OCFS-5033. Language Services Tracking Form for In-Person Encounters with Limited English Proficient Persons

Form OCFS-5033 is a Language Services Tracking Form for In-Person Encounters with Limited English Proficient Persons used by child welfare agencies to document language services provided during in-person encounters with individuals who have limited English proficiency.

The form consists of sections where agencies document the date of the encounter, the individual's name, language services provided, and the signature of the person providing assistance. This form ensures that language barriers do not hinder effective communication.

Important fields in this form include the individual's name, language assistance details, and signatures. Accurate completion is essential to track the use of language services and ensure clear communication between agencies and individuals.

Application Example: A caseworker interacts with a limited English proficient parent during a child welfare visit. The caseworker completes this form to document the use of an interpreter and the assistance provided during the encounter.

No additional documents are mentioned, but related forms could involve similar tracking forms for remote language services or forms for documenting communication accommodations.