LDSS-7042. Environmental Hazard Information Form Parts I and II

Form LDSS-7042, Environmental Hazard Information Form Parts I and II is a New York State Office of Children and Family Services form. It is used to provide information related to environmental hazards present in the home of a foster child or adoptive parent. The form is divided into two parts: Part I and Part II.

Part I requires information about the home, including address, type of dwelling, date of occupancy, and the existence of any known environmental hazard in the home. If an environmental hazard is known to exist in the home, the type of hazard must be specified and an explanation of the hazard must be provided. Part II requires information about any tests that have been conducted on the home for environmental hazards. This includes information about the type of test, the date of the test, and the results of the test.

The parties involved in the completion of this form are the foster parent or adoptive parent, and a representative of the Office of Children and Family Services. This form should be completed in full, with accurate and up-to-date information.

This form is typically used in situations where there is a concern about the presence of environmental hazards in the home of a foster child or adoptive parent. For example, this form may be used when an environmental hazard is suspected in the home, such as lead paint. The purpose of the form is to provide information to the Office of Children and Family Services about the presence of any environmental hazards in the home.

When filling out this form, it is important to provide accurate and detailed information. All sections of the form must be completed in full, and information must be provided in a clear and concise manner. Additionally, any documents or tests related to the environmental hazard must be provided to the Office of Children and Family Services.

Related forms that may be used in similar situations include the NYS Environmental Hazards Disclosure Form and the NYS Environmental Hazards Disclosure Statement. These forms provide similar information about environmental hazards present in the home, but are used in different contexts.