OCFS-4442. Request for Waiver Form

Form OCFS-4442 is a Request for Waiver form used by the New York State Office of Children and Family Services. The purpose of this form is to request a waiver for specific regulatory requirements that an organization may not be able to meet due to valid reasons or extenuating circumstances.

The form consists of sections where the requesting entity provides information about their organization, the specific regulations they are seeking a waiver for, the reasons for the waiver request, and any alternative measures they propose to meet the intent of the regulation. The form may also require supporting documentation to strengthen the case for the waiver.

Important fields in this form include clear and detailed explanations of why the waiver is necessary and how the organization intends to address the underlying issues despite not meeting the specific requirements. It is crucial to provide sufficient evidence and justifications for the waiver to be considered.

Application Example: A child care facility may use this form to request a waiver for a regulation that requires a specific staff-to-child ratio. The facility may explain that due to a staffing shortage, they are unable to meet the required ratio and propose an alternative plan to ensure children's safety and well-being during their time at the facility.

Additional documents that may need to be submitted with the form include any relevant supporting documents or evidence to back up the reasons for the waiver request.

Alternative Form: There might not be an exact analogue for this form, as waiver requests are often specific to particular regulations or programs. However, there may be similar forms used by other state agencies or departments for similar purposes.