LDSS-4703. Health Care Plan Legally-Exempt Group Child Care Program
Form LDSS-4703, Health Care Plan Legally-Exempt Group Child Care Program, is a NYS Office of Children and Family Services form that is used to document the health care plan of a legally-exempt group child care program.
LDSS-4783. Delinquent Family Share for Child Care Benefits(Sample Only)
Form LDSS-4783 Delinquent Family Share for Child Care Benefits is a form used when a family has an overdue payment for childcare benefits from the New York State Office of Children and Family Services (OCFS).
LDSS-4809. Initial Foster Child Eligibility Checklist
Form Initial Foster Child Eligibility Checklist is a New York State Office of Children and Family Services form designed to help facilitate the process of determining eligibility for foster care. It is used to assess a child’s eligibility for the services and supports of foster care.
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.
LDSS-7000. Health Care Plan for the Administration of Medication for Legally-Exempt Provider
Form LDSS-7000, Health Care Plan for the Administration of Medication for Legally-Exempt Provider, is used to provide the New York State Office of Children and Family Services (OCFS) with the necessary information to grant formal approval for a legally-exempt provider to administer medication to
LDSS-7003. Verbal Medication Consent Form and Log of Administration
Form LDSS-7003, Verbal Medication Consent Form and Log of Administration is a New York State Office of Children and Family Services form used to document parents' consent for the administration of medication to their children while in foster care.
LDSS-7004. Log of Medication Administration
Form LDSS-7004, Log of Medication Administration is a form used by the New York State Office of Children and Family Services to document the administration of medication to children in their care. It is used by staff in residential facilities, daycare, and community-based programs.
LDSS-7005. Medication Error Report Form
Form LDSS-7005, the Medication Error Report Form, is a form used by the New York State Office of Children and Family Services to record medication errors that occur in residential care facilities.
LDSS-7005-S. Formulario de Informe de Error de Medicacion
Form LDSS-7005-S, the New York State Office of Children and Family Services (OCFS) Medication Error Report Form, is used to document and report medication errors that occur in the administration of medication in a child care setting.
LDSS-7014. FTHA Personal History of Applicant Family Type Home for Adults
Form FTHA Personal History of Applicant Family Type Home for Adults is a document used to provide information and evidence related to the applicant's family history to the Office of Children and Family Services for adult group home licensure.