Foster Parent Pre-Approval Forms

Form NameInstructionsWeb 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 NameInstructionsWord Doc FormWebform
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)EnglishEnglishEnglish
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)
 EnglishEnglish
Family Eco-Map (CS-0782) EnglishEnglish
Contingency Plan-Foster Home (CS-1014)  English