Title IV-E

Title IV-E Foster Care Eligibility Checklists

Title IV-E Eligibility Documentation File Template (OCFS-2125)

The OCFS-2125, Title IV-E Eligibility Documentation File Template, provides an outline to best document your Title IV-E determination. Local districts should create a file on EACH child for whom Title IV-E is being claimed.

• Initial Foster Care Eligibility Checklist (LDSS-4809) Revised: 11/18 (Attachment)
  The eligibility checklist is designed to correctly determine and document Title IV-E eligibility. See OCFS's Eligibility Manual for Child Welfare Programs for instructions on how to complete this form.
• Re-Determination Foster Care Eligibility Checklist (LDSS-4810) Revised: 10/14
  Federal and state regulations require that eligibility for assistance be re-evaluated periodically. See OCFS's Eligibility Manual for Child Welfare Programs for instructions on how to complete this form.
• Re-Entry Into Foster Care for Youth Age 18 and Over Eligibility Checklist (OCFS-4415)

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