OCFS-4401. Adoption Subsidy Eligibility Documentation File-Title IV-E Adoption Assistance

Form OCFS-4401 is a NYS Office of Children and Family Services form designed to document eligibility for adoption subsidy payments. It is used by local social services districts, adoption agencies, and other authorized entities to determine if a family is eligible for adoption assistance in New York State. The form is used to determine if an adoption meets the requirements of Title IV-E of the Social Security Act.

The form is composed of three sections: Part I, Part II, and Part III. Part I includes basic information about the child being adopted and the adoptive parents, including names, dates of birth, and contact information. Part II includes questions regarding the status of the child, such as whether the child is a special needs child or a child of Native American heritage, and the circumstances of the adoption. Part III requires documentation of the adoption, including copies of the adoption orders, court documents, and the adoptive parents’ income information.

Important fields in this form include the adoptive parents’ income information and the documentation of the adoption. It is important that this information is accurate and up-to-date, as it will be used to determine if the family is eligible for adoption assistance. For example, if the adoptive parents’ income information is not accurate, it may be determined that they do not meet the requirements for adoption assistance.

The form may be used in a variety of scenarios, such as when a family is trying to determine if they are eligible for adoption assistance or when a local social services district is trying to determine if a family is eligible for adoption subsidy payments. The form is used to provide evidence that an adoption meets the requirements of Title IV-E of the Social Security Act, which is necessary for families to qualify for adoption assistance.

In addition to the OCFS-4401 form, other documents may need to be completed and filed in order to be approved for adoption assistance. These documents may include copies of the adoption orders, court documents, and the adoptive parents’ income information. There may also be other forms or documents that must be completed in order to receive adoption assistance, depending on the individual circumstances of the family.