Office of Children and Family Services

OCFS Forms for All of OCFS

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Found 901 Form(s) for All of OCFS below...

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Child Care
শিশু পরিচর্যা যোগ্যতা পুনর্নিধারণের তারিখ আসছে
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-BN
Child Care
How to Fill Out the Health Care Plan for Legally-Exempt Group Child Care Program
Form
LDSS-4703-1
Child Care
শিশু পরিচর্যা সহায়তা ওভারপেমেন্টের
এবং রিপেমেন্টের প্রয়োজনীয়তার বিজ্ঞপ্তি
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-BN
Child Care
শিশু পরিচর্যা সুবিধার জন্য অবাধ্য ফ্যামিলি শেয়ার
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-BN
Child Care
শিশু পরিচর্যা সুবিধা বন্ধ করার বিজ্ঞপ্তি
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-BN
Child Care
শিশু পরিচর্যা সুবিধার জন্য আপনার আবেদনের প্রত্যাখ্যান
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-BN
Child Care
Health Care Plan Legally-Exempt Group Child Care Program
Form
LDSS-4703
Commission for the Blind
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
Form
OCFS-3463-RU
Commission for the Blind
아동 복지국 학교 기록 관련 기밀 정보 공개
Children's Services Release of Confidential Information for School Records
Form
OCFS-3463-KO
Commission for the Blind
РАЗРЕШЕНИЕ НА РАСКРЫТИЕ ИНФОРМАЦИИ ОБ УСЛУГАХ ДЛЯ ДЕТЕЙ
Children's Services Release of Confidential Information
Form
OCFS-3445-RU
Commission for the Blind
아동 복지국 기밀 정보 공개
Children's Services Release of Confidential Information
Form
OCFS-3445-KO
Commission for the Blind
아동 복지국 기밀 정보 공개
Children's Services Release of Confidential Information
Form
OCFS-3445-KO
Commission for the Blind
兒童服務機密資訊披露同意書
Children’s Services Release of Confidential Information
Form
OCFS-3445-TC
Commission for the Blind
Kominikasyon Enfòmasyon Konfidansyél Sévis Timoun
Children’s Services Release of Confidential Information
Form
OCFS-3445-HC
Commission for the Blind
স্কুল রেকর্ডের জন্য শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information for School Records
Form
OCFS-3463-TC
Commission for the Blind
Kominikasyon Enfòmasyon Konfidansyél Sévis Timoun Pou Dosye Lekòl
Children’s Services Release of Confidential Information for School Records
Form
OCFS-3463-HC
Commission for the Blind
স্কুল রেকর্ডের জন্য শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information for School Records
Form
OCFS-3463-BN
Commission for the Blind
শিশুদের পরিষেবার গোপনীয় তথ্যের প্রকাশ
Children’s Services Release of Confidential Information
Form
OCFS-3445-BN
Child Protective Services/State Central Register
2006 এর অ্যাডম ওয়ালস শিশু সুরক্ষা ও নিরাপত্তা আইন
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-BN
Child Protective Services/State Central Register
Application to Provide a Child Protective Services (CPS) Differential Response System by Adding Family Assessment Responses (FAR)
Form
OCFS-4365
Child Protective Services/State Central Register
Family Assessment Response (FAR) Implementation Guidelines
Form
OCFS-4364
Child Protective Services/State Central Register
Family Assessment Response (FAR) Change Request Form
Form
OCFS-4363
Child Protective Services/State Central Register
Application to Relaunch a Child Protective Services (CPS) Family Assessment Response (FAR) program
Form
OCFS-4362
Commission for the Blind
Formulario para Revelar Información Confidencial de Servicios para Niños Relativa a Registros Escolares
Children's Services Release of Confidential Information for School Records
Form
OCFS-3463-S
Commission for the Blind
Children's Services Release of Confidential Information for School Records
Form
OCFS-3463
Administration
Reasonable Accommodation for Members of the Public with Disabilities
Form
OCFS-2156a
Administration
Application to Request a Reasonable Accommodation of a Disability
Form
OCFS-2154a
Adoption
Proceso de Certificación/Aprobación para Padres de Cuidado Temporal/Adoptivos
Certification/Approval Process for Foster/Adoptive Parents
Form
OCFS-5183-S
Foster Care
Proceso de Certificación/Aprobación para Padres de Cuidado Temporal/Adoptivos
Certification/Approval Process for Foster/Adoptive Parents
Form
OCFS-5183-S
Child Protective Services/State Central Register
সন্দেহজনক শিশু নির্যাতন বা অবহেলা সংক্রান্ত প্রতিবেদন
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-BN
Child Care
ФОРМА НЕСОГЛАСИЯ / ОТКАЗА ОТ ПРИЕМА ЙОДИДА КАЛИЯ (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-RU
Child Care
FORMULARZ ODMOWY/REZYGNACJI Z PODANIA JODKU POTASU (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-PL
Child Care
요오드화칼륨(KI) 거부/비참여 양식
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-KO
Child Care
關於拒絕/不參與使用碘化鉀 (KI) 的表單
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-TC
Child Care
FÒM POU REFIZE/PA PRAN YÒDI POTASYÒM (POTASSIUM IODIDE, KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-HC
Child Care
পটাশিয়াম আয়য়াডাইড (KI) প্রত্যাখান/পশিত্যাগ ফমম
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-BN
Child Care
Registro de Cuidado Diurno
Day Care Registration
Form
LDSS-0792-S
Child Care
Day Care Registration
Form
LDSS-0792
Kinship
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
Form
OCFS-4437-S
Kinship
Programa de Asistencia para Allegados como Tutores de Menores-Formulario de Certificación
Kinship Guardianship Assistance Program Certification Form
Form
OCFS-4433-S
Kinship
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
Form
OCFS-4432-S
Kinship
Notificación de Interés para Convertirse en un Tutor Sucesor Aprobado
Notification of Interest To Be an Approved Successor Guardian
Form
OCFS-4410-S
Kinship
Tutor Sucesor Potencial de KinGAP-Declaración de Antecedentes de Condenas Penales
Prospective KinGAP Successor Guardian-Criminal Condition History Attestation
Form
OCFS-4409-S
Commission for the Blind
আবেদন পত্র
Application Form for Equipment Loan Fund for the Disabled
Form
OCFS-4584-BN
Commission for the Blind
গোপনীয় তথ্যের প্রকাশ
Release of Confidential Information
Form
OCFS-3446-BN
Commission for the Blind
ব্যক্তি সেবা পরিকল্পনা
Individual Service Plan
Form
OCFS-3440-BN
Commission for the Blind
স্টেটের পুনর্বাসন কাউন্সিলের আবেদন পত্র
State Rehabilitation Council Application Form
Form
OCFS-2150-BN
Child Care
Emergency Plan - Child Day Care Centers and School Age Child Care Programs
Form
LDSS-4438
Child Care
Hoja de Asistencia de Cuidado Infantil
Child Care Attendance Sheet
Form
LDSS-4443-S
Commission for the Blind
Grant Application for NYSCB Small Grant Program
Form
OCFS-3376
Adoption
Household Composition and Relationships Form
Form
OCFS-5183F
Foster Care
Household Composition and Relationships Form
Form
OCFS-5183F
Adoption
Formulario de Composición y Relaciones entre el Grupo Familiar
Household Composition and Relationships Form
Form
OCFS-5183F-S
Foster Care
Formulario de Composición y Relaciones entre el Grupo Familiar
Household Composition and Relationships Form
Form
OCFS-5183F-S
Adoption
Safety Review Form
Form
OCFS-5183E
Foster Care
Safety Review Form
Form
OCFS-5183E
Adoption
Formulario de Revisión de Seguridad
Safety Review Form
Form
OCFS-5183E-S
Foster Care
Formulario de Revisión de Seguridad
Safety Review Form
Form
OCFS-5183E-S
Adoption
Family Adoption Registry Information (Formerly Application To Adopt)
Form
OCFS-5183C
Foster Care
Family Adoption Registry Information (Formerly Application To Adopt)
Form
OCFS-5183C
Language Access
Bengali - Access to Services in Your Language Complaint Form
Form
LA 1-BN
Child Protective Services/State Central Register
安全照護計畫
Plan of Safe Care
Form
OCFS-2196-TC
Child Protective Services/State Central Register
ПЛАН БЕЗОПАСНОГО УХОДА ЗА РЕБЕНКОМ
Plan of Safe Care
Form
OCFS-2196-RU
Child Protective Services/State Central Register
안전 관리 계획
Plan of Safe Care
Form
OCFS-2196-KO
Child Protective Services/State Central Register
PIANO DI ASSISTENZA SICURA
Plan of Safe Care
Form
OCFS-2196-IT
Child Protective Services/State Central Register
PLAN POU SWEN KI SAN DANJE
Plan of Safe Care
Form
OCFS-2196-HC
Child Protective Services/State Central Register
Plan de Cuidado Seguro
Plan of Safe Care
Form
OCFS-2196-S
Child Protective Services/State Central Register
Plan of Safe Care
Form
OCFS-2196
Adoption
Referencias Personales
Personal References
Form
OCFS-5183H-S
Foster Care
Características de Recursos
Resource Characteristics
Form
OCFS-5183I-S
Foster Care
Residential Placement Assessment Form
Form
LDSS-4055
Adoption
Acuerdo del Padre/Madre de Crianza Temporal con la Agencia Autorizada
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J-S
Foster Care
Acuerdo del Padre/Madre de Crianza Temporal con la Agencia Autorizada
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J-S
Adoption
Akò Paran Fanmi Dakèy la Avèk Ajans Otorize a
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J-HC
Foster Care
Akò Paran Fanmi Dakèy la Avèk Ajans Otorize a
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J-HC
Adoption
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J
Foster Care
Foster Parent Agreement With Authorized Agency
Form
OCFS-5183J
Adoption
Pwosesis Sètifikasyon/Apwobasyon pou Paran Fanmi Dakèy/Adoptif la (yo)
Certification/Approval Process for Foster/Adoptive Parents
Form
OCFS-5183-HC
Foster Care
Pwosesis Sètifikasyon/Apwobasyon pou Paran Fanmi Dakèy/Adoptif la (yo)
Certification/Approval Process for Foster/Adoptive Parents
Form
OCFS-5183-HC
Kinship
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)
Form
OCFS-4430NYC-S
Kinship
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)
Form
OCFS-4430-S
Kinship
Acuerdo de Asistencia para Allegados como Tutores de Menores y Gastos No Recurrentes de la Tutela
Kinship Guardianship Assistance and Nonrecurring Guardianship Expenses Agreement
Form
OCFS-4431-S
Child Care
Site Verification of Staff Records for Legally-Exempt Group Child Care Program
Form
LDSS-7029-6
Child Care
Immunization Record Review in Legally-Exempt Child Care Program
Form
LDSS-7029-5
Child Care
Supervision, Ratios and Group Sizes in Legally-Exempt Group Child Care Program
Form
LDSS-7029-4
Child Care
Site Verification of Health Care Plan for Legally-Exempt Group Child Care Program
Form
LDSS-7029-3
Child Care
Corrective Action Plan for Legally-Exempt Group Child Care Program
Form
LDSS-7029-2
Child Care
Inspection Summary for Legally-Exempt Group Child Care Program
Form
LDSS-7029-1
Child Care
Legally-Exempt Group Child Care Program Inspection Report
Form
LDSS-7029
Child Care
Paquete Informativo de Inscripción para Proveedores de Cuidado Legalmente Exentos
Enrollment Information Packet for Legally-Exempt Providers
Form
OCFS-7026-S
Adoption
National Electronic Interstate Compact Enterprise (NEICE) Non-Disclosure Agreement
Form
OCFS-4714
Foster Care
OCFS-5184 Foster Care Placement Verification Form
Form
OCFS-5184
Child Care
Attendance Sheet for Enrolled Legally-Exempt Child Care Program
Form
OCFS-7026-1
Contracts and Grants
Contractor Certification (PDF)
Form
ST-220-TD
Adoption
Foster-Adoptive Applicant Medical Report
Form
OCFS-5183D
Foster Care
Foster-Adoptive Applicant Medical Report
Form
OCFS-5183D
Foster Care
Evaluación y Determinación Final
Final Assessment and Determination
Form
OCFS-5183K-S
Adoption
Evaluación y Determinación Final
Final Assessment and Determination
Form
OCFS-5183K-S
Child Care
Asistencia del Proveedor/Encargado de Cuidado, Empleado, Voluntario
Caregiver, Employee, Volunteer Attendance
Form
OCFS-6008-S
Juvenile Justice and Opportunities for Youth
Application Guidelines for Construction and Substantial Remodeling-Specialized Secure Detention (SDD) Facility
Form
OCFS-0291b
Juvenile Justice and Opportunities for Youth
Application to Operate a New Specialized Secure Detention Facility
Form
OCFS-0291a
Youth Development
Ombudsman Complainant Form
Form
OCFS-0300
Adoption
Reporte Médico del Solicitante de Cuidado de Crianza Temporal/Adopción
Foster/Adoptive Applicant Medical Report
Form
OCFS-5183D-S
Foster Care
Reporte Médico del Solicitante de Cuidado de Crianza Temporal/Adopción
Foster/Adoptive Applicant Medical Report
Form
OCFS-5183D-S
Adoption
Informacion del Registro de Adopcion para Familias
Family Adoption Registry Information
Form
OCFS-5183C-S
Foster Care
Informacion del Registro de Adopcion para Familias
Family Adoption Registry Information
Form
OCFS-5183C-S
Adoption
Solicitud de Padres de Crianza o Adoptivos
Foster/Adoptive Parent Application
Form
OCFS-5183B-S
Foster Care
Solicitud de Padres de Crianza o Adoptivos
Foster/Adoptive Parent Application
Form
OCFS-5183B-S
Adoption
Autoevaluación
Self Assessment
Form
OCFS-5183A-S
Foster Care
Autoevaluación
Self Assessment
Form
OCFS-5183A-S
Adoption
Certification-Approval Process for Foster-Adoptive Parents
Form
OCFS-5183
Adoption
Final Assessment-Determination
Form
OCFS-5183K
Adoption
Certification-Approval Process for Foster-Adoptive Parents
Form
OCFS-5183
Adoption
Herrmamienta de Indicadores de Tráfico Sexual Infantil
Child Sex Trafficking Indicators Tools
Form
OCFS-3920-S
Foster Care
Herrmamienta de Indicadores de Tráfico Sexual Infantil
Child Sex Trafficking Indicators Tools
Form
OCFS-3920-S
Foster Care
Certification-Approval Process for Foster-Adoptive Parents
Form
OCFS-5183
Contracts and Grants
EO 177 Certification
Form
OCFS-2647
Adoption
Denuncia de una Víctima de Tráfico Sexual Infantil a una Agencia de Orden Público
Law Enforcement Report of a Child Sex Trafficking Victim
Form
OCFS-3922-S
Foster Care
Denuncia de una Víctima de Tráfico Sexual Infantil a una Agencia de Orden Público
Law Enforcement Report of a Child Sex Trafficking Victim
Form
OCFS-3922-S
Foster Care
OCFS-4777 Federal Foster Care Candidacy Determination Form
Form
OCFS-4777
Kinship
KinGap Fair Hearing Notice of Discontinuance (Spanish)
Form
Kinship
KinGap Fair Hearing Notice of Discontinuance
Form
Kinship
KinGap Annual Notification Letter
Form
Kinship
KinGAP Non-Relative Notification Letter (Spanish)
Form
Kinship
KinGAP Non-Relative Notification Letter
Form
Kinship
KinGap Parent of Sibling Notification Letter (Spanish)
Form
Kinship
KinGAP Fair Hearing Notice Denial of Upgrade (Spanish)
Form
Kinship
KinGAP Fair Hearing Notice Denial of Upgrade
Form
Kinship
KinGAP Relative Notification Letter (Spanish)
Form
Kinship
KinGAP Relative Notification Letter
Form
Kinship
KinGAP Fair Hearing Notice Denial (Spanish)
Form
Child Care
Enrollment Form for Provider of Legally - Exempt Group Child Care
Form
LDSS-4700
Child Care
Enrollment Form for Provider of Legally Exempt Family Child Care and Legally Exempt In-Home Child Care (WORD)
Form
LDSS-4699
Child Care
Legally-Exempt Group Child Care Program with Enhanced Requirements
Form
LDSS-4702
Adoption
Herramienta para la Rápida Detección de Identificadores
Rapid Indicator Tool
Form
OCFS-3921-S
Foster Care
Herramienta para la Rápida Detección de Identificadores
Rapid Indicator Tool
Form
OCFS-3921-S
Child Protective Services/State Central Register
Authorization for Release of Information for Foster Boarding Home Certification or Approval Only
Form
OCFS-5023
Foster Care
Final Assessment-Determination
Form
OCFS-5183K
Foster Care
Certification-Approval Process for Foster-Adoptive Parents
Form
OCFS-5183
Child Care
Instrucciones para Completar el Formulario de Verificación de Datos del Registro Central del Estado
Instructions for Completing the Statewide Central Register Database Check Form
Form
LDSS-3370-S
Kinship
Affidavit of Relationship
Form
OCFS-4435c
Kinship
Kinship Guardianship Assistance Eligibility Checklist Instructions
Form
OCFS-4435b
Kinship
Kinship Guardianship Assistance Eligibility Checklist
Form
OCFS-4435a
Kinship
Délégation D’autorité Parentale
Designation of Person in Parental Relationship
Form
OCFS-4940-FR
Kinship
KinGap Parent of Sibling Notification Letter
Form
Commission for the Blind
Application for Service
ЗАЯВЛЕНИЕ НА ПОЛУЧЕНИЕ УСЛУГ
Form
OCFS-1002-RU
Commission for the Blind
Application for Service
APLIKASYON POU SÈVIS
Form
OCFS-1002-HC
Commission for the Blind
Application for Service
服務申請書
Form
OCFS-1002-CH
Commission for the Blind
Application for Service
RICHIESTA DI SERVIZIO
Form
OCFS-1002-IT
Commission for the Blind
Application for Service
서비스 신청서
Form
OCFS-1002-KO
Commission for the Blind
Application for Service
Solicitud de Servicios
Form
OCFS-1002-S
Adoption
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930ASFA
Foster Care
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930ASFA
Youth Development
Coding Document for OCFS-5003 Program Summary-Program Components
Form
OCFS-5003A
Foster Care
БИЛЛЬ О ПРАВАХ ДЕТЕЙ И ПОДРОСТКОВ, НАХОДЯЩИХСЯ НА ПАТРОНАТНОМ ВОСПИТАНИИ
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-RU
Foster Care
作為一名在紐約州的家庭寄養兒童或青少年,我擁有以下權利:
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-TC
Foster Care
CARTA DEI DIRITTI DI BAMBINI E GIOVANI IN AFFIDAMENTO
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-IT
Foster Care
본인은 뉴욕 주 위탁 보호 아동 및 청소년으로서 다음과 같은 권리를 갖습니다.
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-KO
Foster Care
DEKLARASYON DWA POU TIMOUN AK JÈN NAN FWAYE DAKÈY
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-HC
Youth Development
Runaway and Homeless Youth-Interim Family Home Annual Report
Form
OCFS-2136
Youth Development
Runaway and Homeless Youth-Interim Family Home Study Report
Form
OCFS-2135
Youth Development
Runaway and Homeless Youth-Interim Family Certification Application
Form
OCFS-2134
Child Care
Plan de Atención Médica (Cuidado Infantil de Niños en Edad Escolar) Health Care Plan (School-Age Child Care)
Form
LDSS-7022-S
Child Care
Child Care On Site Inspection Report
Form
LDSS-4553
Adult Protective Services
Application for Approval Family Type Home for Adults
Form
LDSS-2865
Foster Care
Foster Parent Request for the Release of the Social Security Number of a Child in Foster Care for Purposes of Section 8 Rental Assistance
Form
OCFS-4743a
Child Protective Services/State Central Register
Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
Form
LDSS-3370a
Adoption
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930ASFA
Contracts and Grants
Appendix A-3 - Federal Assurances and Certifications
Form
Contracts and Grants
Attachment A-2 - Federal Assurances and Certifications
Form
Child Care
Child Support Obligation Statement
Form
OCFS-6036
Home and Community-Based Services Waiver (B2H)

Notificación de la Decisión-Autorización
Notice of Decision-Authorization
Form
OCFS-8009-S
Adoption
SCR Request for Information for Private Adoptions
Form
OCFS-3937
Contracts and Grants
NON-COLLUSIVE BIDDING CERTIFICATION - Required by Section 139-D of the State Finance
Form
OCFS-2634
Contracts and Grants
MacBride Fair Employment Principals Certification Form.dotx
Form
OCFS-2633
Adult Protective Services
Fire Safety Inspection For Family Type Homes For Adults
Form
LDSS-4388
Child Care
獨立健康照護計畫 適用於有特殊健康照護需求的孩童
Individual Health Care Plan for a Child with Special Health Care Needs
Form
LDSS-7006-TC
Child Care
施藥失誤回報表
Medication Error Report Form
Form
LDSS-7005-TC
Child Care
藥物施放記錄
Log of Medication Administration
Form
LDSS-7004-TC
Child Care
頭藥物同意表與施藥記錄
Verbal Medication Consent Form and Log of Administration
Form
LDSS-7003-TC
Child Care
藥物同意表
Medication Consent Form
Form
LDSS-7002-TC
Child Care
ПОРЯДОК ЗАПОЛНЕНИЯ ЗАЯВЛЕНИЯ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-RU
Child Care
보육 지원 신청서 작성 방법
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-KO
Child Care
FASON POU RANPLI APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-HC
Child Care
MODALITÀ DI COMPILAZIONE DELLA DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-IT
Child Care
Cómo Completar la Solicitud de Asistencia para Cuidado Infantil
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-S
Child Care
如何填寫托兒補助申請表
How to Complete the Application for Child Care Assistance
Form
OCFS-6026-TC
Child Care
托兒補助申請表
Application for Child Care Assistance
Form
OCFS-6025-TC
Child Care
ЗАЯВЛЕНИЕ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Application for Child Care Assistance
Form
OCFS-6025-RU
Child Care
Solicitud de Asistencia para Cuidado Infantil
Application for Child Care Assistance
Form
OCFS-6025-S
Child Care
DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
Application for Child Care Assistance
Form
OCFS-6025-IT
Child Care
APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
Application for Child Care Assistance
Form
OCFS-6025-HC
Child Care
보육 지원 신청서
Application for Child Care Assistance
Form
OCFS-6025-KO
Child Care
SACC Monthly Fire and Safety Inspection
Form
OCFS-6035
Contracts and Grants
Request for Bid
Form
OCFS-0910
Contracts and Grants
CMS User Authorization
Form
OCFS-4821
Child Care
How To Complete The Application For Child Care Assistance
Form
OCFS-6026
Child Care
Application for Child Care Assistance
Form
OCFS-6025
Adoption
Adoptive Placement Fee Disclosure Form
MODULO DI TRASPARENZA SUGLI ONERI DI AFFIDAMENTO PER ADOZIONE
Form
OCFS-4690-IT
Adoption
Adoptive Placement Fee Disclosure Form
입양 알선 수수료 공개 양식
Form
OCFS-4690-KO
Adoption
Adoptive Placement Fee Disclosure Form
FÒM DIVILGASYON FRÈ POU PEYE POU PLASMAN TIMOUN NAN ADOPSYON
Form
OCFS-4690-HC
Adoption
Adoptive Placement Fee Disclosure Form
ФОРМА РАСКРЫТИЯ ИНФОРМАЦИИ О ПЛАТЕЖАХ ПРИ УСЫНОВЛЕНИИ
Form
OCFS-4690-RU
Adoption
Adoptive Placement Fee Disclosure Form
收養安置費用披露表
Form
OCFS-4690-TC
Adoption
Formulario de Divulgación de Tarifas de Colocación en Adopción
Adoptive Placement Fee Disclosure Form
Form
OCFS-4690-S
Child Care
Request To Provide Additional Shift Of Care
Form
OCFS-6034
Child Care
보육비 지원 수혜 자격 재결정 만기 통지서
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-KO
Child Care
БЛИЗИТСЯ ПЕРЕСМОТР ПРАВА НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-RU
Child Care
PROSSIMA SCADENZA DELLA RIDETERMINAZIONE DELL’IDONEITÀ AGLI ASSEGNI FAMILIARI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-IT
Child Care
托兒資格重新判定即將到期
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-TC
Child Care
DELÈ POU REKONFIMASYON KALIFIKASYON POU GADRI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-HC
Child Care
Requisitos de Licencia/Registro para los Programas de Cuidado Diurno Infantil
License/Registration Requirements for Child Day Care Programs
Form
OCFS-6032-S
Child Care
보육비 지원 초과 지급 및 상환 요구 통지서
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-KO
Child Care
Medication Consent Form (Child Day Care Programs)
Form
LDSS-7002
Kinship
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
Form
OCFS-4437-HC
Kinship
FITI RESPONSAB LEGAL KINGAP ANNAPRE A ATESTASYON ISTWA KONDANASYON KRIMINÈL
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation
Form
OCFS-4409-HC
Child Care
NOTIFICA DI EROGAZIONE DI SUSSIDI PER MINORI IN ECCESSO E REQUISITI PER IL RIMBORSO
Notice of Child Care Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-IT
Child Care
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785-IT
Child Care
APPROVAZIONE DELLA DELIBERAZIONE DI SUSSIDI PER I SERVIZI ALL’INFANZIA
Approval of Your Redetermination for Child Care Benefits
Form
LDSS-4784-IT
Child Care
OMESSO VERSAMENTO DELLA QUOTA FAMIGLIA PER SUSSIDI PER I MINORI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-IT
Child Care
AVVISO DI MODIFICA DEI SUSSIDI PER I SERVIZI ALL’INFANZIA E DEI PAGAMENTI DI CONTRIBUTI FAMILIARI
Notice of Intent to Change Child care Benefits
Form
LDSS-4781-IT
Child Care
RIFIUTO DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL’INFANZIA
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-IT
Child Care
APPROVAZIONE DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL’INFANZIA
Approval of Your Application for Child Care Benefits
Form
LDSS-4779-IT
Kinship
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
Form
OCFS-4437-TC
Kinship
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
Form
OCFS-4409-TC
Child Care
License/Registration Requirements For Child Day Care Programs
Form
OCFS-6032
Child Care
List Of Children In Care
Form
OCFS-6031
Contracts and Grants
Non-Discrimination - Non-Sectarian Compliance
Form
OCFS-4555
Child Care
APROBACIÓN DE SU REDETERMINACIÓN PARA BENEFICIOS DE CUIDADO INFANTIL
Approval of Your Redetermination for Child Care Benefits
Form
LDSS-4784-S
Child Care
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Form
LDSS-4784
Kinship
Kinship Guardianship Assistance Eligibility Checklist
Form
OCFS-4685
Contracts and Grants
Instructions for Workforce Utilization Report
Form
OCFS-2171A
Contracts and Grants
Workforce Utilization Report
Form
OCFS-2171
Child Care
AVI POU FÈ KONNEN PEMAN ANPLIS POU GADRI AK KONDISYON POU RANBOUSMAN
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-HC
Adult Protective Services
Residential Placement Assessment Form
Form
LDSS-4055
Child Care
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ПРЕКРАТИТЬ ВЫПЛАТУ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-RU
Child Care
УВЕДОМЛЕНИЕ О ПЕРЕПЛАТЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ И ТРЕБОВАНИЯХ ПО ВОЗМЕЩЕНИЮ ЗАДОЛЖЕННОСТИ
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-RU
Child Care
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)
Form
LDSS-7009-TC
Foster Care
Foster Parent Request for the Release of the Social Security Number of a Child in Foster Care for Income Tax Purposes
Form
OCFS-4743
Child Care
Child Care Attendance Sheet - Seven Days
Form
OCFS-6027
Administration
GENERAL LEDGER JOURNAL ENTRY
Form
AC 22-S
Administration
Claim Form
Form
OCFS-3148
Management Support
Telecommunications Service Request
Form
OCFS-4529
Child Care
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)
Form
OCFS-6023-S
Child Care
Criminal Conviction Statement
Child Day Care Programs
Form
OCFS-6005
Child Care
Schedule of Daily Program Activities-Child Care Programs.dot
Form
LDSS-4440
Child Care
Staff Background Check Review Procedure
Form
OCFS-6028
Adoption
Adoptive Placement Fee Disclosure Form
Form
OCFS-4690
Adoption
Law Enforcement Report Of A Child Sex Trafficking Victim
Form
OCFS-3922
Adoption
Child Sex Trafficking Indicators
Form
OCFS-3920
Adoption
Rapid Indicator Tool To Identify Children Who May Be Sex Trafficking Victims Or At Risk Of Being A Sex Trafficking Victim
Form
OCFS-3921
Foster Care
Transition Plan Amendment for youth age 18-21
Form
OCFS-3917
Commission for the Blind
Report of Legal Blindness/Data Change
Form
OCFS-3378
Contracts and Grants
Vendor and Contract Contact Update Form Revised 5/2015
Form
OCFS-4895
Child Care
Medication Error Report Form
Form
LDSS-7005
Child Care
Log of Medication Administration
Form
LDSS-7004
Foster Care
Law Enforcement Report Of A Child Sex Trafficking Victim Form
Form
OCFS-3922
Foster Care
Rapid Indicator Tool To Identify Children Who May Be Sex Trafficking Victims Or At Risk Of Being A Sex Trafficking Victim
Form
OCFS-3921
Foster Care
Child Sex Trafficking Indicators
Form
OCFS-3920
Child Protective Services/State Central Register
Request for Information-Private Adoption
정보 요청서-개인 입양
Form
OCFS-3937-KO
Child Protective Services/State Central Register
Request for Information Guardianship Form-For Court Use Only
정보 후견인 요청 양식
법원 전용
Form
OCFS-3909-KO
Child Protective Services/State Central Register
Inquiry Concerning Visitation/Statewide Central Register Database
방문권 관련 문의
뉴욕 주 중앙 등록 데이터베이스 양식
Form
OCFS-4190-KO
Child Protective Services/State Central Register
Request for Information-Private Adoption
MODULO DI RICHIESTA DI INFORMAZIONI SUI TUTORI LEGALI
PER USO ESCLUSIVO DEL TRIBUNALE
Form
OCFS-3937-IT
Child Protective Services/State Central Register
Request for Information Guardianship Form-For Court Use Only
RICHIESTA DI INFORMAZIONI - ADOZIONE PRIVATA
PER USO ESCLUSIVO DI TRIBUNALI O SOGGETTI IMPARZIALI
Form
OCFS-3909-IT
Child Protective Services/State Central Register
Inquiry Concerning Visitation/Statewide Central Register Database
RICHIESTA DI INFORMAZIONI RIGUARDANTI LE VISITE
MODULO PER IL DATABASE DELL'ARCHIVIO CENTRALE STATALE
Form
OCFS-4190-IT
Child Protective Services/State Central Register
Request for Information-Private Adoption
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
Form
OCFS-3937-CH
Child Protective Services/State Central Register
Request for Information Guardianship Form-For Court Use Only
監護權資訊要求表單
僅供法院使用
Form
OCFS-3909-CH
Child Protective Services/State Central Register
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
Form
OCFS-4190-CH
Kinship
KinGAP Fair Hearing Notice Denial
Form
Kinship
Notification Of Interest To Be An Approved Successor Guardian(s)
Form
OCFS-4410
Kinship
Prospective KinGAP Successor Guardian Criminal Conviction History Attestation
Form
OCFS-4409
Kinship
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Agreement Successor Guardian Amendment
Form
OCFS-4437
Child Protective Services/State Central Register
Request for Information-Private Adoption
DEMANN ENFÒMASYON – ADOPSYON PRIVE
Form
OCFS 3937-HC
Child Protective Services/State Central Register
Request for Information Guardianship Form-For Court Use Only
DEMANN POU FÒM TITÈL
POU ITILIZASYON TRIBINAL LA SÈLMAN
Form
OCFS 3909-HC
Child Protective Services/State Central Register
Inquiry Concerning Visitation/Statewide Central Register Database
RECHÈCH KONSÈNAN VIZIT
FÒM BAZ DONE REJIS SANTRAL ETA A
Form
OCFS 4190-HC
Child Protective Services/State Central Register
Request for Information-Private Adoption
ЗАПРОС НА ПОЛУЧЕНИЕ ИНФОРМАЦИИ ДЛЯ
ЦЕЛЕЙ ЧАСТНОГО УСЫНОВЛЕНИЯ
Form
OCFS-3937-RU
Child Protective Services/State Central Register
Request for Information Guardianship Form-For Court Use Only
ФОРМА ЗАПРОСА ИНФОРМАЦИИ ОБ ОПЕКУНАХ
ТОЛЬКО ДЛЯ ИСПОЛЬЗОВАНИЯ СУДОМ
Form
OCFS 3909-RU
Child Protective Services/State Central Register
Inquiry Concerning Visitation/Statewide Central Register Database
ЗАПРОС НА ПРАВО ПОСЕЩЕНИЯ
ФОРМА БАЗЫ ДАННЫХ ЦЕНТРАЛЬНОГО ОРГАНА РЕГИСТРАЦИИ ШТАТА
Form
OCFS 4190-RU
Child Protective Services/State Central Register
Investigación con Respecto a Visitaciones/Formulario para el Registro Central del Estado
Inquiry Concerning Visitation/Statewide Central Register Database Form
Form
OCFS-4190-S
Commission for the Blind
신청 양식 장애인 대상의 장비 대출 기금
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-KO
Commission for the Blind
기밀 정보의 공개
Release of Confidential Information
Form
OCFS-3446-KO
Commission for the Blind
개별 서비스 계획
Individual Service Plan
Form
OCFS-3440-KO
Child Protective Services/State Central Register
Solicitud de Información Sobre Tutores (Sólo para uso del tribunal) | Request for Information Guardianship Form (For Court Use Only)
Form
OCFS-3909-S
Commission for the Blind
申请表 身障人士专用设备贷款基金
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-TC
Commission for the Blind
保密信息的披露
Release of Confidential Information
Form
OCFS-3446-TC
Commission for the Blind
个人服务计划
Individual Service Plan
Form
OCFS-3440-TC
Commission for the Blind
DIVILGASYON ENFÒMASYON MEDIKAL
Release of Confidential Information
Form
OCFS-3446-HC
Commission for the Blind
PLAN SÈVIS ENDIVIDYÈL
Individual Service Plan
Form
OCFS-3440-HC
Commission for the Blind
FÒM APLIKASYON-POU PRETE LAJAN POU ACHTE EKIPMAN POU MOUN ANDIKAPE
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-HC
Commission for the Blind
ИНДИВИДУАЛЬНЫЙ ПЛАН ОБСЛУЖИВАНИЯ
Individual Service Plan
Form
OCFS-3440 -RU
Commission for the Blind
ПЕРЕДАЧА КОНФИДЕНЦИАЛЬНОЙ ИНФОРМАЦИИ
Release of Confidential Information
Form
OCFS-3446-RU
Commission for the Blind
ФОРМА ЗАЯВЛЕНИЯ-ССУДНЫЙ ФОНД ПО ЗАКУПКЕ ОБОРУДОВАНИЯ ДЛЯ ИНВАЛИДОВ
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-RU
Commission for the Blind
MODULO DI RICHIESTA-FONDO DI CREDITO PER L’ACQUISTO DI ATTREZZATURE PER DISABILI
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-IT
Commission for the Blind
RILASCIO DI INFORMAZIONI RISERVATE
Release of Confidential Information
Form
OCFS-3446-IT
Commission for the Blind
PIANO DI SERVIZI INDIVIDUALE
Individual Service Plan
Form
OCFS-3440-IT
Child Care
Formulario de Informe de Error de Medicacion
Form
LDSS-7005-S
Child Care
Formulario de Consentimiento para Medicamentos
Medication Consent Form
Form
LDSS-7002-S
Child Care
Informe de un Incidente de Cuidado Diurno Infantil
Incident Report for Child Day Care
Form
OCFS-4436-S
Child Care
Plan for Continuity of Care
Form
OCFS-6024
Adoption
Entrega Judicial
Judicial Surrender
Form
OCFS-4315-S
Child Protective Services/State Central Register
Notificación de Procedimientos 424-a de la Ley de Servicios Sociales
Notification of Social Service Law 424-a Procedures
Form
LDSS-3371B-S
Child Protective Services/State Central Register
Notificación de Procedimientos 424-a de la Ley de Servicios Sociales
Notification of Social Service Law 424-a Procedures
Form
LDSS-3371A-S
Adoption
Adoption Agency Business Plan
Form
LDSS-2161
Mentoring
Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
Form
OCFS-4930MTR-S
Child Care
아동 보호 수당에 요구되는 가족 부담액의 연체
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-KO
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
Form
LDSS-3371A
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
Form
LDSS-3371B
Adoption
Attachment A-Extra Judicial Surrender
Form
OCFS-4316A
Adoption
Extra-Judicial Surrender
Form
OCFS-4316
Adoption
Attachment A to a Judicial Conditional Surrender
Form
OCFS-4315A
Adoption
Judicial Surrender form
Form
OCFS-4315
Adoption
Adjunto A - Entrega Condicional Extra Judicial
Attachment A – Extra Judicial Conditional Surrender
Form
OCFS-4316A-S
Adoption
Adjunto A - Entrega Condicional Judicial
Attachment A - Judicial Conditional Surrender
Form
OCFS-4315A-S
Adoption
Entrega Extra Judicial
Extra Judicial Surrender
Form
OCFS-4316-S
Child Care
Child Abuse and Maltreatment Safety Plan (DCC & SACC)
Form
OCFS-6023
Child Protective Services/State Central Register
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
Form
LDSS-3370a-S
Child Care
Formulario de Seguimiento Individual de Capacitación
Individual Training Tracking (revised 10/15)
Form
OCFS-4880S
Child Care
Menus, Meals and Snacks (DCC & SACC)
Form
OCFS-6021
Contracts and Grants
MWBE Monthly Report Form-Superstorm Sandy Grants Only
Form
OCFS-4441a
Child Care
Request For Staff Exclusion List Check
Form
OCFS-6022
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
사회복지사업법 424-A 절에 따른 법적 절차에 관한 공지
Form
LDSS-3371B-KO
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
사회복지사업법 424-A 절에 따른 법적 절차에 관한 공지
Form
LDSS-3371A-KO
Child Protective Services/State Central Register
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.
Form
LDSS-3370a-KO
Child Protective Services/State Central Register
Instructions for Completing the Statewide Central Register Database Check Form
주립 중앙 기록 저장소 (SCR) 자료 확인 요청서 작성 지침
Form
LDSS-3370-KO
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
COMUNICAZIONE DELLE PROCEDURE PREVISTE IN BASE ALLA SEZIONE 424-A
DELLA LEGGE SUI SERVIZI SOCIALI
Form
LDSS-3371B-IT
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
COMUNICAZIONE DELLE PROCEDURE PREVISTE IN BASE ALLA SEZIONE 424-A
DELLA LEGGE SUI SERVIZI SOCIALI
Form
LDSS-3371A-IT
Child Protective Services/State Central Register
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
Form
LDSS-3370a-IT
Child Protective Services/State Central Register
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)
Form
LDSS-3370-IT
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
УВЕДОМЛЕНИЕ О ПОРЯДКЕ, ПРЕДУСМОТРЕННОМ РАЗДЕЛОМ 424-а ЗАКОНА
О СОЦИАЛЬНЫХ СЛУЖБАХ
Form
LDSS-3371B-RU
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
УВЕДОМЛЕНИЕ О ПОРЯДКЕ, ПРЕДУСМОТРЕННОМ РАЗДЕЛОМ 424-а ЗАКОНА
О СОЦИАЛЬНЫХ СЛУЖБАХ
Form
LDSS-3371A-RU
Child Protective Services/State Central Register
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
Form
LDSS-3370a-RU
Child Protective Services/State Central Register
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)
Form
LDSS-3370-RU
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
《社會服務法》第424-a條程序通知
Form
LDSS-3371B-TC
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
《社會服務法》第424-a條程序通知
Form
LDSS-3371A-TC
Child Protective Services/State Central Register
Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law

根據《社會服務法》第424-A條有權進行資料庫調查的組織
Form
LDSS-3370a-TC
Child Protective Services/State Central Register
Instructions for Completing the Statewide Central Register Database Check Form
紐約州中心註冊處資料庫調查表
LDSS-3370填寫說明
Form
LDSS-3370-TC
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión - Discontinuación del Programa de Exención
Notice of Decision - Discontinuance from Waiver Program
Form
OCFS-8011A-S
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión-Discontinuación de Servicios de Exención, Proveedor(es) de Servicio(s) y/o Reducción de Servicio(s)
Notice of Decision-Discontinuance of Waiver Service(s), Service Provider(s) an/or Reduction of Service(s)
Form
OCFS-8011B-S
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
AVI KONSÈNAN PWOSEDI DAPRE SEKSYON 424-A LWA SOU SÈVIS SOSYAL
Form
LDSS-3371A-HC
Child Protective Services/State Central Register
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
Form
LDSS-3370a-HC
Child Protective Services/State Central Register
Notification of Social Service Law 424-a Procedures
AVI KONSÈNAN PWOSEDI DAPRE SEKSYON 424-A LWA SOU SÈVIS SOSYAL
Form
LDSS-3371B-HC
Child Protective Services/State Central Register
Instructions for Completing the Statewide Central Register Database Check Form
ENSTRIKSYON POU RANPLI FÒM POU VERIFIKASYON NAN BAZ DONE REJIS SANTRAL ETA A
Form
LDSS-3370-HC
Child Care
Plan de Transportación – Programas de Cuidado Diurno Infantil
Transportation Plan – Child Day Care Programs
Form
OCFS-6020S
Child Care
Transportation Consent Form
Form
OCFS-6013
Child Care
Outline of a Plan for Training Requirements
Form
OCFS-6019
Child Care
Plan for Behavior Management
Form
OCFS-6018
Child Care
Transportation Plan - Child Day Care Programs
Form
OCFS-6020
Child Protective Services/State Central Register
아동 학대 및 부당취급 혐의 신고
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-KO
Child Protective Services/State Central Register
RAPÒ ABI OSWA MOVE TRETMAN OU SISPÈK
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-HC
Child Protective Services/State Central Register
涉嫌暴力或虐待兒童報告
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-TC
Child Protective Services/State Central Register
СООБЩЕНИЕ О ПРЕДПОЛАГАЕМОМ
ЖЕСТОКОМ ИЛИ НЕНАДЛЕЖАЩЕМ ОБРАЩЕНИИ С ДЕТЬМИ
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-RU
Child Care
Child Day Care Program Training Tracking Chart
Form
LDSS-4879
Child Care
Registro de Simulacros en el Lugar del Programa
Record of Shelter-in-Place Drills
Form
OCFS-6007-S
Child Care
Child Care Attendance Sheet
Form
LDSS-4443
Child Care
Child In Care Medical Statement
Form
LDSS-4433
Child Protective Services/State Central Register
Informe de Sospecha de Abuso o Maltrato de Niños
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-S
Foster Care
Los Derechos de los Niños y Jóvenes en el Sistema de Crianza
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132-S
Foster Care
Bill of Rights for Children and Youth in Foster Care
Form
OCFS-2132
Child Protective Services/State Central Register
Instrucciones para Completar el Formulario de Verificación de Datos del Registro Central del Estado
Instructions for Completing the Statewide Central Register Database Check Form
Form
LDSS-3370-S
Child Care
Declaración de Condena Criminal del Voluntario
Volunteer Criminal Conviction Statement
Form
OCFS-6017-S
Child Care
Información del Voluntario
Volunteer Information
Form
OCFS-6016-S
Child Care
Información Sobre el Empleo de Menores
Employment of Minor Information
Form
LDSS-4699-1A-S
Child Care
Responsabilidades de los Padres al Emplear un Proveedor(a) de Cuidado Infantil en el Hogar Legalmente Exento
Parental Responsibilities When Employing a Legally-Exempt In-Home Child Care Provider
Form
LDSS-4699-2A-S
Commission for the Blind
Formulario de Solicitud-Fondo de Préstamos de Equipo para Discapacitados
Application Form-Equipment Loan Fund for the Disabled
Form
OCFS-4584-S
Juvenile Justice and Opportunities for Youth
Supervision and Treatment Services for Juveniles Program
Form
OCFS-4615
Foster Care
Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
Form
OCFS-4930ASFA-S
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
決定通知−中止
減免計畫
Form
OCFS-8011A-TC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
УВЕДОМЛЕНИЕ О РЕШЕНИИ: ПРЕКРАЩЕНИЕ УЧАСТИЯ
В АЛЬТЕРНАТИВНОЙ ПРОГРАММЕ
Form
OCFS-8011A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
결정 통지서 – 면제 프로그램
중단
Form
OCFS-8011A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVVISO DI DECISIONE - INTERRUZIONE DEL
PROGRAMMA WAIVER
Form
OCFS-8011A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVI POU DESIZYON - SISPANSYON NAN
PWOGRAM EGZANPSYON
Form
OCFS-8011A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVI POU DESIZYON - REFI POU ENSKRIPSYON
Form
OCFS-8010A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVVISO DI DECISIONE - DINIEGO DELL’ISCRIZIONE
Form
OCFS-8010A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
결정 통지서 – 등록 거부
Form
OCFS-8010A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
Form
OCFS-8010A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
決定通知– 拒絕註冊
Form
OCFS-8010A-TC
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
의료 정보 공개 승인
Form
OCFS-8001-KO
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
健康資訊披露授權
Form
OCFS-8001-CH
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
СОГЛАСИЕ НА ПЕРЕДАЧУ МЕДИЦИНСКОЙ ИНФОРМАЦИИ
Form
OCFS-8001-RU
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
AUTORIZZAZIONE ALLA COMUNICAZIONE DI INFORMAZIONI SANITARIE
Form
OCFS-8001-IT
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
OTORIZASYON POU DIVILGE ENFÒMASYON SOU SANTE
Form
OCFS-8001-HC
Child Care
Formulario de Consentimiento de Transportación
Transportation Consent Form
Form
OCFS-6013S
Home and Community-Based Services Waiver (B2H)
Autorización para Comunicar Información de Salud
Authorization for Release of Health Information
Form
OCFS-8001-S
Child Care
Emergency Plan G/FDC
Form
OCFS-6011
Child Care
Report of Water Supply Testing
Form
LDSS-6014
Child Care
Enrollment Form for Provider of Legally - Exempt Group Child Care
Form
LDSS-4700
Child Care
Formulario de Consentimiento para Administrar Productos que No Son Medicamentos, Non-Medication Consent Form
Form
OCFS-6010-S
Language Access
Language Services Tracking Form for In-Person Encounters with Limited English Proficient Persons
Form
5033
Child Care
Exención de Presentar una Tarjeta de Huellas Dactilares Duplicada
Waiver for Submission of a Duplicate Fingerprint Card
Form
OCFS-4659-S
Child Care
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
Form
OCFS-6006S
Child Care
Declaración de Antecedentes Penales del Proveedor(a)
CAREGIVER CRIMINAL CONVICTION STATEMENT
Form
OCFS-6005S
Juvenile Justice and Opportunities for Youth
Supervision and Treatment Services for Juvenile Program
Form
OCFS-2121-1
Child Care
Declaración Médica del Personal, Voluntarios y Miembros del Hogar
Staff, Volunteer, and Household Member Medical Statement
Form
OCFS-6004-S
Juvenile Justice and Opportunities for Youth
OCFS-2121 Supervision and Treatment Services for Juvenile Program (STSJP) - SFY 2014-15 Annual Plan
Form
OCFS-2121
Child Care
Referencias del Proveedor(a) de Cuidado
Caregiver References
Form
OCFS-6003S
Child Care
Calificaciones del Proveedor(a)
Caregiver Qualifications
Form
OCFS-6002S
Child Care
Información de Miembros del Hogar, Voluntarios, Personal Staff, Volunteer and Household Member Information
Form
OCFS-6001-S
Foster Care
OCFS-4680 Notice to NYS OCFS of Foster Home Transfer Between Authorized Agencies
Form
OCFS-4680
Child Care
Registro de Visitantes
Visitor Log
Form
OCFS-6009S
Child Care
Non-Medication Consent Form (Child Day Care Programs)
Form
OCFS-6010
Child Care
Verbal Medication Consent Form and Log of Administration
Form
LDSS-7003
Child Care
Individual Health Care Plan for a Child with Special Health Care Needs
Form
LDSS-7006
Child Care
Medication Error Report Form
Form
LDSS-7005
Child Care
Log of Medication Administration
Form
LDSS-7004
Child Care
Incident Report for Child Day Care
Form
OCFS-4436
Child Care
Record of Evacuation Drills
Form
LDSS-4439
Child Care
Caregiver, Employee, Volunteer Attendance
Form
OCFS-6008
Child Care
Record of Shelter in Place Drills
Form
OCFS-6007
Child Care
Visitor Log
Form
OCFS-6009
Child Care
Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of Child Day Care Home
Family and Group Family Day Care
Form
OCFS-6006
Child Care
Staff, Volunteer, and Household Member Medical Statement
Child Day Care Programs
Form
OCFS-6004
Child Care
References
Child Day Care Programs
Form
OCFS-6003
Child Care
Qualifications
Child Day Care Programs
Form
OCFS-6002
Child Care
Staff, Volunteer, and Household Member Information
Child Day Care Programs
Form
OCFS-6001
Child Care
Individual Training Tracking Form (revised 10/15)
Form
OCFS-4880
Child Care
Request for Waiver
Form
OCFS-4887
Child Care
Staff, Volunteer and Household Member Required Forms List
Child Day Care Programs
Form
OCFS-6000
Commission for the Blind
주 재활위원회 (State Rehabilitation Council, SRC) 신청서
State Rehabilitation Council Application Form
Form
OCFS-2150-KO
Commission for the Blind
MODULO DI RICHIESTA CONSIGLIO STATALE PER LA RIABILITAZIONE
State Rehabilitation Council Application Form
Form
OCFS-2150-IT
Commission for the Blind
州立復健協會申請表
State Rehabilitation Council Application Form
Form
OCFS-2150-TC
Commission for the Blind
ФОРМА ЗАЯВЛЕНИЯ В СОВЕТ ШТАТА ПО РЕАБИЛИТАЦИИ
State Rehabilitation Council Application Form
Form
OCFS-2150-RU
Commission for the Blind
FÒM APLIKASYON KOMITE REYABILITASYON LETA
State Rehabilitation Council Application Form
Form
OCFS-2150-HC
Adoption
Notice of Foster Home or Adoptive Home Closure
Form
OCFS-2113
Contracts and Grants
Interactive Budget for Grant RFP
Form
Foster Care
Notice of Foster Home or Adoptive Home Closure
Form
OCFS-2113
Child Care
ОДОБРЕНИЕ ВРЕМЕННОГО ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Transitional Child Care Benefits (Sample Only)
Form
LDSS-4785-RU
Child Care
한시적 보육 혜택 재결정 승인
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785-KO
Child Care
APWOBASYON POU AVANTAJ GADRI PWOVIZWA OU
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785-HC
Child Care
ОДОБРЕНИЕ В СВЯЗИ С ПЕРЕСМОТРОМ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Form
LDSS-4784-RU
Child Care
보육 혜택 재결정 승인
Approval of Your Redetermination for Child Care Benefits
Form
LDSS-4784-KO
Child Care
APWOBASYON RE-DETÈMINASYON OU POU AVANTAJ GADRI
Approval of Your Redetermination for Child Care Benefits
Form
LDSS-4784-HC
Child Care
關於您兒童照護福利資格重定的核准
Approval of Your Redetermination for Child Care Benefits
Form
LDSS-4784-TC
Child Care
關於您過渡期兒童照護福利資格的核准
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785-TC
Commission for the Blind
Low Vision Evaluation Report
Form
OCFS-1119
Commission for the Blind
State Rehabilitation Council Application Form
Form
OCFS-2150
Commission for the Blind
Report of Legal Blindness-Request for information
Form
OCFS-4599
Home and Community-Based Services Waiver (B2H)
Formulario de Libre Selección
Freedom of Choice Form
Form
OCFS-8003-S
Home and Community-Based Services Waiver (B2H)
Formulario de Libre Selección
Freedom of Choice Form
Form
OCFS-8002S
Electronic Payments
Formulario de Autorización de Depósito Directo o en Tarjeta de Débito del Subsidio de Adopción
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Form
OCFS-4744-S
Child Care
Home Inspection Report for Legally Exempt Family Child Care Provider
Form
LDSS-7028
Child Care
托兒補助家庭自付額欠款通知
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-TC
Child Care
НЕУПЛАЧЕННАЯ СУММА СЕМЕЙНОГО ВЗНОСА ДЛЯ ПОЛУЧЕНИЯ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-RU
Child Care
KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-HC
Child Care
AVI POU FÈ OU KONNEN ENTANSYON POU SISPANN AVANTAJ GADRI OU
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-HC
Child Care
AVI POU FÈ OU KONNEN ENTANSYON POU CHANJE AVANTAJ GADRI OU AK PEMAN KOTIZASYON FANMI OU
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Form
LDSS-4781-HC
Child Care
REFI POU APLIKASYON OU FÈ POU AVANTAJ GADRI
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-HC
Child Care
APWOBASYON POU APLIKASYON OU FÈ POU AVANTAJ GADRI
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779-HC
Child Care
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-IT
Child Care
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ИЗМЕНИТЬ ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ И СЕМЕЙНЫЕ ВЗНОСЫ
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Form
LDSS-4781-RU
Child Care
ОТКЛОНЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Denial of Your Application for Child Care Benefit
(Sample Only)
Form
LDSS-4780-RU
Child Care
ОДОБРЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779-RU
Child Care
보육 지원 혜택 신청 승인
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-KO
Child Care
보육 지원 혜택 중단 의향 통지서
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-KO
Child Care
보육 지원 혜택 및 자기 부담금 지급 변경 의향 통지서
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Form
LDSS-4781-KO
Child Care
보육 지원 혜택 신청 승인
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779-KO
Child Care
意欲中斷兒童照護福利的通知
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-TC
Child Care
意欲變更兒童照護福利與家庭分攤支付的通知
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Form
LDSS-4781-TC
Child Care
申請兒童照護福利遭拒通知
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-TC
Child Care
申請兒童照護福利獲批通知
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779-TC
Child Care
Aprobacion de Sus Beneficios de Cuidado Infantil en Transicion
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785-S
Child Care
Approval of Your Transitional Child Care Benefits
Form
LDSS-4785
Commission for the Blind
Formulario de Solicitud del Concilio de Rehabilitación del Estado

State Rehabilitation Council Application Form
Form
OCFS-2150-S
Adoption
非婚生子女親權
確認文件
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (PDF)
Form
OCFS-3780-TC
Adoption
非婚生子女親權
確認文件
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-TC
Adoption
ДОКУМЕНТ О ПРИЗНАНИИ ОТЦОВСТВА
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-RU
Adoption
ДОКУМЕНТ О ПРИЗНАНИИ ОТЦОВСТВА
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (PDF)
Form
OCFS-3780-RU
Adoption
혼외 자녀의 친자 관계
인정 증서
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (PDF)
Form
OCFS-3780-KO
Adoption
혼외 자녀의 친자 관계
인정 증서
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-KO
Adoption
ATTO DI RICONOSCIMENTO DELLA PATERNITÀ DI
UN FIGLIO NATURALE
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-IT
Adoption
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (PDF)
ATTO DI RICONOSCIMENTO DELLA PATERNITÀ DI
UN FIGLIO NATURALE
Form
OCFS-3780-IT
Adoption
DOKIMAN JIRIDIK POU REKONÈT PATÈNITE
YON TIMOUN KI FÈT DEYÒ MARYAJ
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (PDF)
Form
OCFS-3780-HC
Adoption
DOKIMAN JIRIDIK POU REKONÈT PATÈNITE
YON TIMOUN KI FÈT DEYÒ MARYAJ
Instrument to Acknowlege Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-HC
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (PDF)
非婚生子女親權請求
意向通知書
Form
LDSS-2724-CH
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (DOC)
非婚生子女親權請求
意向通知書
Form
LDSS-2724-CH
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (DOC)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ЗАЯВИТЬ ОБ ОТЦОВСТВЕ
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Form
LDSS-2724-RU
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (PDF)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ЗАЯВИТЬ ОБ ОТЦОВСТВЕ
В ОТНОШЕНИИ РЕБЕНКА, РОЖДЕННОГО ВНЕ БРАКА
Form
LDSS-2724-RU
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (PDF)
혼외 자녀의 친자 관계 인지
청구 의향 통지서
Form
LDSS-2724-KO
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (WORD)
혼외 자녀의 친자 관계 인지
청구 의향 통지서
Form
LDSS-2724-KO
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (WORD)
AVVISO DI RIVENDICAZIONE DELLA PATERNITÀ DI
UN FIGLIO NATURALE
Form
LDSS-2724-IT
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (WORD)
AVVISO DI RIVENDICAZIONE DELLA PATERNITÀ DI
UN FIGLIO NATURALE
Form
LDSS-2724-IT
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (PDF)
AVI POU FÈ OU KONNEN ENTANSYON MWEN POU REKLAME PATÈNITE YON TIMOUN KI FÈT DEYÒ MARYAJ
Form
LDSS-2724-HC
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (WORD)
AVI POU FÈ OU KONNEN ENTANSYON MWEN POU REKLAME PATÈNITE YON TIMOUN KI FÈT DEYÒ MARYAJ
Form
LDSS-2724-HC
Home and Community-Based Services Waiver (B2H)
Notificacion de la Decision-Denegacion de Inscripcion
Notice of Decision – Denial of Enrollment
Form
OCFS-8010AS
Home and Community-Based Services Waiver (B2H)
Formulario de Solicitud de Inscripción
Application Form for Enrollment
Form
OCFS-8004S
Home and Community-Based Services Waiver (B2H)
Formulario de Exención de los Derechos del Participante
Waiver Participants Rights Form
Form
OCFS-8008S
Home and Community-Based Services Waiver (B2H)
Formulario de Reautorización
Reauthorization Form
Form
OCFS-8014S
Foster Care
New York State
Office of Children and Family Services
Bureau of Financial Operations-Title IV-E Unit
Title IV-E Eligibility Documentation File
Form
OCFS-2125
Child Protective Services/State Central Register
ADAM WALSH CHILD PROTECTIVE & SAFETY ACT DEL 2006
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-IT
Child Protective Services/State Central Register
ЗАКОН О ЗАЩИТЕ И БЕЗОПАСНОСТИ ДЕТЕЙ ИМ АДАМА УОЛША
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-RU
Child Protective Services/State Central Register
2006 年 ADAM WALSH 兒童保護與安全法
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-CH
Child Protective Services/State Central Register
LWA 2006 ADAM WALSH KONSÈNAN PWOTEKSYON AK SEKIRITE TIMOUN
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-HC
Child Protective Services/State Central Register
2006 아담 월시 아동 보호 및 안전법
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-KO
Child Care
Declaración Médica de un Niño(a) en Cuidado Infantil
Child in Care Medical Statement
Form
LDSS-4433-S
Domestic Violence
Domestic Violence Agency-Cover Page-Application Requirements for Approval of Proposed Certificate of Incorporation
Form
OCFS-4438
Child Protective Services/State Central Register
Ley Adam Walsh de Seguridad y Protección del Menor de 2006
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067-S
Child Care
Justice Center Authorized Person Designation Form
Form
JC CBC #14
Child Care
Authorized Person Designation/Notarized Sworn Statement Form
Form
JC-CBC-1Ap
Language Access
Right to File A Complaint Poster
Form
Juvenile Justice and Opportunities for Youth
Supervision and Treatment Services for Juveniles Program-STSJP
Form
OCFS-3160
Child Care
Se Acerca la Redeterminación de Su Elegibilidad para Recibir Asistencia de Cuidado Infantil (Ejemplo Solamente)
Child Care Eligibility Redetermination Coming Due (Sample Only)
Form
OCFS-4773-S
Child Care
Child Care Eligibility Re-determination Coming Due (Sample Only)
Form
OCFS-4773
Child Care
Notice of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782
Child Care
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Form
LDSS-4781
Child Care
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780
Child Care
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779
Youth Development
Standard Orders - Laboratory and Clinical Monitoring for Youth Prescribed Psychiatric Medicine
Form
OCFS-3144
Contracts and Grants
Project Staffing Plan
Form
OCFS-4629
Child Care
Historial de Terminacion de Derechos Paternos/Maternos y/o Retiro de Ninos por Orden del Tribunal Segun Articulo 10 y Reconocimiento Paterno-Materno
History of Termination of Parental Rights and/or Court Ordered Article 10/Removal of a Child and Parental Acnowledgement
Form
OCFS-4917-S
Child Care
History of Termination of Parental Rights and or Court Ordered Article 10/Removal of a Child and Parental Acknowledgment
Form
OCFS-4917
Child Care
Registro de Cuidado Diurno
Day Care Registration
Form
LDSS-0792-S
Child Protective Services/State Central Register
Denunia di Abusi o Maltrattamenti Sospetti su Minori
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A-IT
Language Access
New York State Waiver of Right to Free Interpretation Services
Form
Language Access
Spanish - Access to Services in Your Language Complaint Form
Form
LA 1-S
Language Access
Russian - Access to Services in Your Language Complaint Form
Form
LA 1-RU
Language Access
Korean - Access to Services in Your Language Complaint Form
Form
LA 1-KO
Language Access
Italian - Access to Services in Your Language Complaint Form
Form
LA 1-IT
Language Access
Haitian Creole - Access to Services in Your Language Complaint Form
Form
LA 1-HC
Language Access
Chinese - Access to Services in Your Language Complaint Form
Form
LA 1-CH
Language Access
English - Access to Services in Your Language Complaint Form
Form
LA 1
Commission for the Blind
Application for Service
ЗАЯВЛЕНИЕ НА ПОЛУЧЕНИЕ УСЛУГ
Form
OCFS-1002-RU
Contracts and Grants
Request for Waiver Form
Form
OCFS-4442
Contracts and Grants
Quarterly Report
Form
OCFS-4441
Child Care
Monthly Fire and Safety Inspections For Day Care Center (DCC) Programs
Form
OCFS-DCC-4838
Commission for the Blind
Application for Service
서비스 신청서
Form
OCFS-1002-KO
Commission for the Blind
Application for Service
RICHIESTA DI SERVIZIO
Form
OCFS-1002-IT
Commission for the Blind
服務申請書
Application for Service
Form
OCFS-1002-CH
Commission for the Blind
Application for Service
APLIKASYON POU SÈVIS
Form
OCFS-1002-HC
Child Care
Porción de Pago Familiar en Delincuencia para Cubrir Beneficios de Cuidado de Niños
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783-S
Child Care
Delinquent Family Share for Child Care Benefits
(Sample Only)
Form
LDSS-4783
Commission for the Blind
Diseminación de Información Confidencial de Servicios para Niños
Children’s Services Release of Confidential Information
Form
OCFS-3445-S
Child Care
Registro de Administración de Medicamentos (WORD)
Log of Medication Administration
Form
LDSS-7004-S
Child Care
Formulario de Consentimiento Verbal y Administración del Registro
Verbal Medication Consent Form and Log of Administration
Form
LDSS-7003-S
Child Care
Verbal Medication Consent Form and Log of Administration(WORD)
Form
LDSS-7003
Commission for the Blind
Plan Individual de Servicio
Individual Service Plan
Form
OCFS-3440-S
Commission for the Blind
Individual Service Plan
Form
OCFS-3440
Commission for the Blind
Children’s Services Release of Confidential Information
Form
OCFS-3445
Commission for the Blind
Diseminación de Información Confidencial
Release of Confidential Information
Form
OCFS-3446-S
Commission for the Blind
Release of Confidential Information
Form
OCFS-3446
Contracts and Grants
Waiver of Interest Agreement Justification Form
Form
OCFS-3461
Commission for the Blind
Application for Service
Form
OCFS-1002
Child Care
Obtención de Autorización para la Administración de Medicamentos para Niños Subsidiados en Cuidado Infantil Legalmente Exento
Obtaining Authorization to Administer Medication to Subsidized Children in Legally Exempt Care
Form
LDSS-7007-S
Child Care
Acuerdo del Proveedor(a) de Cuidado Infantil a Domicilio Legalmente Exento
Legally Exempt In-Home Child Care Provider
Form
LDSS-4699-2-S
Child Care
Legally Exempt Provider Training Record Form
Form
LDSS-4699-3
Youth Development
Request for Amendment and Instructions
Form
OCFS-5004
Child Care
Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
Form
LDSS-3370
Kinship
NYC Application for the Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Programs -KinGap
Form
OCFS-4430NYC
Administration
Employment Application - Part 1
Form
S1000
Contracts and Grants
M-WBE Equal Employment Opportunity Policy Statement
Form
OCFS-3460
Management Support
Request for Forms and Publications
Form
OCFS-4627
Child Care
Historial de Ejecutoria de Cuidado Diurno y Reconocimiento del Padre-Madre
History of Day Care Enforcement and Parental Acknowledgment
Form
OCFS-4916-S
Child Care
History of Day Care Enforcement and Parental Acknowledgment
Form
OCFS-4916
Child Care
Historial de Convicciones Criminales y Reconocimiento del Padre-Madre
History of Criminal Convictions and Paternal Acknowledgment
Form
OCFS-4915-S
Child Care
History of Criminal Convictions and Parental Acknowledgment
Form
OCFS-4915
Child Care
District Notification to Legally -Exempt Caregiver Enrollment Agency
Form
OCFS-2114
Child Care
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930
Commission for the Blind
Application for Service
Solicitud de Servicios
Form
OCFS-1002-S
Home and Community-Based Services Waiver (B2H)
Medication Error Report (PDF)
Form
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Medication Error Report (WORD)
Form
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (PDF)
Form
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (WORD)
Form
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Qualification Form (PDF)
Form
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Qualification Form (WORD)
Form
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Transition Plan (PDF)
Form
OCFS-8030
Home and Community-Based Services Waiver (B2H)
Transition Plan(WORD)
Form
OCFS-8030
Home and Community-Based Services Waiver (B2H)
Accessibility Modifications and or Adaptive and Assistive Equipment Discription Cost Projection and Final Cost (PDF)
Form
OCFS-8028
Home and Community-Based Services Waiver (B2H)
Accessibility Modifications and or Adaptive and Assistive Equipment Discription Cost Projection and Final Cost (WORD)
Form
OCFS-8028
Home and Community-Based Services Waiver (B2H)
Contact Information List (PDF)
Form
OCFS-8027
Home and Community-Based Services Waiver (B2H)
Contact Information List (WORD)
Form
OCFS-8027
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (PDF)
Form
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (WORD)
Form
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Certificate of Attendance (PDF)
Form
OCFS-8025
Home and Community-Based Services Waiver (B2H)
Certificate of Attendance (WORD)
Form
OCFS-8025
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (PDF)
Form
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (WORD)
Form
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Status Progress Report (WORD)
Form
OCFS-8022
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (PDF)
Form
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (WORD)
Form
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Detailed Service Plan (PDF)
Form
OCFS-8020
Home and Community-Based Services Waiver (B2H)
Detailed Service Plan (WORD)
Form
OCFS-8020
Home and Community-Based Services Waiver (B2H)
Progress Notes (PDF)
Form
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Progress Notes (WORD)
Form
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Service Summary Form (PDF)
Form
OCFS-8018
Home and Community-Based Services Waiver (B2H)
Service Summary Form (WORD)
Form
OCFS-8018
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (EXCEL)
Form
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (PDF)
Form
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (WORD)
Form
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (PDF)
Form
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (WORD)
Form
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (PDF)
Form
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (WORD)
Form
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (PDF)
Form
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (WORD)
Form
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Wait List Notification Form (PDF)
Form
OCFS-8012
Home and Community-Based Services Waiver (B2H)
Wait List Notification Form (WORD)
Form
OCFS-8012
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (PDF)
Form
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (WORD)
Form
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (PDF)
Form
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (WORD)
Form
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (PDF)
Form
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (WORD)
Form
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (PDF)
Form
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (WORD)
Form
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (PDF)
Form
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (WORD)
Form
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Waiver Participants Rights Form (PDF)
Form
OCFS-8008
Home and Community-Based Services Waiver (B2H)
Waiver Participants Rights Form (WORD)
Form
OCFS-8008
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (PDF)
Form
OCFS-8007
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (WORD)
Form
OCFS-8007
Home and Community-Based Services Waiver (B2H)
Change of Provider Form (PDF)
Form
OCFS-8006
Home and Community-Based Services Waiver (B2H)
Change of Provider Form (WORD)
Form
OCFS-8006
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (PDF)
Form
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (WORD)
Form
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (PDF)
Form
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (WORD)
Form
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (PDF)
Form
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (WORD)
Form
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Application Form for Enrollment (PDF)
Form
OCFS-8004
Home and Community-Based Services Waiver (B2H)
Application Form for Enrollment (WORD)
Form
OCFS-8004
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (PDF)
Form
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (DOC)
Form
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Understanding the Bridges to Health Medicaid Waiver Program (PDF)
Form
OCFS-8002
Home and Community-Based Services Waiver (B2H)
Understanding the Bridges to Health Medicaid Waiver Program (WORD)
Form
OCFS-8002
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information (WORD)
Form
OCFS-8001
Home and Community-Based Services Waiver (B2H)
Referral Form (PDF)
Form
OCFS-8000
Home and Community-Based Services Waiver (B2H)
Referral Form (WORD)
Form
OCFS-8000
Juvenile Justice and Opportunities for Youth
Detention Program Salary Itemization
Form
OCFS-2668
Juvenile Justice and Opportunities for Youth
Detention Program Income Report
Form
OCFS-2654
Juvenile Justice and Opportunities for Youth
Detention Program Cost Report
Form
OCFS-2652
Juvenile Justice and Opportunities for Youth
Detention Program Statistics
Form
OCFS-2651
Juvenile Justice and Opportunities for Youth
Detention Cost Report Instructions
Form
OCFS-2400
Juvenile Justice and Opportunities for Youth
ADVISORY BOARD APPLICATION (WORD)
Form
OCFS-4934
Juvenile Justice and Opportunities for Youth
DJJOY Transition Plan (WORD)
Form
OCFS-4924
Juvenile Justice and Opportunities for Youth
Detention Services Unusual Incident Report (PDF)
Form
OCFS-4830
Juvenile Justice and Opportunities for Youth
Detention Services Unusual Incident Report (WORD)
Form
OCFS-4830
Juvenile Justice and Opportunities for Youth
Volunteer Application-Registration (PDF)
Form
OCFS-4751
Juvenile Justice and Opportunities for Youth
Volunteer Application-Registration (WORD)
Form
OCFS-4751
Juvenile Justice and Opportunities for Youth
Notice to Court (PDF)
Form
OCFS-1518
Juvenile Justice and Opportunities for Youth
Notice to Court (WORD)
Form
OCFS-1518
Juvenile Justice and Opportunities for Youth
Application for Certificate to Board Children (PDF)
Form
OCFS-0700B
Juvenile Justice and Opportunities for Youth
Application for Certificate to Board Children (WORD)
Form
OCFS-0700B
Juvenile Justice and Opportunities for Youth
Family Boarding Care Facility Home Study (PDF)
Form
OCFS-0390
Juvenile Justice and Opportunities for Youth
Family Boarding Care Facility Home Study (WORD)
Form
OCFS-0390
Juvenile Justice and Opportunities for Youth
Family Boarding Care Driver Information (PDF)
Form
OCFS-0295
Juvenile Justice and Opportunities for Youth
Family Boarding Care Driver Information (WORD)
Form
OCFS-0295
Juvenile Justice and Opportunities for Youth
Fire Safety Checklist Non-Secure Detention Family Boarding Homes (PDF)
Form
OCFS-0293
Juvenile Justice and Opportunities for Youth
Fire Safety Checklist Non-Secure Detention Family Boarding Homes (WORD)
Form
OCFS-0293
Juvenile Justice and Opportunities for Youth
Firearms Certification Family Boarding Care Facility (PDF)
Form
OCFS-0292
Juvenile Justice and Opportunities for Youth
Firearms Certification Family Boarding Care Facility (WORD)
Form
OCFS-0292
Juvenile Justice and Opportunities for Youth
Application to Operate a Detention Facility (PDF)
Form
OCFS-0291
Juvenile Justice and Opportunities for Youth
Application to Operate a Detention Facility (WORD)
Form
OCFS-0291
Juvenile Justice and Opportunities for Youth
Application to Operate a Family Boarding Facility (PDF)
Form
OCFS-0290
Juvenile Justice and Opportunities for Youth
Application to Operate a Family Boarding Facility (WORD)
Form
OCFS-0290
Juvenile Justice and Opportunities for Youth
Detention Care Provided and Fiscal Summary (PDF)
Form
OCFS-0014
Juvenile Justice and Opportunities for Youth
Detention Care Provided and Fiscal Summary (WORD)
Form
OCFS-0014
Youth Development
Instructions for Notification of Allegation of Institutional Abuse in RHY Residential Program (PDF)
Form
OCFS-7058
Youth Development
Instructions for Notification of Allegation of Institutional Abuse in RHY Residential Program (WORD)
Form
OCFS-7058
Youth Development
Program Annual Assessment (WORD)
Form
OCFS-5007
Youth Development
Program Budget - Appendix B (WORD)
Form
OCFS-5005
Youth Development
Individual Program Application - Program Summary-Program Components (PDF)
Form
OCFS-5003
Youth Development
Individual Program Application - Program Summary-Program Components (WORD)
Form
OCFS-5003
Youth Development
Application For an Approved Runaway Program or Transitional Independent Living Program
Form
OCFS-4836
Youth Development
Program Expenditure Report - M&O and Facility Repairs (WORD)
Form
OCFS-3129
Youth Development
Program Expenditure Report - Contracted Services & Stipends (WORD)
Form
OCFS-3128
Youth Development
Program Expenditure Report - Fringe Benefits (WORD)
Form
OCFS-3127
Youth Development
Program Expenditure Report - Salaries (WORD)
Form
OCFS-3126
Youth Development
Program Expenditure Summary
Form
OCFS-3125
Youth Development
Instructions for RHYA Programs
Form
OCFS-3118
Youth Development
Waiver of State Aid Eligibility or State Aid Reimbursement
Form
OCFS-3114
Youth Development
Report of Collections - Youth in OCFS Facilities(PDF)
Form
OCFS-2001
Youth Development
Report of Collections - Youth in OCFS Facilities (WORD)
Form
OCFS-2001
Adult Protective Services
Plan for Fire, Disaster or Other Emergency Evactuation of Residents Operator or Substitute Caretaker (WORD)
Form
LDSS-7016
Adult Protective Services
FTHA Personal History of Applicant Family Type Home for Adults (PDF)
Form
LDSS-7014
Adult Protective Services
FTHA Personal History of Applicant Family Type Home for Adults (WORD)
Form
LDSS-7014
Family-Type Homes
Inventory of Residents Property Held by Facility for Safe Keeping (PDF)
Form
LDSS-3027
Family-Type Homes
Inventory of Residents Property Held by Facility for Safe Keeping (WORD)
Form
LDSS-3027
Family-Type Homes
Chronological Admission and Discharge Register (PDF)
Form
LDSS-3026
Family-Type Homes
Chronological Admission and Discharge Register (WORD)
Form
LDSS-3026
Family-Type Homes
Personal Data Sheet (PDF)
Form
LDSS-2949
Family-Type Homes
Personal Data Sheet (WORD)
Form
LDSS-2949
Family-Type Homes
Personal Allowance Summary (PDF)
Form
LDSS-2855
Family-Type Homes
Personal Allowance Summary (WORD)
Form
LDSS-2855
Family-Type Homes
Personal Allowance Register (PDF)
Form
LDSS-2854
Family-Type Homes
Personal Allowance Register (WORD)
Form
LDSS-2854
Family-Type Homes
Statement Offering Personal Allowance Account (PDF)
Form
LDSS-2853
Family-Type Homes
Statement Offering Personal Allowance Account (WORD)
Form
LDSS-2853
Family-Type Homes
Health and Safety Equipment and Substitute Care Expenditure Log (PDF)
Form
OCFS-3914
Family-Type Homes
Health and Safety Equipment and Substitute Care Expenditure Log (WORD)
Form
OCFS-3914
Family-Type Homes
Residents Special Needs Expenditure Log (WORD)
Form
OCFS-3913
Family-Type Homes
Family Type Homes for Adults - Medical Evaluation (Resident)(PDF)
Form
OCFS-3122
Family-Type Homes
Family Type Homes for Adults - Medical Evaluation (Resident)(WORD)
Form
OCFS-3122
Adult Protective Services
FTHA Family Type Home for Adults Certification of Child Support Obligations (PDF)
Form
LDSS-4505
Adult Protective Services
FTHA Family Type Home for Adults Certification of Child Support Obligations (WORD)
Form
LDSS-4505
Family-Type Homes
Special Needs Fund Individual Resident Log (PDF)
Form
LDSS-3705
Family-Type Homes
Special Needs Fund Individual Resident Log (WORD)
Form
LDSS-3705
Family-Type Homes
MEDICATION LOG (PDF)
Form
LDSS-3635
Family-Type Homes
MEDICATION LOG (WORD)
Form
LDSS-3635
Adult Protective Services
Resident Medication Record (PDF)
Form
LDSS-3634
Adult Protective Services
Resident Medication Record (WORD)
Form
LDSS-3634
Family-Type Homes
Individual Resident Fund Record Account (PDF)
Form
LDSS-3633
Family-Type Homes
Individual Resident Fund Record Account (WORD)
Form
LDSS-3633
Adult Protective Services
Medical Evaluation (Operator) (PDF)
Form
LDSS-3239
Adult Protective Services
Medical Evaluation (Operator) (WORD)
Form
LDSS-3239
Adult Protective Services
Incident Report FTHA (DARC)(DAS)(PDF)
Form
LDSS-3123
Adult Protective Services
Incident Report FTHA (DARC)(DAS)(WORD)
Form
LDSS-3123
Adult Protective Services
FTHA Application Independent-Verification Check List (PDF)
Form
LDSS-2865B
Adult Protective Services
FTHA Application Independent-Verification Check List (WORD)
Form
LDSS-2865B
Mentoring
Parent-Guardian Mentor Waiver Form (PDF)
Form
Mentoring
Application for Access to New York State Criminal History Records Per the Safe Mentoring Act (PDF)
Form
OCFS-7068
Mentoring
Application for Access to New York State Criminal History Records Per the Safe Mentoring Act (WORD)
Form
OCFS-7068
Mentoring
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930MTR
Mentoring
Formulario de Consentimiento de un Padre-Madre o Tutor(a) con Respecto a un Mentor (PDF)
Form
Kinship
Designación de una Persona en una Relación Paternal-Maternal
Designation of Person in Parental Relationship
Form
OCFS-4940-S
Kinship
Designation of Person in Parental Relationship
Form
OCFS-4940
Kinship
Formulario de Reembolso por Gastos de Tutoría No Recurrentes para Allegados como Tutores
Non-Recurring Kinship Guardianship Reimbursement Form
Form
OCFS-4434-S
Kinship
Non-Recurring Kinship Guardianship Reimbursement Form(WORD)
Form
OCFS-4434
Kinship
Kinship Guardianship Assistance Program Certification Form
Form
OCFS-4433
Kinship
Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Amendment
Form
OCFS-4432
Kinship
Kinship Guardianship Assistance and Nonrecurring Guardianship Expenses Agreement
Form
OCFS-4431
Kinship
Application for the Kinship Guardianship Assistance and Non-Recurring Guardianship Expenses Programs (KinGap)(WORD)
Form
OCFS-4430
Foster Care
Youth Voice Questions (WORD)
Form
Foster Care
Transmittal for Parent Locator Service Search (PDF)
Form
LDSS-7031
Foster Care
Transmittal for Parent Locator Service Search (WORD)
Form
LDSS-7031
Foster Care
Notification of Foster Care Level of Care and Room and Board Payment (PDF)
Form
LDSS-7018
Foster Care
Notification of Foster Care Level of Care and Room and Board Payment (WORD)
Form
LDSS-7018
Foster Care
Agency Reporting Form for Serious Injuries, Accidents, or Deaths of Children in Foster Care and Deaths of Childern in Open Child Protectice or Preventive Cases (PDF)
Form
OCFS-7065
Foster Care
Agency Reporting Form for Serious Injuries, Accidents, or Deaths of Children in Foster Care and Deaths of Childern in Open Child Protectice or Preventive Cases (WORD)
Form
OCFS-7065
Foster Care
Attorney Notification of a Childs Change of Foster Care Placement (WORD)
Form
OCFS-4948
Foster Care
Request for NYS Fingerprinting Services - Information Form
Form
OCFS-4930ASFA
Foster Care
Transition Plan
Form
OCFS-4922
Foster Care
Supervised Independent Living Programs (WORD)
Form
OCFS-4884
Foster Care
Agency Checklist for SILP Operation (WORD)
Form
OCFS-4883
Foster Care
Notice of SILP Closing, Transferring, Recertification and Opening (PDF)
Form
OCFS-2657
Foster Care
Notice of SILP Closing, Transferring, Recertification and Opening (WORD)
Form
OCFS-2657
Foster Care
Voluntary Agency Application for Supervised Independent Living Program (SILP)(PDF)
Form
OCFS-2656
Foster Care
Voluntary Agency Application for Supervised Independent Living Program (SILP)(WORD)
Form
OCFS-2656
Foster Care
Childs Medical Record
Form
OCFS-0711
Foster Care
Re-determination of Title IV-E Eligibility Checklist (Foster Care)
Form
LDSS-4810
Foster Care
Initial Foster Child Eligibility Checklist
Form
LDSS-4809
Foster Care
Re-entry Into Foster Care for Youth Age 18 and Over Eligibility Checklist
Form
LDSS-4415
Foster Care
Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers (PDF)
Form
LDSS-3806
Foster Care
Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers (WORD)
Form
LDSS-3806
Foster Care
School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (PDF)
Form
LDSS-3424
Foster Care
School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (WORD)
Form
LDSS-3424
Adoption
Designación Religiosa de un Niño(a) (WORD)
Religious Designation of a Child
Form
LDSS-3416S
Foster Care
School District Notification of Foster Child Placed in a Foster Family, Agency Boarding, Or Group Home (WORD)
Form
LDSS-2999
Foster Care
Boarding Home Register (WORD)
Form
LDSS-0893
Foster Care
Consentimiento para la Atención Medica y Dental de Rutina del Niño(a) (PDF)
Consent for Child's Routine Medical and Dental Care
Form
LDSS-0882S
Foster Care
Consent for Childs Routine Medical and Dental Care (WORD)
Form
LDSS-0882
Foster Care
Consentimiento para Proveer Tratamiento Especial a un Niño(a) o Tratamiento de Emergencia Medica o Cirugia (para el Padre-Madre o Guardian-Tutor(a) (PDF)
Form
LDSS-0850S
Foster Care
Consent for Childs Special or Emergency Medical or Surgical Treatment (By Parent or Guardian) (WORD)
Form
LDSS-0850
Foster Care
Immigration and Special Immigrant Juvenile Status (SIJS) resources (PDF)
Form
Foster Care
Immigration and Special Immigrant Juvenile Status (SIJS) resources (WORD)
Form
Foster Care
Connections Job Aid (WORD)
Form
Foster Care
B2H Rates (1-1-08) 081229 (PDF)
Form
Foster Care
Authorizing (SILP) Letter
Form
Electronic Payments
Adoption Subsidy Direct Deposit/Debit Card Authorization Form
Form
OCFS-4744
Domestic Violence
Domestic Violence Recertification (PDF)
Form
OCFS-4641
Domestic Violence
Domestic Violence Recertification (WORD)
Form
OCFS-4641
Domestic Violence
Domestic Violence Operating Certificate Application Request (PDF)
Form
OCFS-4640
Domestic Violence
Domestic Violence Operating Certificate Application Request (WORD)
Form
OCFS-4640
Domestic Violence
Domestic Violence New Application (PDF)
Form
OCFS-4639
Domestic Violence
Domestic Violence New Application (WORD)
Form
OCFS-4639
Contracts and Grants
Contractor Certification to Covered Agency (PDF)
Form
ST-220-CA
Contracts and Grants
NYS Consultant Services – Contractors Annual Employment Report (WORD)
Form
AC-3272-s
Contracts and Grants
NYS Consultant Services – Contractors Planned Employment (WORD)
Form
AC-3271-s
Contracts and Grants
Procurement Lobbying Act - Offerer Certification Form (WORD)
Form
OCFS-4822
Contracts and Grants
Contractor Employee Background Certification (WORD)
Form
OCFS-4716
Contracts and Grants
Confidetiality Non-Disclosure Agreement
Form
OCFS-4715
Contracts and Grants
MWBE Utilization Plan
Form
OCFS-4631
Contracts and Grants
Outcomes-Performance Targets (WORD)
Form
OCFS-4597
Contracts and Grants
Appendix D-Application Cover Page-Agreement (WORD)
Form
OCFS-4596
Contracts and Grants
Application Checklist (WORD)
Form
OCFS-4595
Contracts and Grants
Board of Directors Profile (WORD)
Form
OCFS-4552
Commission for the Blind
Application Form for Equipment Loan Fund for the Disabled (html)
Form
OCFS-4584
Commission for the Blind
Individual Private Vendor Application (WORD)
Form
OCFS-3598
Child Protective Services/State Central Register
Adam Walsh Child Protective and Safety Act of 2006
Form
OCFS-7067
Child Protective Services/State Central Register
Agency Reporting Form for Serious Injuries, Accidents, or Deaths of Children in Foster Care and Deaths of Childern in Open Child Protectice or Preventive Cases (PDF)
Form
OCFS-7065
Child Protective Services/State Central Register
Agency Reporting Form for Serious Injuries, Accidents, or Deaths of Children in Foster Care and Deaths of Childern in Open Child Protectice or Preventive Cases (WORD)
Form
OCFS-7065
Child Protective Services/State Central Register
Inquiry Concerning Visitation Statewide Central Register Database Form (PDF)
Form
OCFS-4190
Child Protective Services/State Central Register
Inquiry Concerning Visitation Statewide Central Register Database Form (WORD)
Form
OCFS-4190
Child Protective Services/State Central Register
Order of Adoption Family Court-Surrogate Court Request Form (PDF)
Form
OCFS-4156
Child Protective Services/State Central Register
Order of Adoption Family Court-Surrogate Court Request Form (WORD)
Form
OCFS-4156
Child Protective Services/State Central Register
Solicitud de Información - Adopcion Privada - Para Uso de Tribunales o Personas Desinteresadas Solamente (PDF)
Form
OCFS-3937-S
Child Protective Services/State Central Register
Solicitud de Información - Adopción Privada - Para Uso de Tribunales o Personas Desinteresadas Solamente (WORD)
Form
OCFS-3937-S
Child Protective Services/State Central Register
Request for Information - Private Adoption - For Use by Courts or Disinterested Persons Only (PDF)
Form
OCFS-3937
Child Protective Services/State Central Register
Request for Information - Private Adoption - For Use by Courts or Disinterested Persons Only (WORD)
Form
OCFS-3937
Child Protective Services/State Central Register
Request for Information Guardianship Form - For Court Use Only
Form
OCFS-3909
Child Protective Services/State Central Register
Organizations Entitled to Conduct Database Checks Under Section 424-A of the Social Services Law
Form
LDSS-3370a
Child Protective Services/State Central Register
Statewide Central Register Database Check
Form
LDSS-3370
Child Protective Services/State Central Register
Report of Suspected Child Abuse or Maltreatment
Form
LDSS-2221A
Child Welfare and Community Services
Voluntary Agency Licensing - Application for OCFS Approval of Certificate of Incorporation (PDF)
Form
OCFS-4722
Child Welfare and Community Services
Voluntary Agency Licensing - Application for OCFS Approval of Certificate of Incorporation (WORD)
Form
OCFS-4722
Child Care
Notificación de Determinación de Fraude Descalificación para Recibir Beneficios de Cuidado Infantil y Plan de Devolución de Pagos (WORD)
Notice of Fraud Determination-Disqualification for Child Care Payments and Repayment Plan
Form
LDSS-7010-S
Child Care
Notice of Fraud Determination-Disqualification for Child Care Benefits and Repayment Plan (WORD)
Form
LDSS-7010
Child Care
Notificación de Sobrepago de Asistencia para Cuidado Infantil y Requisitos de Devolución
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009-S
Child Care
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Form
LDSS-7009
Child Care
Notificación del Intento de Descontinuar los Beneficios de Cuidado Infantil (Ejemplo Solamente)
Notification of Intent to Discontinue Child Care Benefits
(Sample Only)
Form
LDSS-4782-S
Child Care
Notificación del Intento de Cambiar Beneficios de Cuidado Infantil y Pagos de Porciones Familiares
Notice of Intent to Change Child Care Benefits and Family Share Payments
Form
LDSS-4781-S
Child Care
Denegación de Su Solicitud de Beneficios para Cuidado Infantil
Denial of Your Application for Child Care Benefits
(Sample Only)
Form
LDSS-4780-S
Child Care
Aprobación de Su Solicitud para Beneficios de Cuidado Infantil (Ejemplo Solamente)
Approval of Your Application for Child Care Benefits (Sample Only)
Form
LDSS-4779-S
Child Care
Attachment to the Home Inspection Report for Legally Exempt Family Child Care Provider (WORD)
Form
LDSS-7028-3
Child Care
Corrective Action Plan for Legally Exempt Child Care Provider (WORD)
Form
LDSS-7028-2
Child Care
Home Inspection Report Summary
Form
LDSS-7028-1
Child Care
Administración de Medicamentos por el Proveedor de Cuidado Infantil Legalmente Exento (WORD)
Administration of Administration by Legally Exempt Provider
Form
LDSS-7008-SS
Child Care
Administration of Medication by Legally-Exempt Child Care Provider (WORD)
Form
LDSS-7008
Child Care
Obtaining Authorization to Administer Medication to Subsidized Children in Legally Exempt Care
Form
LDSS-7007
Child Care
Plan Individual de Atencion Medica para un Nino(a) con Necesidades Especiales de Salud
Individual Health Care Plan for a Child With Special Health Care Needs
Form
LDSS-7006-S
Child Care
Instrucciones para Completar el Plan de Salud para la Administracion de Medicamentos del Proveedor Legalmente Exento (WORD)
Form
LDSS-7001-S
Child Care
Instructions for Completing the Health Care Plan for the Administration of Medication for Legally-Exempt Provider (WORD)
Form
LDSS-7001
Child Care
Instrucciones para Completar el Plan de Salud para la Administracion de Medicamentos para Proveedores Legalmente Exentos (WORD)
Form
LDSS-7000S
Child Care
Health Care Plan for the Administration of Medication for Legally-Exempt Provider (WORD)
Form
LDSS-7000
Child Care
Registro de Capacitación para Cuidado Infantil Legalmente Exento Legally-Exempt Child Care Training Record
Form
LDSS-4699-3-S
Child Care
Parental Responsibilities When Employing a Legally-Exempt In-Home Child Care Provider (WORD)
Form
LDSS-4699-2A
Child Care
Legally Exempt In-Home Child Care Provider Agreement Form (WORD)
Form
LDSS-4699-2
Child Care
Employment of Minors Information (WORD)
Form
LDSS-4699-1A
Child Care
Formulario de Empleo para Menores de Edad (WORD)
Employment of Minors Form
Form
LDSS-4699-1-S
Child Care
Employment of Minors Form (WORD)
Form
LDSS-4699-1
Child Care
Formulario de Inscripción para Proveedores de Servicios de Cuidado Infantil en Familia Legalmente Exento y de Cuidado Infantil a Domicilio Legalmente Exento
Enrollment Form for Provider of Legally-Exempt Family Child Care and Legally-Exempt In-Home Child Care
Form
LDSS-4699-S
Child Care
Enrollment Form for Provider of Legally Exempt Family Child Care and Legally Exempt In-Home Child Care (WORD)
Form
LDSS-4699
Child Care
Enrollment Information Packet for Legally-Exempt Providers
Form
OCFS-7026
Child Care
Plan of Study Commitment for Director of Day Care Center (WORD)
Form
OCFS-7044
Child Care
Plan of Study Commitment for Head of Group for Preschoolers Infants and Toddlers (WORD)
Form
OCFS-7043
Child Care
Environmental Hazard Information Form Parts I and II (WORD)
Form
LDSS-7042
Child Care
Directions for Completing the Environmental Hazards Statement (WORD)
Form
LDSS-7041
Child Care
Environmental Hazards Guidance Sheet
Form
LDSS-7040
Child Care
Evaluation of my Most Recent Licensing-Registration Experience (WORD)
Form
LDSS-7024
Child Care
Health Care Plan - School Age Child Care
Form
LDSS-7022
Child Care
Plan de Atención Médica (Cuidado Diurno en Familia/Cuidado Diurno de un Grupo en Familia/ Centro Pequeño de Cuidado Infantil)
Health Care Plan - Family Day Care Center, Group Family Day Care, Small Day Care Center
Form
LDSS-7021-S
Child Care
Health Care Plan - Family Day Care, Group Family Day Care, Small Day Care Center
Form
LDSS-7021
Child Care
Plan de Atención Médica (Centro de Cuidado Infantil/Guardería Infantil)

Health Care Plan-Day Care Center
Form
LDSS-7020-S
Child Care
Health Care Plan - Day Care Center
Form
LDSS-7020
Child Care
Registro de Enfermedades, Lesiones e Indicadores de Abuso
Illness, Injury and Indicators of Abuse Log
Form
LDSS-7019S
Child Care
Illness Injury and Indicators of Abuse Log (WORD)
Form
LDSS-7019
Child Care
Day Care Registration
Form
LDSS-0792
Child Care
Notificacion del Proveedor(a) de Cuidado Infantil a los Departamentos de Bomberos y de la Policia sobre su Licencia o Registro (WORD)
Form
OCFS-4939S
Child Care
Provider Notification of Licensing or Registration to Fire and Police or Sheriff Departments (WORD)
Form
OCFS-4939
Child Care
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
Form
OCFS-4932S
Child Care
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website (WORD)
Form
OCFS-4932
Child Care
Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
Form
OCFS-4930-S
Child Care
Guía para Obtener Huellas Dactilares
Guidelines for Fingerprinting
Form
OCFS-4930-1-S
Child Care
Guidelines for Fingerprinting
Form
OCFS-4930-1
Child Care
Fuel Burning System Inspection (WORD)
Form
OCFS-4926
Child Care
Report of Death of Child in Child Care (WORD)
Form
OCFS-4890
Child Care
Solicitud de Exención o Dispensación
Request for Waiver
Form
OCFS-4887-S
Child Care
Waiver for Submission of a Duplicate Fingerprint Card (WORD)
Form
OCFS-4659
Child Care
Notice to Expunge Associated Fingerprint Cards (WORD)
Form
OCFS-4622
Child Care
Formulario para Rehusar o No Optar por el Yoduro de Potasio (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Form
OCFS-4411-S
Child Care
Potassium Iodide-KI Refusal-Opt-Out Form
Form
OCFS-4411
Adoption
Transmittal for Parent Locator Service Search (PDF)
Form
LDSS-7031
Adoption
Transmittal for Parent Locator Service Search (WORD)
Form
LDSS-7031
Adoption
Amendment to a Fully Executed and Approved Adoption Subsidy Agreement (PDF)
Form
LDSS-7015
Adoption
Amendment to a Fully Executed and Approved Adoption Subsidy Agreement (WORD)
Form
LDSS-7015
Adoption
Health Care Plan for the Administration of Medication for Legally-Exempt Provider (PDF)
Form
LDSS-7000
Adoption
Parental Certification of Adopted Childs Status (WORD)
Form
OCFS-7073
Adoption
Parental Certification of Continued Support and Educational Status of Child (PDF)
Form
OCFS-7069
Adoption
Parental Certification of Continued Support and Educational Status of Child (WORD)
Form
OCFS-7069
Adoption
Declaration of Intent to Adopt (PDF)
Form
OCFS-7060
Adoption
Declaration of Intent to Adopt (WORD)
Form
OCFS-7060
Adoption
Solicitud de Servicios de Huellas Dactilares

Request for Fingerprinting Services
Form
OCFS-4930ASFA-S
Adoption
Information on Foster Placements of Children Adopted from Other Countries (PDF)
Form
OCFS-4732
Adoption
Information on Foster Placements of Children Adopted from Other Countries (WORD)
Form
OCFS-4732
Adoption
Financial and Medical Plan (PDF)
Form
OCFS-4251
Adoption
Financial and Medical Plan (WORD)
Form
OCFS-4251
Adoption
Escritura para Reconocer la Paternidad de un Hijo(a) Natural (Nacido Fuera de Matrimonio)
Instrument to Acknowledge Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780-S
Adoption
Instrument to Acknowledge Paternity of an Out-of-Wedlock Child (Word)
Form
OCFS-3780
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form (PDF)
Form
LDSS-4623D
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form (WORD)
Form
LDSS-4623D
Adoption
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment (PDF)
Form
LDSS-4623C-2
Adoption
Adoption Subsidy and Non-Recurring Adotion Expenses Agreement - Upgrade or Substantive Amendment (WORD)
Form
LDSS-4623C-2
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment (PDF)
Form
LDSS-4623C-1
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment (WORD)
Form
LDSS-4623C-1
Adoption
Adoption Subsidy and Non-Recuring Adoption Expenses Agreement - Post Fianalization Application (PDF)
Form
LDSS-4623B
Adoption
Adoption Subsidy and Non-Recuring Adoption Expenses Agreement - Post Fianalization Application (WORD)
Form
LDSS-4623B
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application (PDF)
Form
LDSS-4623A
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Initial Application (WORD)
Form
LDSS-4623A
Adoption
Adoption Subsidy Agreement and Non-Recurring Adoption Expenses Agreement - Cover Sheet (PDF)
Form
LDSS-4623
Adoption
Adoption Subsidy Agreement And Non-Recurring Adoption Expenses Agreement - Cover Sheet (WORD)
Form
LDSS-4623
Adoption
Religious Designation of a Child (Model Form)
Form
LDSS-3416
Adoption
Court Determination of Parentage (PDF)
Form
LDSS-2726
Adoption
Court Determination of Parentage (WORD)
Form
LDSS-2726
Adoption
Request-Response for Name and-or Address of Father of Child Born Out of Wedlock (PDF)
Form
LDSS-2725
Adoption
Request-Response for Name and-or Address of Father of Child Born Out of Wedlock (Word)
Form
LDSS-2725
Adoption
Notificación del Intento de Demandar la Paternidad de un Niño(a) Nacido Fuera del Matrimonio (PDF)
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Form
LDSS-2724S
Adoption
Notificación del Intento de Demandar la Paternidad de un Niño(a) Nacido Fuera del Matrimonio (WORD)
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock
Form
LDSS-2724S
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (PDF)
Form
LDSS-2724
Adoption
Notice of Intent to Claim Paternity of a Child Born Out of Wedlock (WORD)
Form
LDSS-2724
Adoption
Application to Adopt - Part 1 Family Adoption Registry Information (PDF)
Form
LDSS-0857
Adoption
Application to Adopt - Part 1 Family Adoption Registry Information (WORD)
Form
LDSS-0857
Adoption
Medical Report of Prospective Adoptive Parent (PDF)
Form
LDSS-0571
Adoption
Medical Report of Prospective Adoptive Parent (WORD)
Form
LDSS-0571
Adoption
Acuerdo de Colocación Adoptiva (PDF)
Adoptive Placement Agreement
Form
LDSS-0570S
Adoption
Acuerdo de Colocación Adoptiva (WORD)
Adoptive Placement Agreement
Form
LDSS-0570S
Adoption
Adoptive Placement Agreement (PDF)
Form
LDSS-0570
Adoption
Adoptive Placement Agreement (WORD)
Form
LDSS-0570
Adoption
Instructions for completing Form ICPC-100B Interstate Compact on the Placement of Childs Placement Status (PDF)
Form
ICPC-100B
Adoption
Instructions for completing Form ICPC-100B Interstate Compact on the Placement of Childs Placement Status (WORD)
Form
ICPC-100B
Adoption
Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Request (PDF)
Form
ICPC-100A
Adoption
Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Request (WORD)
Form
ICPC-100A
Adoption
Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Form
LDSS-4623D
Adoption
Adoption Subsidy Agreement And Non-Recurring Adoption Expenses Agreement - Cover Sheet
Form
LDSS-4623
Child Welfare and Community Services
Documentation Requirements
Form
LDSS-2642
Child Welfare and Community Services
Initial Foster Child Eligibility Checklist
Form
LDSS-4809

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