OCFS-4409. Prospective KinGAP Successor Guardian Criminal Conviction History Attestation

Form OCFS-4409, Prospective KinGAP Successor Guardian Criminal Conviction History Attestation is a form used to verify and document the criminal background of a prospective KinGAP successor guardian.

The form is used by the New York State Office of Children and Family Services (OCFS) when appointing a successor guardian for a child in need of guardianship assistance. It is used to ensure that the applicant does not have any prior criminal convictions that would make them ineligible or unfit to be the guardian of the child. The form must be completed and signed by the applicant.

The form consists of several sections. It begins with a declaration from the applicant stating that they have no criminal convictions, or if they do, they provide details of any convictions. The next section asks for personal information about the applicant, including name, address, telephone number, date of birth, and social security number. This is followed by a series of questions regarding the applicant's criminal history, including any prior convictions, any pending criminal charges, and any pending appeals related to the applicant's criminal history.

The form also contains a section for the applicant to sign and date, acknowledging that the information provided is true and accurate to the best of their knowledge. The form must also be signed and dated by an approved witness. Finally, the form must be submitted to OCFS for review and approval.

An example situation where this form would be used is when an individual steps forward to act as the guardian for a child in need of guardianship assistance. The individual must complete the form and submit it to OCFS for review and approval. This form is important because it allows OCFS to ensure that the applicant does not have any criminal convictions which would make them ineligible or unfit to be the guardian of the child.

No additional documents are required to fill and complete this form. However, applicants may be asked to provide additional documents or information if necessary. Alternatives to this form are the OCFS-4408, Criminal History Record Review, and the OCFS-4407, Criminal History Record Certification.