OCFS-0014. Detention Care Provided and Fiscal Summary

Form OCFS-0014 is a New York State Office of Children and Family Services form used to document and summarize the care provided in detention facilities and the associated fiscal information. This form is typically used by state and local government agencies, detention facilities, and other organizations providing care to detained individuals.

This form consists of three sections. The first section is used to document the general information of the individual receiving care, such as name, age, date of birth, and other identifying information. The second section is used to document the care provided, such as the type of care, services rendered, and any external resources used to provide the care. The third section is used to document the fiscal information associated with the care provided, such as the cost of the services, the amount paid by the individual, and any additional payments made by other sources.

Important fields in this form include the individual's name and identifying information, the type and duration of the care provided, and the cost of the services rendered. When filling out this form, it is important to provide accurate and up-to-date information to ensure proper accounting and reimbursement. It is also important to provide any additional documentation or records that may be required to complete the form.

An example of a situation where this form would be used is when an individual is detained in a state or local facility and is receiving care from the facility. The form would be used to document and summarize the care provided and the associated fiscal information. The benefits of using this form include providing an accurate and concise record of the care provided and providing the necessary information for reimbursement of the services rendered.

Specific instructions for filling out this form include providing accurate and up-to-date information in the appropriate fields. It is also important to include any additional documentation or records that may be required to complete the form. Related forms and alternatives that may exist for similar purposes include the OCFS-0011, which is used to document the care provided in a foster home, and the OCFS-0013, which is used to document the care provided in a residential facility.