Office of Children and Family Services

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Currently showing 601 to 700 of a total of 820 form(s) in the database

Category
Form Title
Form #
Foster Care
Re-entry Into Foster Care for Youth Age 18 and Over Eligibility Checklist
LDSS-4415
Foster Care
Request for NYS Fingerprinting Services - Information Form
OCFS-4930ASFA
Foster Care
Request for NYS Fingerprinting Services - Information Form
OCFS-4930ASFA
Foster Care
School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (PDF)
LDSS-3424
Foster Care
School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution (WORD)
LDSS-3424
Foster Care
School District Notification of Foster Child Placed in a Foster Family, Agency Boarding, Or Group Home (WORD)
LDSS-2999
Foster Care
Solicitud de Servicios de Huellas Dactilares
Request for Fingerprinting Services
OCFS-4930ASFA-S
Foster Care
Supervised Independent Living Programs (WORD)
OCFS-4884
Foster Care
Transition Plan
OCFS-4922
Foster Care
Transition Plan Amendment for youth age 18-21
OCFS-3917
Foster Care
Transmittal for Parent Locator Service Search (PDF)
OCFS-LDSS-7031
Foster Care
Transmittal for Parent Locator Service Search (WORD)
OCFS-LDSS-7031
Foster Care
Voluntary Agency Application for Supervised Independent Living Program (SILP)(PDF)
OCFS-2656
Foster Care
Voluntary Agency Application for Supervised Independent Living Program (SILP)(WORD)
OCFS-2656
Foster Care
Youth Voice Questions (WORD)
Home and Community-Based Services Waiver (B2H)

Notificación de la Decisión-Autorización
Notice of Decision-Authorization
OCFS-8009-S
Home and Community-Based Services Waiver (B2H)
Accessibility Modifications and or Adaptive and Assistive Equipment Discription Cost Projection and Final Cost (PDF)
OCFS-8028
Home and Community-Based Services Waiver (B2H)
Accessibility Modifications and or Adaptive and Assistive Equipment Discription Cost Projection and Final Cost (WORD)
OCFS-8028
Home and Community-Based Services Waiver (B2H)
Application Form for Enrollment (PDF)
OCFS-8004
Home and Community-Based Services Waiver (B2H)
Application Form for Enrollment (WORD)
OCFS-8004
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information (WORD)
OCFS-8001
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
AUTORIZZAZIONE ALLA COMUNICAZIONE DI INFORMAZIONI SANITARIE
OCFS-8001-IT
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
OTORIZASYON POU DIVILGE ENFÒMASYON SOU SANTE
OCFS-8001-HC
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
СОГЛАСИЕ НА ПЕРЕДАЧУ МЕДИЦИНСКОЙ ИНФОРМАЦИИ
OCFS-8001-RU
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
의료 정보 공개 승인
OCFS-8001-KO
Home and Community-Based Services Waiver (B2H)
Authorization for Release of Health Information
健康資訊披露授權
OCFS-8001-CH
Home and Community-Based Services Waiver (B2H)
Autorización para Comunicar Información de Salud
Authorization for Release of Health Information
OCFS-8001-S
Home and Community-Based Services Waiver (B2H)
Certificate of Attendance (PDF)
OCFS-8025
Home and Community-Based Services Waiver (B2H)
Certificate of Attendance (WORD)
OCFS-8025
Home and Community-Based Services Waiver (B2H)
Change of Provider Form (PDF)
OCFS-8006
Home and Community-Based Services Waiver (B2H)
Change of Provider Form (WORD)
OCFS-8006
Home and Community-Based Services Waiver (B2H)
Contact Information List (PDF)
OCFS-8027
Home and Community-Based Services Waiver (B2H)
Contact Information List (WORD)
OCFS-8027
Home and Community-Based Services Waiver (B2H)
Detailed Service Plan (PDF)
OCFS-8020
Home and Community-Based Services Waiver (B2H)
Detailed Service Plan (WORD)
OCFS-8020
Home and Community-Based Services Waiver (B2H)
Formulario de Exención de los Derechos del Participante
Waiver Participants Rights Form
OCFS-8008S
Home and Community-Based Services Waiver (B2H)
Formulario de Libre Selección
Freedom of Choice Form
OCFS-8002S
Home and Community-Based Services Waiver (B2H)
Formulario de Libre Selección
Freedom of Choice Form
OCFS-8003-S
Home and Community-Based Services Waiver (B2H)
Formulario de Reautorización
Reauthorization Form
OCFS-8014S
Home and Community-Based Services Waiver (B2H)
Formulario de Solicitud de Inscripción
Application Form for Enrollment
OCFS-8004S
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (PDF)
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Freedom of Choice (DOC)
OCFS-8003
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (PDF)
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Grievance - Complaint Packet (WORD)
OCFS-8024
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (PDF)
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Health Care Integration Agency Quarterly-Annual Report (WORD)
OCFS-8015A
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (PDF)
OCFS-8007
Home and Community-Based Services Waiver (B2H)
Health Care Integrator Selection Form (WORD)
OCFS-8007
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (PDF)
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
ICF-MR Level of Care Eligibility Determination-LCED Form (WORD)
OCFS-8005B
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (EXCEL)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (PDF)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Individualized health Plan -IHP (WORD)
OCFS-8017
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (PDF)
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Medical Fragility - MedF Pediatric Patient Review Instrument (WORD)
OCFS-8005C
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (PDF)
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Level of Care for Children with Serious Emotional Disturbances - SED (WORD)
OCFS-8005A
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (PDF)
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Loss of Eligibility Recommendation Form (WORD)
OCFS-8026
Home and Community-Based Services Waiver (B2H)
Medication Error Report (PDF)
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Medication Error Report (WORD)
OCFS-8036
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (PDF)
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Enrollment (WORD)
OCFS-8010A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (PDF)
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Denial of Waiver Services (WORD)
OCFS-8010B
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (PDF)
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision - Discontinuance from Waiver Program (WORD)
OCFS-8011A
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (PDF)
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Notice of Decision- Authorization (WORD)
OCFS-8009
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (PDF)
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision Discontinuance of Waiver Services - Service Providers and or Reduction of Services (WORD)
OCFS-8011B
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
OCFS-8010A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVI POU DESIZYON - REFI POU ENSKRIPSYON
OCFS-8010A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
AVVISO DI DECISIONE - DINIEGO DELL’ISCRIZIONE
OCFS-8010A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
결정 통지서 – 등록 거부
OCFS-8010A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Denial of Enrollment
決定通知– 拒絕註冊
OCFS-8010A-TC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVI POU DESIZYON - SISPANSYON NAN
PWOGRAM EGZANPSYON
OCFS-8011A-HC
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
AVVISO DI DECISIONE - INTERRUZIONE DEL
PROGRAMMA WAIVER
OCFS-8011A-IT
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
УВЕДОМЛЕНИЕ О РЕШЕНИИ: ПРЕКРАЩЕНИЕ УЧАСТИЯ
В АЛЬТЕРНАТИВНОЙ ПРОГРАММЕ
OCFS-8011A-RU
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
결정 통지서 – 면제 프로그램
중단
OCFS-8011A-KO
Home and Community-Based Services Waiver (B2H)
Notice of Decision-Discontinuance from Waiver Program
決定通知−中止
減免計畫
OCFS-8011A-TC
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión - Discontinuación del Programa de Exención
Notice of Decision - Discontinuance from Waiver Program
OCFS-8011A-S
Home and Community-Based Services Waiver (B2H)
Notificacion de la Decision-Denegacion de Inscripcion
Notice of Decision – Denial of Enrollment
OCFS-8010AS
Home and Community-Based Services Waiver (B2H)
Notificación de la Decisión-Discontinuación de Servicios de Exención, Proveedor(es) de Servicio(s) y/o Reducción de Servicio(s)
Notice of Decision-Discontinuance of Waiver Service(s), Service Provider(s) an/or Reduction of Service(s)
OCFS-8011B-S
Home and Community-Based Services Waiver (B2H)
Progress Notes (PDF)
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Progress Notes (WORD)
OCFS-8019
Home and Community-Based Services Waiver (B2H)
Qualification Form (PDF)
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Qualification Form (WORD)
OCFS-8034
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (PDF)
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Reauthorization Form (WORD)
OCFS-8014
Home and Community-Based Services Waiver (B2H)
Referral Form (PDF)
OCFS-8000
Home and Community-Based Services Waiver (B2H)
Referral Form (WORD)
OCFS-8000
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (PDF)
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Schedule A - Waiver Service Provider Commitment form (WORD)
OCFS-8035
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (PDF)
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Serious Incident Review Committee Quarterly Report (WORD)
OCFS-8015B
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (PDF)
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Serious Reportable Incident Form (WORD)
OCFS-8021
Home and Community-Based Services Waiver (B2H)
Service Summary Form (PDF)
OCFS-8018
Home and Community-Based Services Waiver (B2H)
Service Summary Form (WORD)
OCFS-8018

 

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Order Hard Copies of Forms

To order hard copies of available forms developed by the New York State Office of Children and Family Services (OCFS), complete the "Request for Forms and Publications" form (OCFS-4627) and mail your request to:

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


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