OCFS-2134. Runaway and Homeless Youth-Interim Family Certification Application

Form Runaway and Homeless Youth-Interim Family Certification Application is a form used by the New York State Office of Children and Family Services (OCFS) to provide certification of families that are eligible for the Runaway and Homeless Youth Program.

The parties involved in the form are the runaway or homeless youth, the family/household they will be staying with, and the OCFS. The form consists of sections that include an overview of the program, instructions for the applicant, eligibility requirements, and a family certification worksheet.

Important fields in this form include the applicant's name, date of birth, Social Security number, family information, the family's income, and the family's address. Specific instructions for completing the form are provided in the instructions section of the form. It is important to accurately complete the form as it is used to determine the eligibility of the family that the runaway or homeless youth will be staying with.

An example of when this form would be used is when a runaway or homeless youth is seeking assistance from the OCFS in order to be placed with a family. The form is used to certify the eligibility of the family that the youth will be staying with in order to receive the benefits and services provided by the OCFS.

Additional documents that may be needed to complete the form include the applicant's Social Security card, proof of income, and proof of residency. Related forms that may be used for similar purposes include the Application for Certification of Eligibility for Family Reunification Services and the Application for Certification of Eligibility for Runaway and Homeless Youth Services.