New York State Office of Children and Family Services

Form OCFS-5570, the Local Department of Social Services Referral for a Qualified Individual Assessment, is used by local social services departments to refer individuals for a Qualified Individual Assessment, which helps determine eligibility for certain services or programs.

The form consists of sections where the referring department provides information about the individual being referred, their circumstances, and the specific services or programs they may be eligible for. It includes sections related to the individual's needs, goals, and background.

Form OCFS-5565, the Notice of SILP Opening, Transfer, Recertification, and/or Closing, serves as a communication tool for child welfare agencies when notifying relevant parties about changes in a Supervised Independent Living Program (SILP). This form is used to inform individuals and entities about SILP status updates.

Form OCFS-5564, the Supervised Independent Living Programs Fire Inspection Guidelines, provides guidance for conducting fire inspections at supervised independent living program sites. This form assists in ensuring that the living environments for youth are compliant with fire safety regulations and measures.

The form consists of sections where inspectors document the results of fire safety inspections at supervised independent living program sites. It includes sections related to fire alarms, extinguishers, emergency exits, and other fire safety measures.

Form OCFS-5563, the Community Site Physical Safety Checklist, is used by child welfare agencies and supervised setting providers to assess the physical safety of community sites where supervised setting activities may take place. This form ensures that the locations are safe and suitable for the children's participation.

The form consists of sections where assessors document their observations and evaluations of the community site's physical safety features. It includes sections related to accessibility, security measures, emergency exits, and potential hazards.

Form OCFS-5562, the Supervised Setting Approval and Placement Agreement, is a crucial form in the process of placing children in supervised settings. This agreement outlines the terms and conditions under which a child will be placed in a supervised setting and clarifies the roles and responsibilities of the parties involved.

The form consists of sections where child welfare agencies and supervised setting providers detail the terms of the placement. It includes sections related to the child's care plan, goals, expectations, and any necessary consents or agreements.

Form OCFS-5561, the Standardized Supervised Setting Readiness Assessment, is utilized by child welfare agencies to evaluate the readiness of a proposed supervised setting program. This form assists agencies in ensuring that a potential supervised setting is equipped to provide a safe and supportive environment for children in care.

Form OCFS-5560, the Agency Checklist for Supervised Setting Program Operation, is used by child welfare agencies to ensure compliance and readiness when operating supervised setting programs for children in care. This form helps agencies prepare for program operation and ongoing compliance with relevant regulations.

Form OCFS-5511, the Unified Court System Enhanced Quality Legal Representation Services Plan, outlines a plan for delivering quality legal representation services to children in foster care cases. This form is a collaborative effort between child welfare agencies and the court system to ensure effective legal representation for children in care.

Form OCFS-5505, the Title IV-E Legal Representation Administration and Training Claim Form - Indigent Legal Services, is used by agencies providing legal representation for children in foster care cases to claim federal Title IV-E reimbursement for indigent legal services. This form helps agencies seek reimbursement for eligible legal representation expenses.

Form OCFS-5500, the ICWA Case Process Checklist, is a tool used in the context of the Indian Child Welfare Act (ICWA) to ensure compliance with the requirements of the act when dealing with child welfare cases involving Native American children. This form helps caseworkers and agencies navigate the ICWA case process.