LDSS-3424 . School District Notification of Financial Responsibility for Educationally Handicapped Foster Child Placed in a Child Care Institution

Form LDSS-3424 is a NYS Office of Children and Family Services form used to notify a school district of financial responsibility for an educationally handicapped foster child placed in a child care institution.

The form consists of two parts. The first part is a notification of financial responsibility, which includes the name of the child, the name of the school district, the name of the child care institution, the date the child was placed in the institution, the amount of the financial responsibility, and the date by which the school district must respond. The second part is a certification of the child's educational handicap and includes the name of the child, the name of the child care institution, the date the child was placed in the institution, and a statement that the child is an educationally handicapped foster child.

Important fields in this form include the name of the child, the name of the school district, the name of the child care institution, the date the child was placed in the institution, the amount of the financial responsibility, and the date by which the school district must respond. It is important to complete all of these fields accurately in order for the school district to properly assess their financial responsibility.

This form would be used in a situation where a foster child is placed in a child care institution and is classified as educationally handicapped. The form serves to notify the school district of their financial responsibility for the child and allows the school district to assess the amount of funding they need to provide to the child care institution.

Instructions for filling out this form include providing accurate information for all of the fields, signing and dating the form, and submitting the form to the school district. Related forms include the LDSS-3423, which is a form to notify a school district of a foster child placed in a child care institution without an educational handicap, and the LDSS-3425, which is a form to notify a school district of a child placed in a child care institution with an educational handicap. Additional documents that may be required in order to complete this form include any medical or educational records verifying the educational handicap of the foster child.