OCFS-4992. Qualified Residential Treatment Program (QRTP) Attestation Form

Form OCFS-4992 is a Qualified Residential Treatment Program (QRTP) Attestation Form used by the New York State Office of Children and Family Services. The purpose of this form is to attest that a child in foster care meets the criteria for placement in a Qualified Residential Treatment Program.

The form consists of sections where the child's caseworker provides information about the child's specific needs and circumstances that qualify them for placement in a QRTP. It may also require the caseworker's professional assessment and supporting documentation.

Important fields in this form include accurate and comprehensive information about the child's eligibility for a QRTP placement. QRTPs are specialized programs designed to meet the needs of children with certain complex challenges, so proper assessment and documentation are crucial for appropriate placement decisions.

Application Example: A child in foster care requires intensive therapeutic services and support due to a history of trauma and behavioral challenges. The caseworker completes this form, providing the necessary information and supporting documentation to qualify the child for placement in a QRTP.

Related Form: There might not be a direct analogue for this form, as it is specific to attesting a child's eligibility for a QRTP placement. However, there might be other forms related to the assessment and eligibility determination for specialized foster care programs.