LDSS-4505. FTHA Family Type Home for Adults Certification of Child Support Obligations

Form FTHA Family Type Home for Adults Certification of Child Support Obligations is a form used by the New York State Office of Children and Family Services (OCFS) to certify that individuals residing in family type homes for adults have complied with their child support obligations.

The form contains several sections, including the individual's name and address, the name and address of the family-type home, the name of the employee or agent of the home who is certifying the information, the individual's Social Security number, and the date of certification. It also includes a section for the individual to certify that they have complied with all court-ordered child support obligations, and a section for the home to certify that the individual has not been evicted for failure to pay child support.

Important fields in this form include the individual's name, address, and Social Security number; the certification by the individual that they have met all child support obligations; the certification by the home that the individual has not been evicted; and the certification date. It is important to accurately complete the form, as the certification is used by OCFS to determine the individual's eligibility for certain services.

This form would be used in a situation where an individual is applying for services from OCFS and living in a family type home for adults. The form allows OCFS to verify that the individual has complied with all court-ordered child support obligations, and that they have not been evicted for failure to pay child support. This helps to ensure that the individual is eligible for the services being applied for.

Specific instructions for filling out the form include providing the individual's name, address, and Social Security number, and certifying that the individual has met all court-ordered child support obligations. The home must also certify that the individual has not been evicted for failure to pay child support. Additionally, the date of certification must be provided.

Related forms and alternatives to this form include the OCFS Family Type Home for Adults Certification of Income, which is used to certify that an individual has met all income requirements; the OCFS Family Type Home for Adults Certification of Support, which is used to certify that an individual has provided financial support to those living in the home; and the OCFS Family Type Home for Adults Certification of Employment, which is