OCFS-5050b. Certification of Title IV-E Eligibility for Interstate Placements of New York Children

Form OCFS-5050b is a Certification of Title IV-E Eligibility for Interstate Placements of New York Children used by child welfare agencies to certify the eligibility of a child for Title IV-E funding when placed in another state.

The form consists of sections where agencies provide information about the child's eligibility for Title IV-E funding, the placement details, and signatures of authorized representatives. This certification ensures proper funding for the child's care and services.

Important fields in this form include the child's name, placement information, eligibility criteria, and signatures. Accurate completion is vital for obtaining the necessary funding and ensuring compliance with federal regulations.

Application Example: A child in foster care is placed with relatives in a different state. The child welfare agency completes this form to certify the child's eligibility for Title IV-E funding for the out-of-state placement.

No additional documents are mentioned, but related forms could involve documentation for interstate placement agreements or forms for requesting Title IV-E reimbursement.