Forms & Info for Current Foster Care Parents
Certification/Re-Certification Forms
- LCHS 3504 Prospective Kinship and Resource Parent Self Study
- LCHS 3513 Background Checks
- LCHS 3512 Foster/Kin Home Inspection
- LCHS 3532 Fire Drill Documentation Sheet
- CWS 12B Physical Exam - for Foster Care and/or Adoptive Applicant
- CWS 12A Physical Exam - for children and other adults in the Foster and/or Adoptive Home
- CWS 7A Individual Provider Contract for Purpose of foster Care Services and Foster Care Facility Agreement
- LCHS 3565 Provider Policy Packet
- LCHS 3533 Family Training Development and Support Plan
- LCHS 3577 Training Information
- LCHS 3560 Training Hours
Case Related Paperwork/Forms
- LCHS 3516 New Child Home Orientation
- LCHS 3517 Personal Belongings Inventory Log
- LCHS 3518 Placement Agreement
- LCHS 3530 Grievance Procedure for Foster Children
- LCHS 3507 Foster/Kinship Parent Notes - Reminder Page
- LCHS 3509 Foster/Kinship Parent Notes - Monthly
- LCHS 3500 Provider Checklist
- LCHS 3502 Treatment Utilization Report
- LCHS 3528 Over the Counter Medication Approval
- CWS-25 Authorize Healthcare
- LCHS 3529 Medication Log
- LCHS 3522 Child Information for School Personnel
Financial Forms for Foster/Kinship Providers
- LCHS 3539 Foster/Kin Parent Mileage Reimbursement
- LCHS 3235 Authorization for Non-Contractual Case Service Payments
- LCHS 3520 Clothing Allowance
- LCHS 3551 Provider Roster
- ACH Direct Deposit Enrollment Form
Miscellaneous
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