LDSS-4810. Re-determination of Title IV-E Eligibility Checklist (Foster Care)

Form Re-determination of Title IV-E Eligibility Checklist (Foster Care) is a NYS Office of Children and Family Services form used to evaluate the eligibility of a family for Title IV-E foster care services.

The form consists of several sections, including the child's name, date of birth, and Social Security number; the name of the family's Title IV-E caseworker; the family's address; a list of the family's current income sources; and an eligibility determination checklist. The checklist includes sections for the family's current income, eligibility criteria, and eligibility determination. The form also requires the signature of the family's IV-E caseworker to verify the eligibility determination.

Important fields in this form include the family's income sources, eligibility criteria, and eligibility determination. It is important to accurately complete the form in order to ensure that the family is eligible for Title IV-E foster care services. Specific instructions for completing the form can be found on the NYS Office of Children and Family Services website.

An example situation where the form would be used is when a family applies for Title IV-E foster care services. The form is used to evaluate the family's eligibility and determine if they qualify for the services. The benefits of using the form include ensuring that the family is eligible for the services and that the family receives the necessary assistance.

Specific instructions for filling the form can be found on the NYS Office of Children and Family Services website. Related forms and alternatives may include the Title IV-E Foster Care Eligibility Checklist or the Title IV-E Eligibility Verification Form. Additional documents may be required to fill out and complete the form, such as proof of income or other financial documents.