Forms and documents
LIC 03 - Resource Family Home Health And Safety Assessment Checklist Document For Agency Use Only
Form LIC 03 is a checklist document used by agencies involved in the assessment and approval process of resource families. It aids in evaluating the health and safety conditions of the resource family home to ensure compliance with licensing standards and regulations.
LIC 01C - Resource Family Application-Confidential
Form LIC 01C is a confidential version of the Resource Family Application (LIC 01A). It serves the same purpose of collecting detailed information from prospective resource family applicants, but it includes additional sections that are kept confidential and not disclosed to the applicants.
LIC 01A - Resource Family Application
Form LIC 01A is the primary application form for individuals or families interested in becoming resource families.
LIC 00A - Conversion - Resource Family Application
Form LIC 00A is an application form used during the process of converting a foster care home or licensed facility into a resource family.
LIC 00 - Conversion to Resource Family: Release of Information
Form LIC 00 is used when converting a foster care home or another type of licensed facility to a resource family. It is a Release of Information form that enables the disclosure and sharing of necessary information between the relevant parties involved in the conversion process.
KG 5 - Kinship Guardianship Assistance Payments Program Nonrecurring Legal Guardianship Expenses Form
Form KG 5 is a document used in the Kinship Guardianship Assistance Payments (Kin-GAP) program specifically related to nonrecurring legal guardianship expenses.
KG 4 - Kinship Guardianship Assistance Payment Program - Nonrecurring Legal Guardianship Expenses Agreement
Form KG 4 is utilized in the Kinship Guardianship Assistance Payment (Kin-GAP) program to address nonrecurring legal guardianship expenses.
KG 3 - Kin-GAP Mutual Agreement For Nonminor Former Dependents
Form KG 3 is the Kin-GAP Mutual Agreement for Nonminor Former Dependents. This form is used in the context of the Kinship Guardianship Assistance Payment (Kin-GAP) program.
IHSS-E 007 - In-Home Supportive Services Program Notice To Recipient Of Provider’s Expiration Of Exemption From Workweek Limits
Form IHSS-E-007 is a notice issued by the In-Home Supportive Services (IHSS) program to inform recipients about the expiration of their provider's exemption from workweek limits.
IHSS-E 006 - In-Home Supportive Services Program Notice To Provider Of Expiration Of Exemption From Workweek Limits
Form IHSS-E-006 is a notice issued by the In-Home Supportive Services (IHSS) program to inform providers about the upcoming expiration of their exemption from workweek limits.