OCFS-4401 - Adoption Subsidy Eligibility Documentation File-Title IV-E Adoption Assistance
OCFS-4401 Adoption Subsidy Eligibility Documentation File-Title IV-E Adoption Assistance
English
Adoption
Forms
2019
OCFS-4980 - Location Preference Sheet
English
Human Resources
Forms
2019
OCFS-LDSS-7009-BN - শিশু পরিচর্যা সহায়তা ওভারপেমেন্টের
এবং রিপেমেন্টের প্রয়োজনীয়তার বিজ্ঞপ্তি
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Bengali
Child Care: LDSS
Forms
2015
LDSS-4783-BN - শিশু পরিচর্যা সুবিধার জন্য অবাধ্য ফ্যামিলি শেয়ার
Delinquent Family Share for Child Care Benefits
(Sample Only)
Bengali
Child Care: LDSS
Forms
2015
OCFS-3445-KO - 아동 복지국 기밀 정보 공개
Children's Services Release of Confidential Information
Korean
Commission for the Blind
Forms
2019
OCFS-3445-RU - РАЗРЕШЕНИЕ НА РАСКРЫТИЕ ИНФОРМАЦИИ ОБ УСЛУГАХ ДЛЯ ДЕТЕЙ
Children's Services Release of Confidential Information
Russian
Commission for the Blind
Forms
2019
OCFS-3463-KO - 아동 복지국 학교 기록 관련 기밀 정보 공개
Children's Services Release of Confidential Information for School Records
Korean
Commission for the Blind
Forms
2019
OCFS-3463-RU - РАЗРЕШЕНИЕ НА РАСКРЫТИЕ КОНФИДЕНЦИАЛЬНОЙ ИНФОРМАЦИИ ОБ УСЛУГАХ ДЛЯ ДЕТЕЙ И ЕЕ ВНЕСЕНИЕ В ШКОЛЬНУЮ ДОКУМЕНТАЦИЮ
Children's Services Release of Confidential Information for School Records
Russian
Commission for the Blind
Forms
2019
OCFS-3445-BN - শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information
Bengali
Commission for the Blind
Forms
2019
OCFS-3445-HC - Kominikasyon Enfòmasyon Konfidansyél Sévis Timoun
Children’s Services Release of Confidential Information
Haitian Creole
Commission for the Blind
Forms
2019
OCFS-3445-TC - 兒童服務機密資訊披露同意書
Children’s Services Release of Confidential Information
Chinese, traditional
Commission for the Blind
Forms
2019
OCFS-3463-BN - স্কুল রেকর্ডের জন্য শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information for School Records
Bengali
Commission for the Blind
Forms
2019
OCFS-3463-HC - Kominikasyon Enfòmasyon Konfidansyél Sévis Timoun Pou Dosye Lekòl
Children’s Services Release of Confidential Information for School Records
Haitian Creole
Commission for the Blind
Forms
2019
OCFS-3463-TC - স্কুল রেকর্ডের জন্য শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information for School Records
Chinese, traditional
Commission for the Blind
Forms
2019
OCFS-4362 - Application to Relaunch a Child Protective Services (CPS) Family Assessment Response (FAR) program
English
Protective Services State Central Register
Forms
2019
OCFS-4363 - Family Assessment Response (FAR) Change Request Form
English
Protective Services State Central Register
Forms
2019
OCFS-4364 - Family Assessment Response (FAR) Implementation Guidelines
English
Protective Services State Central Register
Forms
2019
OCFS-4365 - Application to Provide a Child Protective Services (CPS) Differential Response System by Adding Family Assessment Responses (FAR)
English
Protective Services State Central Register
Forms
2019
OCFS-3445 - Children’s Services Release of Confidential Information
English
Commission for the Blind
Forms
2019
OCFS-3445-S - Diseminación de Información Confidencial de Servicios para Niños
Children’s Services Release of Confidential Information
Spanish
Commission for the Blind
Forms
2019
OCFS-3463 - Children's Services Release of Confidential Information for School Records
English
Commission for the Blind
Forms
2019
OCFS-2156a - Reasonable Accommodation for Members of the Public with Disabilities
English
Administration
Forms
2019
OCFS-4744-IT - MODULO DI AUTORIZZAZIONE PER DEPOSITO DIRETTO/CARTA DI DEBITO PER SUSSIDIO DI ADOZIONE
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Italian
Electronic Payments
Forms
2019
OCFS-4744-KO - 입양 보조금 계좌 입금/직불 카드 승인 양식
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Korean
Electronic Payments
Forms
2019
OCFS-4744-PL - DODATEK ADOPCYJNY – FORMULARZ AUTORYZACJI WPŁATY BEZPOŚREDNIEJ / KARTY DEBETOWEJ
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Polish
Electronic Payments
Forms
2019
OCFS-4744-RU - ФОРМА РАЗРЕШЕНИЯ НА ЗАЧИСЛЕНИЕ ПОСОБИЯ НА УСЫНОВЛЕННОГО/УДОЧЕРЕННОГО РЕБЕНКА ПРЯМЫМ ДЕПОЗИТОМ / НА ДЕБЕТОВУЮ КАРТУ
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Russian
Electronic Payments
Forms
2019
OCFS-4744-TC - 領養補助金直接存款/金融卡授權表
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Chinese, traditional
Electronic Payments
Forms
2019
OCFS-4744 - Adoption Subsidy Direct Deposit/Debit Card Authorization Form
English
Electronic Payments
Forms
2019
OCFS-4744-S - Formulario de Autorización de Depósito Directo o en Tarjeta de Débito del Subsidio de Adopción
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Spanish
Electronic Payments
Forms
2019
LDSS-2221A-BN - সন্দেহজনক শিশু নির্যাতন বা অবহেলা সংক্রান্ত প্রতিবেদন
Report of Suspected Child Abuse or Maltreatment
Bengali
Protective Services State Central Register
Child Care: L/R Providers
Forms
2016
OCFS-4411-BN - পটাশিয়াম আয়য়াডাইড (KI) প্রত্যাখান/পশিত্যাগ ফমম
Potassium Iodide (KI) Refusal/Opt-Out Form
Bengali
Child Care: L/R Providers
Forms
2019
OCFS-4411-HC - FÒM POU REFIZE/PA PRAN YÒDI POTASYÒM (POTASSIUM IODIDE, KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Haitian Creole
Child Care: L/R Providers
Forms
2019
OCFS-4411-TC - 關於拒絕/不參與使用碘化鉀 (KI) 的表單
Potassium Iodide (KI) Refusal/Opt-Out Form
Chinese, traditional
Child Care: L/R Providers
Forms
2019
OCFS-4411-KO - 요오드화칼륨(KI) 거부/비참여 양식
Potassium Iodide (KI) Refusal/Opt-Out Form
Korean
Child Care: L/R Providers
Forms
2019
OCFS-4411-PL - FORMULARZ ODMOWY/REZYGNACJI Z PODANIA JODKU POTASU (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Polish
Child Care: L/R Providers
Forms
2019
OCFS-4411-RU - ФОРМА НЕСОГЛАСИЯ / ОТКАЗА ОТ ПРИЕМА ЙОДИДА КАЛИЯ (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Russian
Child Care: L/R Providers
Forms
2019
OCFS-4411 - Potassium Iodide-KI Refusal-Opt-Out Form
English
Child Care: L/R Providers
Forms
2019
OCFS-4411-S - Formulario para Rehusar o No Optar por el Yoduro de Potasio (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-4433-S - Programa de Asistencia para Allegados como Tutores de Menores-Formulario de Certificación
Kinship Guardianship Assistance Program Certification Form
Kinship Guardianship Assistance Program Certification Form to be used for the annual notification and request for information from the relative or successor KinGAP guardian.
Spanish
Kinship
Forms
2018
OCFS-4434-S - Formulario de Reembolso por Gastos de Tutoría No Recurrentes para Allegados como Tutores
Non-Recurring Kinship Guardianship Reimbursement Form
Spanish
Kinship
Forms
2016
LDSS-3370 - Statewide Central Register Database Check
English
Protective Services State Central Register
Forms
2019
LDSS-3370 - Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
English
Child Care: L/R Providers
Forms
2019
LDSS-3370-S - Instrucciones para Completar el Formulario de Verificación de Datos del Registro Central del Estado
Instructions for Completing the Statewide Central Register Database Check Form
Spanish
Protective Services State Central Register
Forms
2019
LDSS-3370 - Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
English
Child Care: L/R Providers
Forms
2019
LDSS-7040 - Environmental Hazards Guidance Sheet
English
Child Care: L/R Providers
Forms
2019
OCFS-4437-S - Acuerdo de Asistencia para Allegados como Tutores de Menores y Gastos No Recurrentes de la Tutela
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment
Kinship Guardianship Assistance And Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment to be used to assign a prospective successor guardian or change the prospective successor guardian post finalization of the Agreement.
Spanish
Kinship
Forms
2015
OCFS-4432-S - Enmienda de la Asistencia para Allegados como Tutores de Menores y Gastos No Recurrentes de la Tutela
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Amendment
Spanish
Kinship
Forms
2018
OCFS-4410-S - Notificación de Interés para Convertirse en un Tutor Sucesor Aprobado
Notification of Interest To Be an Approved Successor Guardian
Notification Of Interest To Be An Approved Successor Guardian(s) form to be used when a relative guardian dies or is incapacitated and the successor guardian needs to notify the LDSS to request approval to receive KinGAP payments.
Spanish
Kinship
Forms
2016
OCFS-4409-S - Tutor Sucesor Potencial de KinGAP-Declaración de Antecedentes de Condenas Penales
Prospective KinGAP Successor Guardian-Criminal Condition History Attestation
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation form to be used for the Kinship Guardianship Assistance Program (KinGAP)successor guardian attestation (optional).
Spanish
Kinship
Forms
2015
OCFS-4584-BN - আবেদন পত্র
Application Form for Equipment Loan Fund for the Disabled
Bengali
Commission for the Blind
Forms
2013
OCFS-2150-BN - স্টেটের পুনর্বাসন কাউন্সিলের আবেদন পত্র
State Rehabilitation Council Application Form
Bengali
Commission for the Blind
Forms
2013
OCFS-3446-BN - গোপনীয় তথ্যের প্রকাশ
Release of Confidential Information
Bengali
Commission for the Blind
Forms
2012
OCFS-3440-BN - ব্যক্তি সেবা পরিকল্পনা
Individual Service Plan
Bengali
Commission for the Blind
Forms
2014
OCFS-5183E - Safety Review Form
Foster/Adoptive Home Certification or Approval Process
English
Foster Care
Adoption
Forms
2018
OCFS-2196 - Plan of Safe Care
English
Protective Services State Central Register
Forms
2018
OCFS-2196-S - Plan de Cuidado Seguro
Plan of Safe Care
Spanish
Protective Services State Central Register
Forms
2018
OCFS-2196-HC - PLAN POU SWEN KI SAN DANJE
Plan of Safe Care
Haitian Creole
Protective Services State Central Register
Forms
2018
OCFS-2196-IT - PIANO DI ASSISTENZA SICURA
Plan of Safe Care
Italian
Protective Services State Central Register
Forms
2018
OCFS-2196-KO - 안전 관리 계획
Plan of Safe Care
Korean
Protective Services State Central Register
Forms
2018
OCFS-2196-RU - ПЛАН БЕЗОПАСНОГО УХОДА ЗА РЕБЕНКОМ
Plan of Safe Care
Russian
Protective Services State Central Register
Forms
2018
OCFS-2196-TC - 安全照護計畫
Plan of Safe Care
Chinese, traditional
Protective Services State Central Register
Forms
2018
OCFS-5183H-S - Referencias Personales
Personal References
Part of the OCFS-5183 certification approval packet.
Spanish
Adoption
Foster Care
Forms
2019
OCFS-5183J-HC - Akò Paran Fanmi Dakèy la Avèk Ajans Otorize a
Foster Parent Agreement With Authorized Agency
Part of the OCFS-5183 certification approval packet.
Haitian Creole
Foster Care
Adoption
Forms
2018
OCFS-4430-S - Solicitud para el Programa de Asistencia para Allegados como Tutores de Menores y el Programa de Gastos No Recurrentes de la Tutela (KinGAP)
Application for the Kinship Guardianship Assistance and Nonrecurring Guardianship Expenses Program (KinGAP)
Spanish
Kinship
Forms
2018
OCFS-4430NYC-S - Solicitud para el Programa de Asistencia para Allegados como Tutores de Menores y el Programa de Gastos No Recurrentes de la Tutela (KinGAP)
Application for the Kinship Guardianship Assistance and Nonrecurring Guardianship Expenses Program (KinGAP)
Spanish
Kinship
Forms
2018
OCFS-4431-S - Acuerdo de Asistencia para Allegados como Tutores de Menores y Gastos No Recurrentes de la Tutela
Kinship Guardianship Assistance and Nonrecurring Guardianship Expenses Agreement
Spanish
Kinship
Forms
2018
OCFS-4714 - National Electronic Interstate Compact Enterprise (NEICE) Non-Disclosure Agreement
English
Adoption
Forms
2018
OCFS-5184 - OCFS-5184 Foster Care Placement Verification Form
This form verifies that the individual named on said form was in the custody of the Commissioner of the identified LDSS, in out of home care in a foster care placement for more than six months, prior to aging out of foster care.
English
Foster Care
Forms
2018
OCFS-4940-FR - Délégation D’autorité Parentale
Designation of Person in Parental Relationship
French
Kinship
Forms
2018
OCFS-4940-S - Designación de una Persona en una Relación Paternal-Maternal
Designation of Person in Parental Relationship
Spanish
Kinship
Forms
2018
OCFS-6008-S - Asistencia del Proveedor/Encargado de Cuidado, Empleado, Voluntario
Caregiver, Employee, Volunteer Attendance
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-0291a - Application to Operate a New Specialized Secure Detention Facility
English
Juvenile Justice and Opportunities for Youth
Forms
2018
OCFS-5183A-S - Autoevaluación
Self Assessment
Foster/Adoptive Home Certification or Approval Process
Spanish
Foster Care
Adoption
Forms
2019
OCFS-4940 - Designation of Person in Parental Relationship
English
Kinship
Forms
2018
OCFS-3920-S - Herramienta de Indicadores de Tráfico Sexual Infantil
Child Sex Trafficking Indicators Tools
The Child Sex Trafficking Indicators Tool is to be used for the comprehensive screening for compliance with the policy Requirements to Identify, Document, Report, and Provide Services to Child Sex Trafficking Victims. This policy was to be compliant with the Preventing Sex Trafficking and Strengthening Families Act.
Spanish
Foster Care
Adoption
Forms
2018
OCFS-3920 - Child Sex Trafficking Indicators
The Child Sex Trafficking Indicators Tool is to be used for the comprehensive screening for compliance with the policy Requirements to Identify, Document, Report, and Provide Services to Child Sex Trafficking Victims. This policy was to be compliant with the Preventing Sex Trafficking and Strengthening Families Act.
English
Adoption
Foster Care
Forms
2018
OCFS-3922-S - Denuncia de una Víctima de Tráfico Sexual Infantil a una Agencia de Orden Público
Law Enforcement Report of a Child Sex Trafficking Victim
The Law Enforcement Report Of A Child Sex Trafficking Victim Form is to be used for compliance with the policy Requirements to Identify, Document, Report, and Provide Services to Child Sex Trafficking Victims. The policy is to be compliant with the Preventing Sex Trafficking and Strengthening Families Act.
Spanish
Foster Care
Adoption
Forms
2018
KinGap - KinGap Annual Notification Letter
English
Kinship
Forms
2108
KinGap - KinGap Fair Hearing Notice of Discontinuance
English
Kinship
Forms
2108
KinGap - KinGap Fair Hearing Notice of Discontinuance (Spanish)
Spanish
Kinship
Forms
2108
KinGap - KinGAP Non-Relative Notification Letter
English
Kinship
Forms
2018
KinGap - KinGAP Non-Relative Notification Letter (Spanish)
Spanish
Kinship
Forms
2018
KinGap - KinGAP Fair Hearing Notice Denial (Spanish)
Spanish
Kinship
Forms
2018
KinGap - KinGAP Relative Notification Letter
English
Kinship
Forms
2018
KinGap - KinGAP Relative Notification Letter (Spanish)
Spanish
Kinship
Forms
2018
KinGap - KinGAP Fair Hearing Notice Denial of Upgrade
English
Kinship
Forms
2108
KinGap - KinGAP Fair Hearing Notice Denial of Upgrade (Spanish)
Spanish
Kinship
Forms
2108
KinGap - KinGAP Fair Hearing Notice Denial
English
Kinship
Forms
2018
KinGap - KinGap Parent of Sibling Notification Letter (Spanish)
Spanish
Kinship
Forms
2108
LDSS-7002 - Medication Consent Form (Child Day Care Programs)
English
Child Care: L/R Providers
Forms
2015
LDSS-7002-S - Formulario de Consentimiento para Medicamentos
Medication Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-3921-S - Herramienta para la Rápida Detección de Identificadores
Rapid Indicator Tool
The Rapid Indicator Tool To Identify Children Who May Be Sex Trafficking Victims Or At Risk Of Being A Sex Trafficking Victim form is to be used for compliance with the policy Requirements to Identify, Document, Report, and Provide Services to Child Sex Trafficking Victims. The policy is to be compliant with the Preventing Sex Trafficking and Strengthening Families Act.
Spanish
Foster Care
Adoption
Forms
2016
OCFS-7043 - Plan of Study Commitment for Head of Group for Preschoolers Infants and Toddlers (WORD)
English
Child Care: L/R Providers
Forms
2018
OCFS-7044 - Plan of Study Commitment for Director of Day Care Center (WORD)
English
Child Care: L/R Providers
Forms
2018
OCFS-4435a - Kinship Guardianship Assistance Eligibility Checklist
English
Kinship
Forms
2018
OCFS-4435c - Affidavit of Relationship
English
Kinship
Forms
2018
OCFS-4430 - Application for the Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Programs (KinGap)(WORD)
English
Kinship
Forms
2018
OCFS-4433 - Kinship Guardianship Assistance Program Certification Form
Kinship Guardianship Assistance Program Certification Form to be used for the annual notification and request for information from the relative or successor KinGAP guardian.
English
Kinship
Forms
2018
OCFS-4430NYC - NYC Application for the Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Programs -KinGap
English
Kinship
Forms
2018
OCFS-2171 - Workforce Utilization Report
English
Contracts and Grants
Forms
2018
OCFS-2171A - Instructions for Workforce Utilization Report
English
Contracts and Grants
Forms
2018
OCFS-4930ASFA-S - Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
Spanish
Foster Care
Adoption
Forms
2017
OCFS-2134 - Runaway and Homeless Youth-Interim Family Certification Application
English
Youth Development and Partnerships for Success
Forms
2017
OCFS-2135 - Runaway and Homeless Youth-Interim Family Home Study Report
English
Youth Development and Partnerships for Success
Forms
2017
OCFS-2136 - Runaway and Homeless Youth-Interim Family Home Annual Report
English
Youth Development and Partnerships for Success
Forms
2017
LDSS-4553 - Child Care On Site Inspection Report
English
Child Care: LDSS
Forms
2017
LDSS-2221A-IT - Denunia di Abusi o Maltrattamenti Sospetti su Minori
Report of Suspected Child Abuse or Maltreatment
Italian
Protective Services State Central Register
Child Care: L/R Providers
Forms
2016
LDSS-2221A-RU - СООБЩЕНИЕ О ПРЕДПОЛАГАЕМОМ
ЖЕСТОКОМ ИЛИ НЕНАДЛЕЖАЩЕМ ОБРАЩЕНИИ С ДЕТЬМИ
Report of Suspected Child Abuse or Maltreatment
Russian
Child Care: L/R Providers
Protective Services State Central Register
Forms
2016
LDSS-2221A-TC - 涉嫌暴力或虐待兒童報告
Report of Suspected Child Abuse or Maltreatment
Chinese, traditional
Child Care: L/R Providers
Protective Services State Central Register
Forms
2016
LDSS-2221A-HC - RAPÒ ABI OSWA MOVE TRETMAN OU SISPÈK
Report of Suspected Child Abuse or Maltreatment
Haitian Creole
Child Care: L/R Providers
Protective Services State Central Register
Forms
2016
LDSS-2221A-KO - 아동 학대 및 부당취급 혐의 신고
Report of Suspected Child Abuse or Maltreatment
Korean
Child Care: L/R Providers
Protective Services State Central Register
Forms
2016
LDSS-3370a-S - Organizaciones con Derecho a Llevar a Cabo una Verificación de Datos Bajo la Sección 424-A de la Ley de Servicios Sociales
Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
Spanish
Protective Services State Central Register
Forms
2017
OCFS-4743a - Foster Parent Request for the Release of the Social Security Number of a Child in Foster Care for Purposes of Section 8 Rental Assistance
English
Foster Care
Forms
2017
OCFS-6019 - Outline of a Plan for Training Requirements
English
Child Care: L/R Providers
Forms
2017
Attachment A2 - Attachment A-2 - Federal Assurances and Certifications
English
Contracts and Grants
Forms
2019
Appendix A-3 - Federal Assurances and Certifications
English
Contracts and Grants
Forms
2017
OCFS-6036 - Child Support Obligation Statement
English
Child Care: L/R Providers
Forms
2017
OCFS-6035 - SACC Monthly Fire and Safety Inspection
English
Child Care: L/R Providers
Forms
2017
OCFS-3937 - Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
English
Protective Services State Central Register
Adoption
Forms
2016
OCFS-4552 - Board of Directors Profile (WORD)
English
Contracts and Grants
Forms
2016
OCFS-4415 - Re-entry Into Foster Care for Youth Age 18 and Over Eligibility Checklist
English
Foster Care
Forms
2016
OCFS-2634 - NON-COLLUSIVE BIDDING CERTIFICATION - Required by Section 139-D of the State Finance
English
Contracts and Grants
Forms
2016
OCFS-2633 - MacBride Fair Employment Principles Certification Form.dotx
English
Contracts and Grants
Forms
2016
LDSS-7002-TC - 藥物同意表
Medication Consent Form
Chinese, traditional
Child Care: L/R Providers
Forms
2015
LDSS-7003-TC - 頭藥物同意表與施藥記錄 Verbal Medication Consent Form and Log of Administration
Chinese, traditional
Child Care: L/R Providers
Forms
2014
LDSS-7004-TC - 藥物施放記錄 Log of Medication Administration
Chinese, traditional
Child Care: L/R Providers
Forms
2014
OCFS-LDSS-7005-TC - 施藥失誤回報表
Medication Error Report Form
Chinese, traditional
Child Care: L/R Providers
Forms
2014
OCFS-6034 - Request To Provide Additional Shift Of Care
English
Child Care: L/R Providers
Forms
2019
OCFS-6032-S - Requisitos de Licencia/Registro para los Programas de Cuidado Diurno Infantil
License/Registration Requirements for Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2016
OCFS-4409-HC - FITI RESPONSAB LEGAL KINGAP ANNAPRE A ATESTASYON ISTWA KONDANASYON KRIMINÈL
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation form to be used for the Kinship Guardianship Assistance Program (KinGAP)successor guardian attestation (optional).
Haitian Creole
Kinship
Forms
2015
OCFS-4437-HC - AKÒ POU RESPONSABLITE LEGAL MANM FANMI AK DEPANS POU RESPONSABLITE LEGAL KI PA REGILYE
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation form to be used for the Kinship Guardianship Assistance Program (KinGAP)successor guardian attestation (optional).
Haitian Creole
Kinship
Forms
2015
OCFS-LDSS-7009-IT - NOTIFICA DI EROGAZIONE DI SUSSIDI PER MINORI IN ECCESSO E REQUISITI PER IL RIMBORSO
Notice of Child Care Overpayment and Repayment Requirements
(Sample Only)
Italian
Child Care: LDSS
Forms
2015
OCFS-4409-TC - 未來親屬監護援助計畫 (KinGAP) 繼任監護人 刑事裁決記錄證明
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation form to be used for the Kinship Guardianship Assistance Program (KinGAP)successor guardian attestation (optional).
Chinese, traditional
Kinship
Forms
2016
OCFS-4437-TC - 親屬監護援助以及
非經常性監護費用協議
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment
Chinese, traditional
Kinship
Forms
2015
OCFS-6031 - List Of Children In Care
English
Child Care: L/R Providers
Forms
2016
OCFS-6032 - License/Registration Requirements For Child Day Care Programs
English
Child Care: L/R Providers
Forms
2016
OCFS-LDSS-7009-HC - AVI POU FÈ KONNEN PEMAN ANPLIS POU GADRI AK KONDISYON POU RANBOUSMAN
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-RU - УВЕДОМЛЕНИЕ О ПЕРЕПЛАТЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ И ТРЕБОВАНИЯХ ПО ВОЗМЕЩЕНИЮ ЗАДОЛЖЕННОСТИ
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Russian
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-TC - 托兒援助超額付款與退款要求通知書
Notice of Child Care Assistance Overpayment and Repayment Requirements (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-KO - 보육비 지원 초과 지급 및 상환 요구 통지서
Notice of Child Care Assistance Overpayment and Repayment Requirements (Sample Only)
Korean
Child Care: LDSS
Forms
2015
LDSS-4783-TC - 托兒補助家庭自付額欠款通知
Delinquent Family Share for Child Care Benefits
(Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2015
OCFS-4315-S - Entrega Judicial
Judicial Surrender
Spanish
Adoption
Forms
2015
OCFS-4316-S - Entrega Extra Judicial
Extra Judicial Surrender
Spanish
Adoption
Forms
2016
OCFS-4315A-S - Adjunto A - Entrega Condicional Judicial
Attachment A - Judicial Conditional Surrender
Spanish
Adoption
Forms
2016
OCFS-4316A-S - Adjunto A - Entrega Condicional Extra Judicial
Attachment A – Extra Judicial Conditional Surrender
Spanish
Adoption
Forms
2016
OCFS-4690-S - Formulario de Divulgación de Tarifas de Colocación en Adopción
Adoptive Placement Fee Disclosure Form
Spanish
Adoption
Forms
2016
OCFS-4690-TC - Adoptive Placement Fee Disclosure Form 收養安置費用披露表
Chinese, traditional
Adoption
Forms
2016
OCFS-4690-RU - Adoptive Placement Fee Disclosure Form ФОРМА РАСКРЫТИЯ ИНФОРМАЦИИ О ПЛАТЕЖАХ ПРИ УСЫНОВЛЕНИИ
Russian
Adoption
Forms
2016
OCFS-4690-HC - Adoptive Placement Fee Disclosure Form FÒM DIVILGASYON FRÈ POU PEYE POU PLASMAN TIMOUN NAN ADOPSYON
Haitian Creole
Adoption
Forms
2016
OCFS-4690-KO - Adoptive Placement Fee Disclosure Form 입양 알선 수수료 공개 양식
Korean
Adoption
Forms
2016
OCFS-4690-IT - Adoptive Placement Fee Disclosure Form MODULO DI TRASPARENZA SUGLI ONERI DI AFFIDAMENTO PER ADOZIONE
Italian
Adoption
Forms
2016
OCFS-4743 - Foster Parent Request for the Release of the Social Security Number of a Child in Foster Care for Income Tax Purposes
English
Foster Care
Forms
2016
OCFS-3148 - Claim Form
English
Administration
Forms
2015
AC 22-S - GENERAL LEDGER JOURNAL ENTRY
English
Administration
Forms
2012
OCFS-6023-S - Plan de Seguridad Relativo al Abuso y Maltrato Infantil (Centros de Cuidado Diurno y Programas para Niños en Edad Escolar)
Child Abuse and Maltreatment Safety Plan (DCC and SACC)
Spanish
Child Care: L/R Providers
Forms
2015
LDSS-4440 - Schedule of Daily Program Activities-Child Care Programs.dot
English
Child Care: L/R Providers
Forms
2015
OCFS-6005 - Criminal Conviction Statement-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-6028 - Staff Background Check Review Procedure
English
Child Care: L/R Providers
Forms
2015
OCFS-4922 - Transition Plan
English
Foster Care
Forms
2015
OCFS-4690 - Adoptive Placement Fee Disclosure Form
Required documentation for private/independent and non-agency adoptions when a child is placed into New York State through the Interstate Compact on the Placement of Children ICPC.
English
Adoption
Forms
2016
OCFS-6021 - Menus, Meals and Snacks (DCC & SACC)
English
Child Care: L/R Providers
Forms
2016
OCFS-3921 - Rapid Indicator Tool To Identify Children Who May Be Sex Trafficking Victims Or At Risk Of Being A Sex Trafficking Victim
The Rapid Indicator Tool To Identify Children Who May Be Sex Trafficking Victims Or At Risk Of Being A Sex Trafficking Victim form is to be used for compliance with the policy Requirements to Identify, Document, Report, and Provide Services to Child Sex Trafficking Victims. The policy is to be compliant with the Preventing Sex Trafficking and Strengthening Families Act.
English
Adoption
Foster Care
Forms
2016
OCFS-4315 - Judicial Surrender form
English
Adoption
Forms
2015
OCFS-2981 - Application Cover Sheet for Operating Certificate Request
English
Foster Care
Forms
2008
LDSS-7004 - Log of Medication Administration
English
Child Care: Exempt Providers
Forms
2004
LDSS-7005 - Medication Error Report Form
English
Child Care: Exempt Providers
Forms
2004
OCFS-4190-CH - Inquiry Concerning Visitation/Statewide Central Register Database 關於探視的查詢 紐約州中心註冊資料庫表單
Chinese, traditional
Protective Services State Central Register
Forms
2013
OCFS-3909-CH - Request for Information Guardianship Form-For Court Use Only 監護權資訊要求表單 僅供法院使用
Chinese, traditional
Protective Services State Central Register
Forms
2013
OCFS-3937-TC - 資訊要求 - 私人收養 僅供法院或無利害關係人使用 – 請填寫內容
Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
Chinese, traditional
Protective Services State Central Register
Adoption
Forms
2015
OCFS-4190-IT - Inquiry Concerning Visitation/Statewide Central Register Database RICHIESTA DI INFORMAZIONI RIGUARDANTI LE VISITE MODULO PER IL DATABASE DELL'ARCHIVIO CENTRALE STATALE
Italian
Protective Services State Central Register
Forms
2013
OCFS-3909-IT - Request for Information Guardianship Form-For Court Use Only RICHIESTA DI INFORMAZIONI - ADOZIONE PRIVATA PER USO ESCLUSIVO DI TRIBUNALI O SOGGETTI IMPARZIALI
Italian
Protective Services State Central Register
Forms
2013
OCFS-3937-IT - MODULO DI RICHIESTA DI INFORMAZIONI SUI TUTORI LEGALI PER USO ESCLUSIVO DEL TRIBUNALE
Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
Italian
Protective Services State Central Register
Adoption
Forms
2015
OCFS-4190-KO - Inquiry Concerning Visitation/Statewide Central Register Database 방문권 관련 문의 뉴욕 주 중앙 등록 데이터베이스 양식
Korean
Protective Services State Central Register
Forms
2013
OCFS-3909-KO - Request for Information Guardianship Form-For Court Use Only 정보 후견인 요청 양식 법원 전용
Korean
Protective Services State Central Register
Forms
2013
OCFS-3937-KO - 정보 요청서-개인 입양
Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
Korean
Protective Services State Central Register
Adoption
Forms
2015
OCFS-4437 - Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment
Kinship Guardianship Assistance And Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment to be used to assign a prospective successor guardian or change the prospective successor guardian post finalization of the Agreement.
English
Kinship
Forms
2015
OCFS-4409 - Prospective KinGAP Successor Guardian Criminal Conviction History Attestation
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation form to be used for the Kinship Guardianship Assistance Program (KinGAP)successor guardian attestation (optional).
English
Kinship
Forms
2015
OCFS-4410 - Notification Of Interest To Be An Approved Successor Guardian(s)
Notification Of Interest To Be An Approved Successor Guardian(s) form to be used when a relative guardian dies or is incapacitated and the successor guardian needs to notify the LDSS to request approval to receive KinGAP payments.
English
Kinship
Forms
2016
OCFS 4190-RU - Inquiry Concerning Visitation/Statewide Central Register Database ЗАПРОС НА ПРАВО ПОСЕЩЕНИЯ ФОРМА БАЗЫ ДАННЫХ ЦЕНТРАЛЬНОГО ОРГАНА РЕГИСТРАЦИИ ШТАТА
Russian
Protective Services State Central Register
Forms
2015
OCFS-3937-HC - DEMANN ENFÒMASYON – ADOPSYON PRIVE
Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
Haitian Creole
Protective Services State Central Register
Adoption
Forms
2015
OCFS-3937-RU - ЗАПРОС НА ПОЛУЧЕНИЕ ИНФОРМАЦИИ ДЛЯ ЦЕЛЕЙ ЧАСТНОГО УСЫНОВЛЕНИЯ
Request for Information - Private Adoption (For Use by Courts or Disinterested Persons Only)
Russian
Adoption
Protective Services State Central Register
Forms
2015
OCFS 3909-RU - Request for Information Guardianship Form-For Court Use Only ФОРМА ЗАПРОСА ИНФОРМАЦИИ ОБ ОПЕКУНАХ ТОЛЬКО ДЛЯ ИСПОЛЬЗОВАНИЯ СУДОМ
Russian
Protective Services State Central Register
Forms
2015
OCFS 4190-HC - Inquiry Concerning Visitation/Statewide Central Register Database RECHÈCH KONSÈNAN VIZIT FÒM BAZ DONE REJIS SANTRAL ETA A
Haitian Creole
Protective Services State Central Register
Forms
2015
OCFS 3909-HC - Request for Information Guardianship Form-For Court Use Only DEMANN POU FÒM TITÈL POU ITILIZASYON TRIBINAL LA SÈLMAN
Haitian Creole
Protective Services State Central Register
Forms
2015
OCFS-4190-S - Investigación con Respecto a Visitaciones/Formulario para el Registro Central del Estado
Inquiry Concerning Visitation/Statewide Central Register Database Form
Spanish
Protective Services State Central Register
Forms
2015
OCFS-3440-KO - 개별 서비스 계획
Individual Service Plan
Korean
Commission for the Blind
Forms
2014
OCFS-3446-KO - 기밀 정보의 공개
Release of Confidential Information
Korean
Commission for the Blind
Forms
2015
OCFS-4584-KO - 신청 양식 장애인 대상의 장비 대출 기금
Application Form-Equipment Loan Fund for the Disabled
Korean
Commission for the Blind
Forms
2015
OCFS-3446-RU - ПЕРЕДАЧА КОНФИДЕНЦИАЛЬНОЙ ИНФОРМАЦИИ
Release of Confidential Information
Russian
Commission for the Blind
Forms
2015
OCFS-3446-HC - DIVILGASYON ENFÒMASYON MEDIKAL
Release of Confidential Information
Haitian Creole
Commission for the Blind
Forms
2015
OCFS-3446-IT - RILASCIO DI INFORMAZIONI RISERVATE
Release of Confidential Information
Italian
Commission for the Blind
Forms
2015
OCFS-3446-S - Diseminación de Información Confidencial
Release of Confidential Information
Spanish
Commission for the Blind
Forms
2015
OCFS-3446-S - Diseminación de Información Confidencial
Release of Confidential Information
Spanish
Commission for the Blind
Forms
2015
OCFS-3440-TC - 个人服务计划
Individual Service Plan
Chinese, traditional
Commission for the Blind
Forms
2014
OCFS-3446-TC - 保密信息的披露
Release of Confidential Information
Chinese, traditional
Commission for the Blind
Forms
2015
OCFS-4584-TC - 申请表 身障人士专用设备贷款基金
Application Form-Equipment Loan Fund for the Disabled
Chinese, traditional
Commission for the Blind
Forms
2015
OCFS-3909-S - Solicitud de Información Sobre Tutores (Sólo para uso del tribunal)
Request for Information Guardianship Form (For Court Use Only)
Spanish
Protective Services State Central Register
Forms
2016
LDSS-7005-S - Formulario de Informe de Error de Medicacion
English
Child Care: L/R Providers
Forms
2004
LDSS-3371A-S - Notificación de Procedimientos 424-a de la Ley de Servicios Sociales
Notification of Social Service Law 424-a Procedures
Spanish
Protective Services State Central Register
Forms
2015
LDSS-3371B-S - Notificación de Procedimientos 424-a de la Ley de Servicios Sociales
Notification of Social Service Law 424-a Procedures
Spanish
Protective Services State Central Register
Forms
2015
OCFS-2161 - Adoption Agency Business Plan
English
Adoption
Forms
2015
OCFS-4315A - Attachment A to a Judicial Conditional Surrender
English
Adoption
Forms
2015
OCFS-4316 - Extra-Judicial Surrender
English
Adoption
Forms
2015
OCFS-4316A - Attachment A-Extra Judicial Surrender
English
Adoption
Forms
2015
OCFS-6010 - Non-Medication Consent Form (Child Day Care Programs)
English
Child Care: L/R Providers
Forms
2015
OCFS-6023 - Child Abuse and Maltreatment Safety Plan (DCC & SACC)
English
Child Care: L/R Providers
Forms
2015
LDSS-3371B - Notification of Social Service Law 424-a Procedures
English
Protective Services State Central Register
Forms
2015
LDSS-3371A - Notification of Social Service Law 424-a Procedures
English
Protective Services State Central Register
Forms
2015
LDSS-3370-RU - Instructions for Completing the Statewide Central Register Database Check Form Инструкции по заполнению формы для проверки в базах данных Центрального органа регистрации штата (Statewide Central Register, SCR)
Russian
Protective Services State Central Register
Forms
2015
LDSS-3370a-RU - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
ОРГАНИЗАЦИИ, НАДЕЛЕННЫЕ ПРАВОМ НА ПРОВЕДЕНИЕ ПРОВЕРОК В БАЗАХ ДАННЫХ В СООТВЕТСТВИИ С РАЗДЕЛОМ 424-А ЗАКОНА О СОЦИАЛЬНЫХ СЛУЖБАХ
Russian
Protective Services State Central Register
Forms
2015
LDSS-3371A-RU - УВЕДОМЛЕНИЕ О ПОРЯДКЕ, ПРЕДУСМОТРЕННОМ РАЗДЕЛОМ 424-а ЗАКОНА О СОЦИАЛЬНЫХ СЛУЖБАХ
Notification of Social Service Law 424-a Procedures
Russian
Protective Services State Central Register
Forms
2015
LDSS-3371B-RU - УВЕДОМЛЕНИЕ О ПОРЯДКЕ, ПРЕДУСМОТРЕННОМ РАЗДЕЛОМ 424-а ЗАКОНА О СОЦИАЛЬНЫХ СЛУЖБАХ
Notification of Social Service Law 424-a Procedures
Russian
Protective Services State Central Register
Forms
2015
LDSS-3370-IT - Instructions for Completing the Statewide Central Register Database Check Form ISTRUZIONI PER COMPILARE IL MODULO DI VERIFICA DEL DATABASE DEL REGISTRO CENTRALE STATALE (STATEWIDE CENTRAL REGISTER, SCR)
Italian
Protective Services State Central Register
Forms
2015
LDSS-3370a-IT - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
ORGANIZZAZIONI AUTORIZZATE A CONDURRE VERIFICHE DEL DATABASE AI SENSI DELLA SEZIONE 424-A DELLA LEGGE SUI SERVIZI SOCIALI
Italian
Protective Services State Central Register
Forms
2015
LDSS-3371A-IT - COMUNICAZIONE DELLE PROCEDURE PREVISTE IN BASE ALLA SEZIONE 424-A DELLA LEGGE SUI SERVIZI SOCIALI
Notification of Social Service Law 424-a Procedures
Italian
Protective Services State Central Register
Forms
2015
LDSS-3371B-IT - COMUNICAZIONE DELLE PROCEDURE PREVISTE IN BASE ALLA SEZIONE 424-A DELLA LEGGE SUI SERVIZI SOCIALI
Notification of Social Service Law 424-a Procedures
Italian
Protective Services State Central Register
Forms
2015
LDSS-3370-KO - Instructions for Completing the Statewide Central Register Database Check Form 주립 중앙 기록 저장소 (SCR) 자료 확인 요청서 작성 지침
Korean
Protective Services State Central Register
Forms
2015
LDSS-3370a-KO - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
사회복지사업법 424-A 절에 따라 기관은 자료 확인 업무를 수행 할 권리를 행사할 수 있습니다.
Korean
Protective Services State Central Register
Forms
2015
LDSS-3371A-KO - 사회복지사업법 424-A 절에 따른 법적 절차에 관한 공지
Notification of Social Service Law 424-a Procedures
Korean
Protective Services State Central Register
Forms
2015
LDSS-3371B-KO - 사회복지사업법 424-A 절에 따른 법적 절차에 관한 공지
Notification of Social Service Law 424-a Procedures
Korean
Protective Services State Central Register
Forms
2015
LDSS-4810 - Re-determination of Title IV-E Eligibility Checklist (Foster Care)
English
Foster Care
Forms
2014
OCFS-6013 - Transportation Consent Form
English
Child Care: L/R Providers
Forms
2015
OCFS-6020-S - Plan de Transportación – Programas de Cuidado Diurno Infantil
Transportation Plan – Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2015
LDSS-3370-HC - Instructions for Completing the Statewide Central Register Database Check Form ENSTRIKSYON POU RANPLI FÒM POU VERIFIKASYON NAN BAZ DONE REJIS SANTRAL ETA A
Haitian Creole
Protective Services State Central Register
Forms
2015
LDSS-3371B-HC - AVI KONSÈNAN PWOSEDI DAPRE SEKSYON 424-A LWA SOU SÈVIS SOSYAL
Notification of Social Service Law 424-a Procedures
Haitian Creole
Protective Services State Central Register
Forms
2015
LDSS-3370a-HC - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
ÒGANIZASYON KI GEN DWA POU FÈ VERIFIKASYON NAN BAZ DONE DAPRE SEKSYON 424-A LWA SOU SÈVIS SOSYAL
Haitian Creole
Protective Services State Central Register
Forms
2015
LDSS-3371A-HC - AVI KONSÈNAN PWOSEDI DAPRE SEKSYON 424-A LWA SOU SÈVIS SOSYAL
Notification of Social Service Law 424-a Procedures
Haitian Creole
Protective Services State Central Register
Forms
2015
LDSS-3370-TC - 紐約州中心註冊處資料庫調查表LDSS-3370填寫說明
Instructions for Completing the Statewide Central Register Database Check Form
Chinese, traditional
Protective Services State Central Register
Forms
2015
LDSS-3370a-TC - 根據《社會服務法》第424-A條有權進行資料庫調查的組織
Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
Chinese, traditional
Protective Services State Central Register
Forms
2015
LDSS-3371A-TC - 《社會服務法》第424-a條程序通知
Notification of Social Service Law 424-a Procedures
Chinese, traditional
Protective Services State Central Register
Forms
2015
LDSS-3371B-TC - 《社會服務法》第424-a條程序通知
Notification of Social Service Law 424-a Procedures
Chinese, traditional
Protective Services State Central Register
Forms
2015
OCFS-6020 - Transportation Plan - Child Day Care Programs
English
Child Care: L/R Providers
Forms
2015
OCFS-6016-S - Información del Voluntario
Volunteer Information
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6017-S - Declaración de Condena Criminal del Voluntario
Volunteer Criminal Conviction Statement
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-4584-S - Formulario de Solicitud-Fondo de Préstamos de Equipo para Discapacitados
Application Form-Equipment Loan Fund for the Disabled (html)
Spanish
Commission for the Blind
Forms
2015
OCFS-4584-RU - ФОРМА ЗАЯВЛЕНИЯ-ССУДНЫЙ ФОНД ПО ЗАКУПКЕ ОБОРУДОВАНИЯ ДЛЯ ИНВАЛИДОВ
Application Form-Equipment Loan Fund for the Disabled (html)
Russian
Commission for the Blind
Forms
2015
OCFS-3440 -RU - ИНДИВИДУАЛЬНЫЙ ПЛАН ОБСЛУЖИВАНИЯ
Individual Service Plan
Russian
Commission for the Blind
Forms
2015
OCFS-4584-HC - FÒM APLIKASYON-POU PRETE LAJAN POU ACHTE EKIPMAN POU MOUN ANDIKAPE
Application Form-Equipment Loan Fund for the Disabled
Haitian Creole
Commission for the Blind
Forms
2015
OCFS-3440-HC - PLAN SÈVIS ENDIVIDYÈL
Individual Service Plan
Haitian Creole
Commission for the Blind
Forms
2014
OCFS-4584-S - Formulario de Solicitud-Fondo de Préstamos de Equipo para Discapacitados
Application Form-Equipment Loan Fund for the Disabled
Spanish
Commission for the Blind
Forms
2015
OCFS-4615 - Supervision and Treatment Services for Juveniles Program
English
Juvenile Justice and Opportunities for Youth
Forms
2014
OCFS-LDSS-4433-S - Declaración Médica de un Niño(a) en Cuidado Infantil
Child in Care Medical Statement
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6013S - Formulario de Consentimiento de Transportación
Transportation Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-5004 - Request for Amendment and Instructions
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-6014 - Report of Water Supply Testing
English
Child Care: L/R Providers
Forms
2014
OCFS-6003 - References-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-6006 - Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of Child Day Care Home Family and Group Family Day Care
English
Child Care: L/R Providers
Forms
2014
LDSS-7004-S - Registro de Administración de Medicamentos
Log of Medication Administration
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6010-S - Formulario de Consentimiento para Administrar Productos que No Son Medicamentos
Non-Medication Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-4659-S - Exención de Presentar una Tarjeta de Huellas Dactilares Duplicada
Waiver for Submission of a Duplicate Fingerprint Card
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6006-S - Notificación de un Arma de Fuego, Escopeta, Rifle o Munición en el Establecimiento de Cuidado Diurno Infantil
Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of the Child Day Care Home
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-4659 - Waiver for Submission of a Duplicate Fingerprint Card (WORD)
English
Child Care: L/R Providers
Forms
2014
OCFS-6009S - Registro de Visitantes
Visitor Log
Spanish
Child Care: L/R Providers
Forms
2014
LDSS-7003 - Verbal Medication Consent Form and Log of Administration
English
Child Care: L/R Providers
Forms
2014
LDSS-7004 - Log of Medication Administration
English
Child Care: L/R Providers
Forms
2014
LDSS-7005 - Medication Error Report Form
English
Child Care: L/R Providers
Forms
2014
OCFS-4436 - Incident Report for Child Day Care
English
Child Care: L/R Providers
Forms
2014
OCFS-6009 - Visitor Log
English
Child Care: L/R Providers
Forms
2014
OCFS-6008 - Caregiver, Employee, Volunteer Attendance
English
Child Care: L/R Providers
Forms
2014
OCFS-6003-S - Referencias-Programas de Cuidado Diurno Infantil
References-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6005-S - Declaración de Condena Penal-Programas de Cuidado Diurno Infantil
Criminal Conviction Statement-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-2150 - State Rehabilitation Council Application Form
HTML
English
Commission for the Blind
Forms
2013
OCFS-2150 - State Rehabilitation Council Application Form
PDF
English
Commission for the Blind
Forms
2013
OCFS-2150-HC - FÒM APLIKASYON KOMITE REYABILITASYON LETA
State Rehabilitation Council Application Form
Haitian Creole
Commission for the Blind
Forms
2013
OCFS-2150-RU - ФОРМА ЗАЯВЛЕНИЯ В СОВЕТ ШТАТА ПО РЕАБИЛИТАЦИИ
State Rehabilitation Council Application Form
Russian
Commission for the Blind
Forms
2013
OCFS-2150-TC - 州立復健協會申請表
State Rehabilitation Council Application Form
Chinese, traditional
Commission for the Blind
Forms
2013
OCFS-2150-IT - MODULO DI RICHIESTA CONSIGLIO STATALE PER LA RIABILITAZIONE
State Rehabilitation Council Application Form
Italian
Commission for the Blind
Forms
2013
OCFS-2150-KO - 주 재활위원회 (State Rehabilitation Council, SRC) 신청서
State Rehabilitation Council Application Form
Korean
Commission for the Blind
Forms
2013
OCFS-2150-S - Formulario de Solicitud del Concilio de Rehabilitación del Estado
State Rehabilitation Council Application Form
Spanish
Commission for the Blind
Forms
2013
OCFS-3780-HC - DOKIMAN JIRIDIK POU REKONÈT PATÈNITE
YON TIMOUN KI FÈT DEYÒ MARYAJ
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (Word)
Haitian Creole
Adoption
Forms
2013
OCFS-3780-HC - DOKIMAN JIRIDIK POU REKONÈT PATÈNITE
YON TIMOUN KI FÈT DEYÒ MARYAJ
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (PDF)
Haitian Creole
Adoption
Forms
2013
OCFS-3780-IT - ATTO DI RICONOSCIMENTO DELLA PATERNITÀ DI UN FIGLIO NATURALE
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (PDF)
Italian
Adoption
Forms
2013
OCFS-3780-IT - ATTO DI RICONOSCIMENTO DELLA PATERNITÀ DI UN FIGLIO NATURALE
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (Word)
Italian
Adoption
Forms
2013
OCFS-3780-KO - 혼외 자녀의 친자 관계
인정 증서
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (Word)
Korean
Adoption
Forms
2013
OCFS-3780-KO - 혼외 자녀의 친자 관계
인정 증서
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (PDF)
Korean
Adoption
Forms
2013
OCFS-3780-RU - ДОКУМЕНТ О ПРИЗНАНИИ ОТЦОВСТВА
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (PDF)
Russian
Adoption
Forms
2013
OCFS-3780-RU - ДОКУМЕНТ О ПРИЗНАНИИ ОТЦОВСТВА
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (Word)
Russian
Adoption
Forms
2013
OCFS-3780-TC - 非婚生子女親權
確認文件
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (Word)
Chinese, traditional
Adoption
Forms
2013
OCFS-3780-TC - 非婚生子女親權
確認文件
Instrument to Acknowledge Paternity of a Child Born Out of Wedlock (PDF)
Chinese, traditional
Adoption
Forms
2013
LDSS-2724-HC - AVI POU FÈ OU KONNEN ENTANSYON MWEN POU REKLAME PATÈNITE YON TIMOUN KI FÈT DEYÒ MARYAJ
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Haitian Creole
Adoption
Forms
2013
LDSS-2724-HC - AVI POU FÈ OU KONNEN ENTANSYON MWEN POU REKLAME PATÈNITE YON TIMOUN KI FÈT DEYÒ MARYAJ
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Haitian Creole
Adoption
Forms
2013
LDSS-2724-IT - AVVISO DI RIVENDICAZIONE DELLA PATERNITÀ DI UN FIGLIO NATURALE
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Italian
Adoption
Forms
2013
LDSS-2724-IT - AVVISO DI RIVENDICAZIONE DELLA PATERNITÀ DI UN FIGLIO NATURALE
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Italian
Adoption
Forms
2013
LDSS-2724-KO - 혼외 자녀의 친자 관계 인지 청구 의향 통지서
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Korean
Adoption
Forms
2013
LDSS-2724-KO - 혼외 자녀의 친자 관계 인지 청구 의향 통지서
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Korean
Adoption
Forms
2013
LDSS-2724-RU - УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ЗАЯВИТЬ ОБ ОТЦОВСТВЕ В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Russian
Adoption
Forms
2013
LDSS-2724-RU - УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ЗАЯВИТЬ ОБ ОТЦОВСТВЕ В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Russian
Adoption
Forms
2013
LDSS-2724-CH - 非婚生子女親權請求 意向通知書
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Chinese, traditional
Adoption
Forms
2013
LDSS-2724-CH - 非婚生子女親權請求 意向通知書
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Chinese, traditional
Adoption
Forms
2013
OCFS-3440-S - Plan Individual de Servicio
Individual Service Plan
Spanish
Commission for the Blind
Forms
2015
OCFS-3440-S - Plan Individual de Servicio
Individual Service Plan
Spanish
Commission for the Blind
Forms
2012
OCFS-3440 - Individual Service Plan
English
Commission for the Blind
Forms
2012
OCFS-3440 - Individual Service Plan
English
Commission for the Blind
Forms
2015
OCFS-4584-IT - MODULO DI RICHIESTA-FONDO DI CREDITO PER L’ACQUISTO DI ATTREZZATURE PER DISABILI
Application Form-Equipment Loan Fund for the Disabled (html)
Italian
Commission for the Blind
Forms
2015
OCFS-3440-IT - PIANO DI SERVIZI INDIVIDUALE
Individual Service Plan
Italian
Commission for the Blind
Forms
2015
LDSS-2949 - Personal Data Sheet (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-0570 - Adoptive Placement Agreement
English
Adoption
Forms
2005
LDSS-0570 - Adoptive Placement Agreement
English
Adoption
Forms
2005
LDSS-0570-S - Acuerdo de Colocación Adoptiva
Adoptive Placement Agreement
Spanish
Adoption
Forms
2004
LDSS-0570-S - Acuerdo de Colocación Adoptiva
Adoptive Placement Agreement
Spanish
Adoption
Forms
2004
LDSS-0571 - Medical Report of Prospective Adoptive Parent (WORD)
English
Adoption
Forms
2004
LDSS-0571 - Medical Report of Prospective Adoptive Parent (PDF)
English
Adoption
Forms
2004
LDSS-4809 - Initial Foster Child Eligibility Checklist
English
Child Welfare and Community Services
Foster Care
Forms
2018
ICPC-100A - Form ICPC-100A Interstate Compact on the Placement of Children Request
English
Adoption
Forms
2019
ICPC-100A.1 - Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Request
English
Adoption
Forms
2019
ICPC-100B - Form ICPC-100B Interstate Compact on the Placement of Childs Placement Status
English
Adoption
Forms
2019
ICPC-100B.1 - Instructions for Completing Form ICPC-100B Interstate Compact on the Placement of Childs Placement Status
English
Adoption
Forms
2019
LDSS-3416 - Religious Designation of a Child (Model Form)
English
Adoption
Forms
2011
OCFS-2725 - Request-Response for Name and-or Address of Father of Child Born Out of Wedlock (Word)
English
Adoption
Forms
2021
OCFS-2725 - Request-Response for Name and-or Address of Father of Child Born Out of Wedlock (PDF)
English
Adoption
Forms
2021
OCFS-4251 - Financial and Medical Plan (WORD)
English
Adoption
Forms
2007
OCFS-4251 - Financial and Medical Plan (PDF)
English
Adoption
Forms
2007
OCFS-4732 - Information on Foster Placements of Children Adopted from Other Countries (WORD)
English
Adoption
Forms
2004
OCFS-4732 - Information on Foster Placements of Children Adopted from Other Countries (PDF)
English
Adoption
Forms
2004
LDSS-4623D - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
English
Adoption
Forms
2009
LDSS-4623D - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
English
Adoption
Forms
2009
LDSS-4623C-1 - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
English
Adoption
Forms
2009
LDSS-4623C-1 - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
English
Adoption
Forms
2009
OCFS-4890 - Report of Death of Child in Child Care (WORD)
English
Child Care: L/R Providers
Forms
2008
OCFS-4926 - Fuel Burning System Inspection (WORD)
English
Child Care: L/R Providers
Forms
2010
OCFS-7060 - Declaration of Intent to Adopt (WORD)
English
Adoption
Forms
2008
OCFS-7060 - Declaration of Intent to Adopt (PDF)
English
Adoption
Forms
2008
OCFS-7069 - Parental Certification of Continued Support and Educational Status of Child (WORD)
English
Adoption
Forms
2009
OCFS-7069 - Parental Certification of Continued Support and Educational Status of Child (PDF)
English
Adoption
Forms
2009
OCFS-7073 - Parental Certification of Adopted Childs Status (WORD)
English
Adoption
Forms
2010
LDSS-7015 - Amendment to a Fully Executed and Approved Adoption Subsidy Agreement (WORD)
English
Adoption
Forms
2005
LDSS-7015 - Amendment to a Fully Executed and Approved Adoption Subsidy Agreement (PDF)
English
Adoption
Forms
2005
LDSS-7031 - Transmittal for Parent Locator Service Search (WORD)
English
Adoption
Forms
2008
LDSS-7031 - Transmittal for Parent Locator Service Search (PDF)
English
Adoption
Forms
2008
LDSS-7041 - Directions for Completing the Environmental Hazards Statement (WORD)
English
Child Care: L/R Providers
Forms
2006
LDSS-7042 - Environmental Hazard Information Form Parts I and II (WORD)
English
Child Care: L/R Providers
Forms
2006
OCFS-4932 - Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website (WORD)
English
Child Care: L/R Providers
Forms
2016
OCFS-4932-S - Solicitud para Retirar del Portal de la Agencia la Dirección y el Mapa Asociado con la Dirección de un Hogar de Cuidado Diurno en Familia o de un Grupo en Familia
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website
Spanish
Child Care: L/R Providers
Forms
2016
OCFS-4939 - Provider Notification of Licensing or Registration to Fire and Police or Sheriff Departments (WORD)
English
Child Care: L/R Providers
Forms
2010
OCFS-4939-S - Notificacion del Proveedor(a) de Cuidado Infantil a los Departamentos de Bomberos y de la Policia sobre su Licencia o Registro
Spanish
Child Care: L/R Providers
Forms
2010
LDSS-0792 - Day Care Registration
English
Child Care: L/R Providers
Forms
2019
LDSS-7019 - Illness Injury and Indicators of Abuse Log (WORD)
English
Child Care: L/R Providers
Forms
2010
LDSS-7019-S - Registro de Enfermedades, Lesiones e Indicadores de Abuso
Illness, Injury and Indicators of Abuse Log
Spanish
Child Care: L/R Providers
Forms
2010
OCFS-0711 - Childs Medical Record
English
Foster Care
Forms
2016
LDSS-3416-S - Designación Religiosa de un Niño(a)
Religious Designation of a Child (Model Form)
Spanish
Adoption
Forms
2011
LDSS-3424 - School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (WORD)
Form to be completed for a child in foster care who is also educationally disabled to determine financial responsibility.
English
Foster Care
Forms
2018
LDSS-3424 - School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (PDF)
Form to be completed for a child in foster care who is also educationally disabled to determine financial responsibility.
English
Foster Care
Forms
2018
LDSS-3806 - Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers (WORD)
English
Foster Care
Forms
2005
LDSS-3806 - Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers (PDF)
English
Foster Care
Forms
2005
LDSS-0850 - Consent for Childs Special or Emergency Medical or Surgical Treatment (By Parent or Guardian) (WORD)
English
Foster Care
Forms
2010
LDSS-0850S - Consentimiento para Proveer Tratamiento Especial a un Niño(a) o Tratamiento de Emergencia Medica o Cirugia (para el Padre-Madre o Guardian-Tutor(a)
Spanish
Foster Care
Forms
2010
LDSS-0882 - Consent for Childs Routine Medical and Dental Care (WORD)
English
Foster Care
Forms
2005
LDSS-0882S - Consentimiento para la Atención Medica y Dental de Rutina del Niño(a) (PDF) Consent for Child's Routine Medical and Dental Care
Spanish
Foster Care
Forms
2010
LDSS-0893 - Boarding Home Register (WORD)
English
Foster Care
Forms
2014
OCFS-4948 - Attorney Notification of a Childs Change of Foster Care Placement (WORD)
English
Foster Care
Forms
2011
LDSS-7031 - Transmittal for Parent Locator Service Search (WORD)
English
Foster Care
Forms
2008
LDSS-7031 - Transmittal for Parent Locator Service Search (PDF)
English
Foster Care
Forms
2008
Youth Voice Questions (WORD)
English
Foster Care
Forms
OCFS-4434 - Non-Recurring Kinship Guardianship Reimbursement Form(WORD)
English
Kinship
Forms
2016
OCFS-4595 - Application Checklist (WORD)
English
Contracts and Grants
Forms
2011
OCFS-4596 - Appendix D-Application Cover Page-Agreement (WORD)
English
Contracts and Grants
Forms
2011
OCFS-4597 - Outcomes-Performance Targets (WORD)
English
Contracts and Grants
Forms
2011
OCFS-4631 - MWBE Utilization Plan
English
Contracts and Grants
Forms
2016
OCFS-4716 - Contractor Employee Background Certification (WORD)
English
Contracts and Grants
Forms
2011
OCFS-4822 - Procurement Lobbying Act - Offerer Certification Form (WORD)
English
Contracts and Grants
Forms
2006
OCFS-4639 - Domestic Violence New Application (WORD)
English
Domestic Violence
Forms
2004
OCFS-4639 - Domestic Violence New Application (PDF)
English
Domestic Violence
Forms
2004
OCFS-4641 - Domestic Violence Recertification (WORD)
English
Domestic Violence
Forms
2004
OCFS-4641 - Domestic Violence Recertification (PDF)
English
Domestic Violence
Forms
2004
OCFS-4584 - Application Form for Equipment Loan Fund for the Disabled (html)
English
Commission for the Blind
Forms
2013
OCFS-7067 - Adam Walsh Child Protective and Safety Act of 2006
English
Protective Services State Central Register
Forms
2017
OCFS-4156 - Order of Adoption Family Court-Surrogate Court Request Form (WORD)
English
Protective Services State Central Register
Forms
2007
OCFS-4156 - Order of Adoption Family Court-Surrogate Court Request Form (PDF)
English
Protective Services State Central Register
Forms
2007
OCFS-4190 - Inquiry Concerning Visitation Statewide Central Register Database Form (WORD)
English
Protective Services State Central Register
Forms
2009
OCFS-4190 - Inquiry Concerning Visitation Statewide Central Register Database Form (PDF)
English
Protective Services State Central Register
Forms
2009
LDSS-3370a - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
English
Protective Services State Central Register
Forms
2017
OCFS-3909 - Request for Information Guardianship Form - For Court Use Only
English
Protective Services State Central Register
Forms
2016
OCFS-4722 - Voluntary Agency Licensing - Application for OCFS Approval of Certificate of Incorporation (WORD)
English
Child Welfare and Community Services
Forms
2008
OCFS-4722 - Voluntary Agency Licensing - Application for OCFS Approval of Certificate of Incorporation (PDF)
English
Child Welfare and Community Services
Forms
2008
LDSS-2949 - Personal Data Sheet (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-3026 - Chronological Admission and Discharge Register (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-3026 - Chronological Admission and Discharge Register (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-3027 - Inventory of Residents Property Held by Facility for Safe Keeping (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-3027 - Inventory of Residents Property Held by Facility for Safe Keeping (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-7014 - FTHA Personal History of Applicant Family Type Home for Adults (WORD)
English
Adult Services
Forms
2007
LDSS-7014 - FTHA Personal History of Applicant Family Type Home for Adults (PDF)
English
Adult Services
Forms
2007
LDSS-7016 - Plan for Fire, Disaster or Other Emergency Evactuation of Residents Operator or Substitute Caretaker (WORD)
English
Adult Services
Forms
2016
OCFS-2001 - Report of Collections - Youth in OCFS Facilities (WORD)
English
Youth Development and Partnerships for Success
Forms
2004
OCFS-2001 - Report of Collections - Youth in OCFS Facilities(PDF)
English
Youth Development and Partnerships for Success
Forms
2004
OCFS-3114 - Waiver of State Aid Eligibility or State Aid Reimbursement
English
Youth Development and Partnerships for Success
Forms
2013
OCFS-3118 - Instructions for RHYA Programs
English
Youth Development and Partnerships for Success
Forms
2004
OCFS-3125 - Program Expenditure Summary
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-3126 - Program Expenditure Report - Salaries (WORD)
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-3127 - Program Expenditure Report - Fringe Benefits (WORD)
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-3128 - Program Expenditure Report - Contracted Services & Stipends (WORD)
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-3129 - Program Expenditure Report - M&O and Facility Repairs (WORD)
English
Youth Development and Partnerships for Success
Forms
2014
OCFS-5003 - Individual Program Application - Program Summary-Program Components (WORD)
English
Youth Development and Partnerships for Success
Forms
2010
OCFS-5003 - Individual Program Application - Program Summary-Program Components (PDF)
English
Youth Development and Partnerships for Success
Forms
2010
OCFS-5005 - Program Budget - Appendix B (WORD)
English
Youth Development and Partnerships for Success
Forms
2010
OCFS-5007 - Program Annual Assessment (WORD)
English
Youth Development and Partnerships for Success
Forms
2011
OCFS-7058 - Instructions for Notification of Allegation of Institutional Abuse in RHY Residential Program (WORD)
English
Youth Development and Partnerships for Success
Forms
2007
OCFS-7058 - Instructions for Notification of Allegation of Institutional Abuse in RHY Residential Program (PDF)
English
Youth Development and Partnerships for Success
Forms
2007
OCFS-0014 - Detention Care Provided and Fiscal Summary
English
Juvenile Justice and Opportunities for Youth
Forms
2005
OCFS-0290 - Application to Operate a Family Boarding Facility
English
Juvenile Justice and Opportunities for Youth
Forms
2002
OCFS-0291 - Application to Operate a Detention Facility
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0292 - Firearms Certification Family Boarding Care Facility
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0292 - Firearms Certification Family Boarding Care Facility
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0293 - Fire Safety Checklist Non-Secure Detention Family Boarding Home
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0295 - Family Boarding Care Driver Information
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0295 - Family Boarding Care Driver Information
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0390 - Family Boarding Care Facility Home Study
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0390 - Family Boarding Care Facility Home Study
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-0700B - Application for Certificate to Board Children
English
Juvenile Justice and Opportunities for Youth
Forms
2002
OCFS-0700B - Application for Certificate to Board Children
English
Juvenile Justice and Opportunities for Youth
Forms
2002
OCFS-1518 - Notice to Court
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-1518 - Notice to Court
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-4751 - Volunteer Application-Registration
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-4751 - Volunteer Application-Registration
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-4830 - Detention Services Unusual Incident Report
English
Juvenile Justice and Opportunities for Youth
Forms
2004
OCFS-4924 - DJJOY Transition Plan
English
Juvenile Justice and Opportunities for Youth
Forms
2010
OCFS-4934 - Advisory Board Application
English
Juvenile Justice and Opportunities for Youth
Forms
2009
OCFS-2400 - Detention Cost Report Instructions
English
Juvenile Justice and Opportunities for Youth
Forms
2017
OCFS-2651 - Detention Program Statistics
English
Juvenile Justice and Opportunities for Youth
Forms
2017
OCFS-2652 - Detention Program Cost Report
English
Juvenile Justice and Opportunities for Youth
Forms
2017
OCFS-2654 - Detention Program Income Report
English
Juvenile Justice and Opportunities for Youth
Forms
2017
OCFS-2668 - Detention Program Salary Itemization
English
Juvenile Justice and Opportunities for Youth
Forms
2017
Formulario de Consentimiento de un Padre-Madre o Tutor(a) con Respecto a un Mentor (PDF)
Spanish
Mentoring
Forms
OCFS-4930MTR - Request for NYS Fingerprinting Services - Information Form
English
Mentoring
Forms
2017
OCFS-7068 - Application for Access to New York State Criminal History Records Per the Safe Mentoring Act (WORD)
English
Mentoring
Forms
2009
OCFS-7068 - Application for Access to New York State Criminal History Records Per the Safe Mentoring Act (PDF)
English
Mentoring
Forms
2009
Parent-Guardian Mentor Waiver Form (PDF)
English
Mentoring
Forms
LDSS-2865B - FTHA Application Independent-Verification Check List (WORD)
English
Adult Services
Forms
2001
LDSS-2865B - FTHA Application Independent-Verification Check List (PDF)
English
Adult Services
Forms
2001
LDSS-3123 - Incident Report FTHA (DARC)(DAS)(WORD)
English
Adult Services
Forms
2004
LDSS-3123 - Incident Report FTHA (DARC)(DAS)(PDF)
English
Adult Services
Forms
2004
LDSS-3239 - Medical Evaluation (Operator) (WORD)
English
Adult Services
Forms
2006
LDSS-3239 - Medical Evaluation (Operator) (PDF)
English
Adult Services
Forms
2006
LDSS-3633 - Individual Resident Fund Record Account (WORD)
English
Family Type Homes for Adults
Forms
2007
LDSS-3633 - Individual Resident Fund Record Account (PDF)
English
Family Type Homes for Adults
Forms
2007
LDSS-3634 - Resident Medication Record (WORD)
English
Adult Services
Forms
2007
LDSS-3634 - Resident Medication Record (PDF)
English
Adult Services
Forms
2007
LDSS-3635 - MEDICATION LOG (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-3635 - MEDICATION LOG (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-3705 - Special Needs Fund Individual Resident Log (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-3705 - Special Needs Fund Individual Resident Log (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-4505 - FTHA Family Type Home for Adults Certification of Child Support Obligations (WORD)
English
Adult Services
Forms
2007
LDSS-4505 - FTHA Family Type Home for Adults Certification of Child Support Obligations (PDF)
English
Adult Services
Forms
2007
OCFS-3122 - Family Type Homes for Adults - Medical Evaluation (Resident)(WORD)
English
Family Type Homes for Adults
Forms
2000
OCFS-3122 - Family Type Homes for Adults - Medical Evaluation (Resident)(PDF)
English
Family Type Homes for Adults
Forms
2000
OCFS-3913 - Residents Special Needs Expenditure Log (WORD)
English
Family Type Homes for Adults
Forms
2010
OCFS-3914 - Health and Safety Equipment and Substitute Care Expenditure Log (WORD)
English
Family Type Homes for Adults
Forms
2008
OCFS-3914 - Health and Safety Equipment and Substitute Care Expenditure Log (PDF)
English
Family Type Homes for Adults
Forms
2008
LDSS-2853 - Statement Offering Personal Allowance Account (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-2853 - Statement Offering Personal Allowance Account (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-2854 - Personal Allowance Register (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-2854 - Personal Allowance Register (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-2855 - Personal Allowance Summary (WORD)
English
Family Type Homes for Adults
Forms
2005
LDSS-2855 - Personal Allowance Summary (PDF)
English
Family Type Homes for Adults
Forms
2005
LDSS-7003 - Verbal Medication Consent Form and Log of Administration(WORD)
English
Child Care: Exempt Providers
Forms
2004
LDSS-7003-S - Formulario de Consentimiento Verbal y Administración del Registro
Verbal Medication Consent Form and Log of Administration
Spanish
Child Care: L/R Providers
Forms
2014
LDSS-4783 - Delinquent Family Share for Child Care Benefits
(Sample Only)
English
Child Care: LDSS
Forms
2015
LDSS-4783-S - Porción de Pago Familiar en Delincuencia para Cubrir Beneficios de Cuidado de Niños
Delinquent Family Share for Child Care Benefits
(Sample Only)
Spanish
Child Care: LDSS
Forms
2015
OCFS-3461 - Waiver of Interest Agreement Justification Form
English
Contracts and Grants
Forms
2012
OCFS-3460 - M-WBE Equal Employment Opportunity Policy Statement
English
Contracts and Grants
Forms
2018
S1000 - Employment Application - Part 1
English
Administration
Forms
2019
OCFS-2114 - District Notification to Legally -Exempt Caregiver Enrollment Agency
English
Child Care: Exempt Providers
Forms
2013
LDSS-0792-S - Registro de Cuidado Diurno
Day Care Registration
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-4773 - Child Care Eligibility Re-determination Coming Due (Sample Only)
English
Child Care: LDSS
Forms
2023
OCFS-4773-S - Se Acerca la Redeterminación de Su Elegibilidad para Recibir Asistencia de Cuidado Infantil (Ejemplo Solamente)
Child Care Eligibility Redetermination Coming Due (Sample Only)
Spanish
Child Care: LDSS
Forms
2018
OCFS-3160 - Supervision and Treatment Services for Juveniles Program-STSJP
English
Juvenile Justice and Opportunities for Youth
Forms
2012
OCFS-7067-S - Ley Adam Walsh de Seguridad y Protección del Menor de 2006
Adam Walsh Child Protective and Safety Act of 2006
Spanish
Protective Services State Central Register
Forms
2017
OCFS-4438 - Domestic Violence Agency-Cover Page-Application Requirements for Approval of Proposed Certificate of Incorporation
English
Domestic Violence
Forms
2013
OCFS-DCC-4838 - Monthly Fire and Safety Inspections For Day Care Center (DCC) Programs
English
Child Care: L/R Providers
Forms
2017
OCFS-4441 - Quarterly Report
English
Contracts and Grants
Forms
2016
OCFS-4442 - Request for Waiver Form
English
Contracts and Grants
Forms
2014
OCFS-3144 - Standard Orders - Laboratory and Clinical Monitoring for Youth Prescribed Psychiatric Medicine
English
Youth Development and Partnerships for Success
Forms
2013
OCFS-7067-KO - 2006 아담 월시 아동 보호 및 안전법
Adam Walsh Child Protective and Safety Act of 2006
Korean
Protective Services State Central Register
Forms
2013
OCFS-7067-HC - LWA 2006 ADAM WALSH KONSÈNAN PWOTEKSYON AK SEKIRITE TIMOUN
Adam Walsh Child Protective and Safety Act of 2006
Haitian Creole
Protective Services State Central Register
Forms
2013
OCFS-7067-CH - 2006 年 ADAM WALSH 兒童保護與安全法
Adam Walsh Child Protective and Safety Act of 2006
Chinese, traditional
Protective Services State Central Register
Forms
2013
OCFS-7067-RU - ЗАКОН О ЗАЩИТЕ И БЕЗОПАСНОСТИ ДЕТЕЙ ИМ АДАМА УОЛША
Adam Walsh Child Protective and Safety Act of 2006
Russian
Protective Services State Central Register
Forms
2013
OCFS-7067-IT - ADAM WALSH CHILD PROTECTIVE & SAFETY ACT DEL 2006
Adam Walsh Child Protective and Safety Act of 2006
Italian
Protective Services State Central Register
Forms
2017
LDSS-4783-HC - KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2015
LDSS-4783-RU - НЕУПЛАЧЕННАЯ СУММА СЕМЕЙНОГО ВЗНОСА ДЛЯ ПОЛУЧЕНИЯ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Delinquent Family Share for Child Care Benefits
(Sample Only)
Russian
Child Care: LDSS
Forms
2015
OCFS-6024 - Plan for Continuity of Care
English
Child Care: L/R Providers
Forms
2015
OCFS-4436-S - Informe de un Incidente de Cuidado Diurno Infantil
Incident Report for Child Day Care
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6022 - Request for Staff Exclusion List Check
English
Child Care: All Providers
Forms
2019
OCFS-4441a - MWBE Monthly Report Form - Superstorm Sandy Grants Only
English
Contracts and Grants
Forms
2015
LDSS-4783-KO - 아동 보호 수당에 요구되는 가족 부담액의 연체
Delinquent Family Share for Child Care Benefits
(Sample Only)
Korean
Child Care: LDSS
Forms
2015
OCFS-4930MTR-S - Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
Spanish
Mentoring
Forms
2017
OCFS-3378 - Report of Legal Blindness/Data Change
English
Commission for the Blind
Forms
2015
OCFS-3917 - Transition Plan Amendment for youth age 18-21
English
Foster Care
Forms
2015
OCFS-1119 - Low Vision Evaluation Report
English
Commission for the Blind
Forms
2013
OCFS-2113 - Notice of Foster Home or Adoptive Home Closure
English
Foster Care
Adoption
Forms
2013
Interactive Budget for Grant RFP
English
Contracts and Grants
Forms
2014
LDSS-4055 - Residential Placement Assessment Form
English
Adult Services
Foster Care
Forms
2018
OCFS-4685 - Kinship Guardianship Assistance Eligibility Checklist
This is the eligibility checklist to be used when making eligibility decisions for the Kinship Guardianship Assistance Program (KinGAP). It is to be used in tandem with the KinGAP application.
English
Kinship
Forms
2016
OCFS-4773-HC - DELÈ POU REKONFIMASYON KALIFIKASYON POU GADRI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2018
OCFS-4773-TC - 托兒資格重新判定即將到期
Child Care Eligibility Redetermination Coming Due (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2018
OCFS-4773-IT - PROSSIMA SCADENZA DELLA RIDETERMINAZIONE DELL’IDONEITÀ AGLI ASSEGNI FAMILIARI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Italian
Child Care: LDSS
Forms
2018
OCFS-4773-RU - БЛИЗИТСЯ ПЕРЕСМОТР ПРАВА НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Child Care Eligibility Redetermination Coming Due (Sample Only)
Russian
Child Care: LDSS
Forms
2018
OCFS-4773-KO - 보육비 지원 수혜 자격 재결정 만기 통지서
Child Care Eligibility Redetermination Coming Due (Sample Only)
Korean
Child Care: LDSS
Forms
2018
OCFS-4555 - Non-Discrimination - Non-Sectarian Compliance
English
Contracts and Grants
Forms
2016
LDSS-4783-IT - OMESSO VERSAMENTO DELLA QUOTA FAMIGLIA PER SUSSIDI PER I MINORI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Italian
Child Care: LDSS
Forms
2015
LDSS-3370a - Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
English
Protective Services State Central Register
Forms
2017
LDSS-2865 - Application for Approval Family Type Home for Adults
English
Adult Services
Forms
2017
OCFS-5003A - Coding Document for OCFS-5003 Program Summary-Program Components
English
Youth Development and Partnerships for Success
Forms
2010
LDSS-4623A-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Первоначальная заявка
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Russian
Adoption
Forms
2009
LDSS-4623A-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Первоначальная заявка
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Russian
Adoption
Forms
2009
LDSS-4623B-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Заявка после полного завершения процедуры усыновления / удочерения
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Russian
Adoption
Forms
2009
LDSS-4623B-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Заявка после полного завершения процедуры усыновления / удочерения
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Russian
Adoption
Forms
2009
LDSS-4623C-1-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Техническая поправка
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Russian
Adoption
Forms
2009
LDSS-4623C-1-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Техническая поправка
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Russian
Adoption
Forms
2009
LDSS-4623C-2-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Обновление или внесение существенной поправки
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Russian
Adoption
Forms
2009
LDSS-4623C-2-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Обновление или внесение существенной поправки
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Russian
Adoption
Forms
2009
LDSS-4623D-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Форма возмещения единовременных расходов, связанных с усыновлением / удочерением
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Russian
Adoption
Forms
2009
LDSS-4623D-RU - СОГЛАШЕНИЕ О ГОСУДАРСТВЕННОЙ ПОМОЩИ ПРИЕМНОЙ СЕМЬЕ И ВОЗМЕЩЕНИИ ЕДИНОВРЕМЕННЫХ РАСХОДОВ, СВЯЗАННЫХ С УСЫНОВЛЕНИЕМ / УДОЧЕРЕНИЕМ - Форма возмещения единовременных расходов, связанных с усыновлением / удочерением
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Russian
Adoption
Forms
2009
LDSS-4623A-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - ערשטע אפליקאציע
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Yiddish
Adoption
Forms
2009
LDSS-4623A-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - ערשטע אפליקאציע
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Yiddish
Adoption
Forms
2009
LDSS-4623B-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - אפליקאציע נאך דעם ענדגילטיגן באשטעטיגונג
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Yiddish
Adoption
Forms
2009
LDSS-4623B-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - אפליקאציע נאך דעם ענדגילטיגן באשטעטיגונג
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Yiddish
Adoption
Forms
2009
LDSS-4623C-1-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - טעכנישע ענדערונג
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Yiddish
Adoption
Forms
2009
LDSS-4623C-1-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - טעכנישע ענדערונג
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Yiddish
Adoption
Forms
2009
LDSS-4623C-2-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - אפגרעיד אדער באדייטנדע אמענדמענט
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Yiddish
Adoption
Forms
2009
LDSS-4623C-2-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - אפגרעיד אדער באדייטנדע אמענדמענט
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Yiddish
Adoption
Forms
2009
LDSS-4623D-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - נישט-אנגייענדע אדאפטירונג אויסגאבן צוריקצאלונג פארם
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Yiddish
Adoption
Forms
2009
LDSS-4623D-YI - אדאפטירונג סובסידי און נישט-אנגייענדע אדאפטירונג אויסגאבן אפמאך - נישט-אנגייענדע אדאפטירונג אויסגאבן צוריקצאלונג פארם
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Yiddish
Adoption
Forms
2009
LDSS-4623A-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - প্রাথমিক আবেদন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Bengali
Adoption
Forms
2009
LDSS-4623A-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - প্রাথমিক আবেদন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Bengali
Adoption
Forms
2009
LDSS-4623B-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - চূড়ান্ত হওয়ার পরের আবেদন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Bengali
Adoption
Forms
2009
LDSS-4623B-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - চূড়ান্ত হওয়ার পরের আবেদন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Bengali
Adoption
Forms
2009
LDSS-4623C-1-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - প্রযুক্তিগত সংশোধন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Bengali
Adoption
Forms
2009
LDSS-4623C-1-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - প্রযুক্তিগত সংশোধন
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Bengali
Adoption
Forms
2009
LDSS-4623C-2-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - উন্নীত অথবা সংশোধনকৃত চুক্তি
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Bengali
Adoption
Forms
2009
LDSS-4623C-2-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - উন্নীত অথবা সংশোধনকৃত চুক্তি
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Bengali
Adoption
Forms
2009
LDSS-4623D-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - দত্তকসংক্রান্ত অপৌনঃপুনিক ব্যয়ের ব্যয়পূরণের ফর্ম
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Bengali
Adoption
Forms
2009
LDSS-4623D-BN - দত্তক ভর্তুকি এবং দত্তকসংক্রান্ত অ-পৌনঃপুনিক ব্যয় সম্পর্কিত চুক্তি - দত্তকসংক্রান্ত অপৌনঃপুনিক ব্যয়ের ব্যয়পূরণের ফর্ম
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Bengali
Adoption
Forms
2009
LDSS-4623A-TC - 收養津貼與非經常性收養費用協議 - 初次申請
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Chinese, traditional
Adoption
Forms
2009
LDSS-4623A-TC - 收養津貼與非經常性收養費用協議 - 初次申請
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Chinese, traditional
Adoption
Forms
2009
LDSS-4623B-TC - 收養津貼與非經常性收養費用協議 - 手續完成後申請
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Chinese, traditional
Adoption
Forms
2009
LDSS-4623B-TC - 收養津貼與非經常性收養費用協議 - 手續完成後申請
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-1-TC - 收養津貼與非經常性收養費用協議 - 技術修正
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-1-TC - 收養津貼與非經常性收養費用協議 - 技術修正
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-2-TC - 收養津貼與非經常性收養費用協議 - 升級或重大修正
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-2-TC - 收養津貼與非經常性收養費用協議 - 升級或重大修正
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Chinese, traditional
Adoption
Forms
2009
LDSS-4623D-TC - 收養津貼與非經常性收養費用協議 - 非經常性收養費用報銷表
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Chinese, traditional
Adoption
Forms
2009
LDSS-4623D-TC - 收養津貼與非經常性收養費用協議 - 非經常性收養費用報銷表
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Chinese, traditional
Adoption
Forms
2009
LDSS-4623(G) - Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
English
Adoption
Forms
2009
LDSS-4623A-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Solicitud Inicial
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application
Spanish
Adoption
Forms
2009
LDSS-4623A-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Solicitud Inicial
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application
Spanish
Adoption
Forms
2009
LDSS-4623A-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Premye Aplikasyon
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application
Haitian Creole
Adoption
Forms
2009
LDSS-4623A-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Premye Aplikasyon
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application
Haitian Creole
Adoption
Forms
2009
LDSS-4623B-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Solicitud Después de la Finalización
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application
Spanish
Adoption
Forms
2009
LDSS-4623B-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Solicitud Después de la Finalización
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application
Spanish
Adoption
Forms
2009
LDSS-4623B-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Aplikasyon Apre Adopsyon an Fini
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application
Haitian Creole
Adoption
Forms
2009
LDSS-4623B-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Aplikasyon Apre Adopsyon an Fini
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application
Haitian Creole
Adoption
Forms
2009
LDSS-4623C-1-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Modificación Técnica
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
Spanish
Adoption
Forms
2009
LDSS-4623C-1-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Modificación Técnica
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
Spanish
Adoption
Forms
2009
LDSS-4623C-1-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Amandman Teknik
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
Haitian Creole
Adoption
Forms
2009
LDSS-4623C-1-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Amandman Teknik
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment
Haitian Creole
Adoption
Forms
2009
LDSS-4623C-2-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Actualización o Modificación Sustancial
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment
Spanish
Adoption
Forms
2009
LDSS-4623C-2-S - Subsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Actualización o Modificación Sustancial
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment
Spanish
Adoption
Forms
2009
LDSS-4623C-2-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Amandman Teknik
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment
Haitian Creole
Adoption
Forms
2009
LDSS-4623C-2-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Amandman Teknik
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment
Haitian Creole
Adoption
Forms
2009
LDSS-4623D-S - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement ForSubsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Formulario de Reembolso de Gastos de Adopción No Recurrentes
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Spanish
Adoption
Forms
2009
LDSS-4623D-S - Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement ForSubsidio de Adopción y Acuerdo de Gastos de Adopción No Recurrentes – Formulario de Reembolso de Gastos de Adopción No Recurrentes
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Spanish
Adoption
Forms
2009
LDSS-4623D-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Fòm Ranbousman pou Depans Adopsyon ki pa rRnouvlab
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Haitian Creole
Adoption
Forms
2009
LDSS-4623D-HC - Kontra pou Sibvansyon Adopsyon Ansanm ak Depans pou Adopsyon ki pa Renouvlab - Fòm Ranbousman pou Depans Adopsyon ki pa rRnouvlab
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Haitian Creole
Adoption
Forms
2009
AC-3271/2-s Instructions - NYS Consultant Services Report Forms - Instructions (OCFS-3271)
English
Contracts and Grants
Forms
2019
S1000 - Employment Application - Part 1
English
Administration
Forms
2019
OCFS-3376 - Grant Application for NYSCB Small Grant Program
English
Commission for the Blind
Forms
2018
LDSS-0792 - Day Care Registration
English
Child Care: L/R Providers
Forms
2019
LDSS-0792-S - Registro de Cuidado Diurno
Day Care Registration
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-2154a - Application to Request a Reasonable Accommodation of a Disability
English
Administration
Forms
2019
OCFS-7067-BN - 2006 এর অ্যাডম ওয়ালস শিশু সুরক্ষা ও নিরাপত্তা আইন
Adam Walsh Child Protective and Safety Act of 2006
Bengali
Protective Services State Central Register
Forms
2017
OCFS-4773-BN - শিশু পরিচর্যা যোগ্যতা পুনর্নিধারণের তারিখ আসছে
Child Care Eligibility Redetermination Coming Due (Sample Only)
Bengali
Child Care: LDSS
Forms
2018
LDSS-4623(G)-AR - مسرد مصطلحات إعانة التبني
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Arabic
Adoption
Forms
2009
LDSS-4623(G)-AR - مسرد مصطلحات إعانة التبني
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Arabic
Adoption
Forms
2009
LDSS-4623(G)-BN - দত্তক নেওয়ার ক্ষেত্রে ভর্তুকি সম্পর্কিত শব্দকোষ
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Bengali
Adoption
Forms
2009
LDSS-4623(G)-BN - দত্তক নেওয়ার ক্ষেত্রে ভর্তুকি সম্পর্কিত শব্দকোষ
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Bengali
Adoption
Forms
2009
LDSS-4623(G)-TC - 收養津貼詞彙表
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Chinese, traditional
Adoption
Forms
2009
LDSS-4623(G)-TC - 收養津貼詞彙表
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Chinese, traditional
Adoption
Forms
2009
LDSS-4623(G)-FR - GLOSSAIRE DE L’AIDE À L’ADOPTION
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
French
Adoption
Forms
2009
LDSS-4623(G)-FR - GLOSSAIRE DE L’AIDE À L’ADOPTION
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
French
Adoption
Forms
2009
LDSS-4623(G)-HC - GLOSÈ SIBVANBSYON POU ADOPSYON
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Haitian Creole
Adoption
Forms
2009
LDSS-4623(G)-HC - GLOSÈ SIBVANBSYON POU ADOPSYON
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Haitian Creole
Adoption
Forms
2009
LDSS-4623(G)-IT - GLOSSARIO DEL SUSSIDIO DI ADOZIONE
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Italian
Adoption
Forms
2009
LDSS-4623(G)-IT - GLOSSARIO DEL SUSSIDIO DI ADOZIONE
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Italian
Adoption
Forms
2009
LDSS-4623(G)-KO - 입양 보조금 용어집
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Korean
Adoption
Forms
2009
LDSS-4623(G)-KO - 입양 보조금 용어집
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Korean
Adoption
Forms
2009
LDSS-4623(G)-PL - GLOSARIUSZ DOTACJI ADOPCYJNYCH
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Polish
Adoption
Forms
2009
LDSS-4623(G)-PL - GLOSARIUSZ DOTACJI ADOPCYJNYCH
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Polish
Adoption
Forms
2009
LDSS-4623(G)-RU - ПОСОБИЯ ПРИЕМНЫМ СЕМЬЯМ — ГЛОССАРИЙ ТЕРМИНОВ
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Russian
Adoption
Forms
2009
LDSS-4623(G)-RU - ПОСОБИЯ ПРИЕМНЫМ СЕМЬЯМ — ГЛОССАРИЙ ТЕРМИНОВ
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Russian
Adoption
Forms
2009
LDSS-4623(G)-S - GLOSARIO DE SUBSIDIOS DE ADOPCIÓN
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Spanish
Adoption
Forms
2009
LDSS-4623(G)-S - GLOSARIO DE SUBSIDIOS DE ADOPCIÓN
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Spanish
Adoption
Forms
2009
LDSS-4623(G)-UR - رضاعی امداد کی گلوسری
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Urdu
Adoption
Forms
2009
LDSS-4623(G)-UR - رضاعی امداد کی گلوسری
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Urdu
Adoption
Forms
2009
LDSS-4623(G)-YI - אדאפטירונג סאבסידי ווערטערבוך
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Yiddish
Adoption
Forms
2009
LDSS-4623(G)-YI - אדאפטירונג סאבסידי ווערטערבוך
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Glossary
Yiddish
Adoption
Forms
2009
LDSS-4623A-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Arabic
Adoption
Forms
2009
LDSS-4623A-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Arabic
Adoption
Forms
2009
LDSS-4623A-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
French
Adoption
Forms
2009
LDSS-4623A-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
French
Adoption
Forms
2009
LDSS-4623A-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Italian
Adoption
Forms
2009
LDSS-4623A-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Italian
Adoption
Forms
2009
LDSS-4623A-KO - 입양 보조금 및 임시 입양 비용 계약서
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Korean
Adoption
Forms
2009
LDSS-4623A-KO - 입양 보조금 및 임시 입양 비용 계약서
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Korean
Adoption
Forms
2009
LDSS-4623A-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Polish
Adoption
Forms
2009
LDSS-4623A-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Polish
Adoption
Forms
2009
LDSS-4623A-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Urdu
Adoption
Forms
2009
LDSS-4623A-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Initial Application
Urdu
Adoption
Forms
2009
LDSS-4623B-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Arabic
Adoption
Forms
2009
LDSS-4623B-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Arabic
Adoption
Forms
2009
LDSS-4623B-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
French
Adoption
Forms
2009
LDSS-4623B-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
French
Adoption
Forms
2009
LDSS-4623B-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Italian
Adoption
Forms
2009
LDSS-4623B-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Italian
Adoption
Forms
2009
LDSS-4623B-KO - 입양 보조금 및 임시 입양 비용 계약서
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Korean
Adoption
Forms
2009
LDSS-4623B-KO - 입양 보조금 및 임시 입양 비용 계약서
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Korean
Adoption
Forms
2009
LDSS-4623B-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Polish
Adoption
Forms
2009
LDSS-4623B-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Polish
Adoption
Forms
2009
LDSS-4623B-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Urdu
Adoption
Forms
2009
LDSS-4623B-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Post-Finalization Application
Urdu
Adoption
Forms
2009
LDSS-4623C-1-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة التعديل الفني
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-1-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة التعديل الفني
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Chinese, traditional
Adoption
Forms
2009
LDSS-4623C-1-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Amendement technique
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
French
Adoption
Forms
2009
LDSS-4623C-1-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Amendement technique
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
French
Adoption
Forms
2009
LDSS-4623C-1-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Emendamento tecnico
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Italian
Adoption
Forms
2009
LDSS-4623C-1-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Emendamento tecnico
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Italian
Adoption
Forms
2009
LDSS-4623C-1-KO - 입양 보조금 및 임시 입양 비용 계약서 - 기술적인 수정
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Korean
Adoption
Forms
2009
LDSS-4623C-1-KO - 입양 보조금 및 임시 입양 비용 계약서 - 기술적인 수정
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Korean
Adoption
Forms
2009
LDSS-4623C-1-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Zmiana techniczna
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Polish
Adoption
Forms
2009
LDSS-4623C-1-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Zmiana techniczna
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Polish
Adoption
Forms
2009
LDSS-4623C-1-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - تکنیکی ترمیم
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Urdu
Adoption
Forms
2009
LDSS-4623C-2-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة - ملحق تحديث أو تعديل جوهري
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Arabic
Adoption
Forms
2009
LDSS-4623C-2-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة - ملحق تحديث أو تعديل جوهري
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Arabic
Adoption
Forms
2009
LDSS-4623C-2-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Mise à niveau ou modification de fond
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
French
Adoption
Forms
2009
LDSS-4623C-2-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Mise à niveau ou modification de fond
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
French
Adoption
Forms
2009
LDSS-4623C-2-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Aggiornamento o modifiche sostanziali
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Italian
Adoption
Forms
2009
LDSS-4623C-2-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Aggiornamento o modifiche sostanziali
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Italian
Adoption
Forms
2009
LDSS-4623C-2-KO - 입양 보조금 및 임시 입양 비용 계약서 - 업그레이드 또는 실질적인 수정
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Korean
Adoption
Forms
2009
LDSS-4623C-2-KO - 입양 보조금 및 임시 입양 비용 계약서 - 업그레이드 또는 실질적인 수정
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Korean
Adoption
Forms
2009
LDSS-4623C-2-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Aktualizacja lub zmiana merytoryczna
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Polish
Adoption
Forms
2009
LDSS-4623C-2-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Aktualizacja lub zmiana merytoryczna
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Polish
Adoption
Forms
2009
LDSS-4623C-2-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - اپ گریڈ یا بنیادی ترمیم
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Urdu
Adoption
Forms
2009
LDSS-4623C-2-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - اپ گریڈ یا بنیادی ترمیم
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Upgrade or Substantive Amendment
Urdu
Adoption
Forms
2009
LDSS-4623D-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة - نموذج سداد نفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Arabic
Adoption
Forms
2009
LDSS-4623D-AR - اتفاقية إعانة التبني ونفقات التبني غير المتكررة - نموذج سداد نفقات التبني غير المتكررة
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Arabic
Adoption
Forms
2009
LDSS-4623D-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Formulaire de remboursement des frais d’adoption ponctuels
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
French
Adoption
Forms
2009
LDSS-4623D-FR - ACCORD SUR LA SUBVENTION À L’ADOPTION ET LES FRAIS D’ADOPTION PONCTUELS - Formulaire de remboursement des frais d’adoption ponctuels
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
French
Adoption
Forms
2009
LDSS-4623D-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Modulo di rimborso per le spese per l’adozione non ricorrenti
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Italian
Adoption
Forms
2009
LDSS-4623D-IT - ACCORDO SUL SUSSIDIO ALL’ADOZIONE E SULLE SPESE PER L’ADOZIONE NON RICORRENTI - Modulo di rimborso per le spese per l’adozione non ricorrenti
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Italian
Adoption
Forms
2009
LDSS-4623D-KO - 입양 보조금 및 임시 입양 비용 계약서 - 임시 입양 비용 환급 양식
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Korean
Adoption
Forms
2009
LDSS-4623D-KO - 입양 보조금 및 임시 입양 비용 계약서 - 임시 입양 비용 환급 양식
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Korean
Adoption
Forms
2009
LDSS-4623D-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Formularz zwrotu jednorazowych kosztów adopcji
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Polish
Adoption
Forms
2009
LDSS-4623D-PL - UMOWA DOTYCZĄCA DOTACJI ADOPCYJNEJ I JEDNORAZOWYCH KOSZTÓW ADOPCJI - Formularz zwrotu jednorazowych kosztów adopcji
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Polish
Adoption
Forms
2009
LDSS-4623D-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - رضاعت کے غیر متوازی اخراجات کا فارم برائے باز ادائیگی
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Urdu
Adoption
Forms
2009
LDSS-4623D-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - رضاعت کے غیر متوازی اخراجات کا فارم برائے باز ادائیگی
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Nonrecurring Adoption Expenses Reimbursement Form
Urdu
Adoption
Forms
2009
LDSS-4623C-1-UR - اقرار نامہ برائے رضاعی امداد و رضاعت کے غیر متوازی اخراجات - تکنیکی ترمیم
Adoption Subsidy and Nonrecurring Adoption Expenses Agreement – Technical Agreement
Urdu
Adoption
Forms
2009
OCFS-4773 - Child Care Eligibility Re-determination Coming Due (Sample Only)
English
Child Care: LDSS
Forms
2023
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