Foster Parent Pre-Approval Forms

Form Name Instructions Web Form
Foster Home Application for Parenting (CS-0688) English
Spanish
English
Fingerprint Card Information (CS-0691)   English
Spanish
Authorization for Release of Information and HIPAA
Protected Health Information (CS-0559)
English
Spanish
English
Waiver Agreement and Statement for Criminal History
Checks (CS-1221)
  English
Waiver Hazard/Pool Safety Assessment Tool (CS-4203)   English
HARD COPY ONLY
Home Safety Checklist (CS-0676) English
Spanish
English
Spanish
HARD COPY ONLY
Form Name Instructions Word Doc Form Webform
Home Safety Checklist (CS-0676) English
Spanish
English
Spanish
HARD COPY ONLY
Foster Home Disaster Plan (CS-0871) English
Spanish
English
Spanish
English
Medical Self-Report (CS-0707) English
Spanish
English
Spanish
English
Foster Parent/Other Adult Medical Report (CS-0678) English
Spanish
English
Spanish
HARD COPY ONLY
Child's Medical Report (CS-0427) English
Spanish
English
Spanish
English
Spanish
Notice of Privacy Practices (CS-0699)   English
Spanish
English
Foster Parent Oath to Abide (CS-0670) English
Spanish
English
Spanish
English
Full Disclosure Statement: Permanency Options for
Relative or Kin Caregivers (CS-0660)
English
Spanish
English
Spanish
English
Spanish
Discipline Policy (CS-0553)   English
Spanish
English
Spanish
Monthly Family Income and Expenditures (CS-0431) English
Spanish
English
Spanish
English
Spanish
Foster Parent Applicant Questionnaire (CS-0962) English English English
Foster Home Application for Parenting (CS-0688) English
Spanish
English
Spanish
English
Fingerprint Card Information (CS-0691)   English
Spanish
English
Spanish
Authorization for Release of Information and HIPPA
Protected Health Information (CS-0559)
English
Spanish
English
Spanish
English
Waiver Agreement and Statement for Criminal History
Checks (CS-1221)
  English English
Family Eco-Map (CS-0782)   English English
Contingency Plan-Foster Home (CS-1014)     English