LDSS-3635. Medication Log
Form LDSS-3635 (Medication Log) is a NYS Office of Children and Family Services form used to document and track medication intake and reactions for individuals in their care.
LDSS-3705. Special Needs Fund Individual Resident Log
Form LDSS-3705- Special Needs Fund Individual Resident Log is a form used to document the personal information of individuals who have been approved to receive funds from the Special Needs Fund (SNF).
LDSS-3806. Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers
Form LDSS-3806 is a Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers. This form is used when an applicant or recipient of services needs to provide their Social Security Number (SSN) for identification purposes.
LDSS-4055. Residential Placement Assessment Form
Form LDSS-4055 Residential Placement Assessment Form is a New York State Office of Children and Family Services form used to assess the needs of an individual to ensure they have access to the right resources and services for their unique situation.
LDSS-4388. Fire Safety Inspection For Family Type Homes For Adults
Form Fire Safety Inspection For Family Type Homes For Adults is a form used to check and inspect fire safety systems and equipment in residential homes.
LDSS-4438. Emergency Plan Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs
Form LDSS-4438, Emergency Plan for Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs is a form used by the New York State Office of Children and Family Services (OCFS).
LDSS-4440. Schedule of Daily Program Activities-Child Care Programs.dot
Form LDSS-4440, Schedule of Daily Program Activities-Child Care Programs is a form used by New York State licensed child care providers to document the daily program activities for their child care programs.
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.
LDSS-4553. Child Care On Site Inspection Report
Form LDSS-4553, Child Care On Site Inspection Report, is a form used by the New York State Office of Children and Family Services (OCFS) to document the results of on-site inspections of child care facilities.
LDSS-4623. Adoption Subsidy Agreement And Non-Recurring Adoption Expenses Agreement - Cover Sheet
Form LDSS-4623 Adoption Subsidy Agreement And Non-Recurring Adoption Expenses Agreement - Cover Sheet is a form used by the New York State Office of Children and Family Services to facilitate the adoption of a child.