Forms OCFS - Office of Children and Family Services

As a leading agency dedicated to promoting the welfare and safety of children and families in New York State, the Office of Children and Family Services (OCFS) relies heavily on a variety of forms to carry out its mission. These forms serve as a crucial communication tool between agency staff, families, and other stakeholders involved in the care and protection of children. In this discussion, we will explore some of the most commonly used OCFS forms, their purposes, and how they contribute towards achieving the agency's goals.

At OCFS, we are committed to providing high-quality services and resources to support families and ensure the well-being of children. Our forms play an integral role in this effort by facilitating efficient and effective communication between all parties involved in the care of children. From foster care and adoption to child abuse investigations and licensing of child care facilities, these forms are designed to capture critical information and help our staff make informed decisions that benefit families and promote child safety.

• OCFS-LDSS-0792. Day Care Registration form
• OCFS-LDSS-3370. Statewide Central Register Database Check
• OCFS-LDSS-4433. Child in Care Medical Statement
• OCFS-4436. Incident Report for Child Day Care
• LDSS-4443. Child Care Attendance Sheet
• OCFS-4659. Waiver for Submission of a Duplicate Fingerprint Card
• OCFS-LDSS-7002. Medication consent form
• OCFS-LDSS-7006. Individual Health Care Plan for a Child with Special Health Care Needs

Forms groups:

• LDSS Forms
• OCFS-LDSS Forms
• OCFS Forms 0014 - 4410
• OCFS Forms 4411 - 5200E
• OCFS Forms 5200F - 7078

Other forms:

• OCFS-4980: Statewide Central Register Database Check - This form is used to request a search of the statewide child abuse and maltreatment database.
• OCFS-3927: Child Care Center Employee/Child Information Summary - This form is used by child care centers to collect information about employees and children in their care.
• OCFS-6010: Application for Day Care License - This form must be completed by anyone who wishes to operate a day care center in New York State.
• OCFS-7055: Request for Agency Verification of Foster or Adoptive Parent Status - This form is used to verify the status of foster or adoptive parents with an agency.
• OCFS-5008: Notification of Change of Address or Other Significant Event - This form is used by child care providers to notify OCFS of changes in their business or personal information.
• OCFS-4930: Adoption and Foster Care Home Study Checklist - This form provides a checklist for social workers conducting home studies for adoption and foster care.
• OCFS-4707: Child Abuse and Maltreatment Report Form - This form is used to report suspected child abuse or neglect to the appropriate authorities.
• OCFS-4987: Kinship Caregiver Affirmation - This form is used by kinship caregivers to affirm that they are providing care for a child.
• OCFS-6000: Child Care Center Financial Statement - This form is used by child care centers to provide financial information to OCFS.
• OCFS-3661: Health Examination Form - This form is used to document the health status of children in care and is required for all child care providers.
• OCFS-4977: Child Care Time and Attendance Record - This form is used to track the attendance of children in child care.
• OCFS-4700: Statewide Central Register of Child Abuse and Maltreatment (SCR) Request for Information/Records - This form is used to request information or records from the statewide child abuse and maltreatment database.
• OCFS-2907: Parental Consent Form for Children's Residential Facilities - This form is used to obtain consent from parents or guardians for children to participate in a residential program.
• OCFS-4988: Kinship Guardianship Assistance Program (KinGAP) Application - This form is used by kinship caregivers to apply for financial assistance through the KinGAP program.
• OCFS-4989: Kinship Guardianship Assistance Program (KinGAP) Agreement - This form is used to establish a legal guardianship between a kinship caregiver and a child.
• OCFS-4975: Child Care Subsidy Program Application - This form is used by families to apply for financial assistance to help pay for child care expenses.
• OCFS-6005: Child Care Center Enrollment Form - This form is used to enroll children in a child care center.
• OCFS-3971: Child Care Center Personnel Information Sheet - This form is used to collect employment information from child care center personnel.
• OCFS-6003: Child Care Center Admission/Registration Form - This form is used by child care centers to collect basic information about children enrolling in their program.
• OCFS-6052: Child Care Center Incident/Accident Report - This form is used to report any incidents or accidents that occur at a child care center.
• OCFS-6021: Child Care Center Immunization Record - This form is used to document the immunization status of children in care.
• OCFS-6032: Child Care Center Emergency Contact Information - This form is used to collect emergency contact information for children in care.
• OCFS-6016: Child Care Center Complaint Form - This form is used to report complaints about a child care center.
• OCFS-4981: Statewide Central Register Database Check for Employment/Volunteer of Agencies Serving Children, Youth, and Families - This form is used to request a search of the statewide child abuse and maltreatment database for employees or volunteers of agencies serving children, youth, and families.
• OCFS-4969: Affidavit for Foster Parent Recertification - This form is used to recertify foster parents in New York State.
• OCFS-3930: Child Care Center Staff Health Statement - This form is used to document the health status of child care center personnel.
• OCFS-6004: Child Care Center Daily Attendance Record - This form is used to record daily attendance for children in child care.
• OCFS-5013: Criminal History Check Request - This form is used to request criminal history checks for employees or volunteers of child care

• LDSS-2221A: Child Care Subsidy Application - An application for financial assistance with child care costs.
• LDSS-2221B: Child Care Subsidy Redetermination - A form used to review and renew a family's child care subsidy.
• LDSS-4826: Home Study Request for Adoption or Foster Care - A request for a home study to determine eligibility for adoption or foster care.
• LDSS-4828: Foster Parent Application - An application to become a foster parent.
• LDSS-4827: Adoption Application - An application to adopt a child.
• LDSS-4433A: Child Protective Services Report - Supplemental - A supplemental form used to provide additional information about a child abuse or neglect report.
• LDSS-4972: Child Care Market Rate Survey - A survey used to determine the market rate for child care in a specific area.
• LDSS-4433B: Child Protective Services Report - Addendum - An additional form used to add information to a child abuse or neglect report.
• LDSS-2921: Child Protective Services - Family Assessment Response - A form used to assess the safety of a child in a family.
• LDSS-2921A: Child Protective Services - Family Assessment Response - Addendum - An additional form used to add information to a family assessment response.
• LDSS-2921B: Child Protective Services - Family Assessment Response - Supplemental - A supplemental form used to provide additional information about a family assessment response.
• LDSS-2923: Child Protective Services - Safety Assessment - A form used to assess the safety of a child in a specific situation.
• LDSS-2924: Child Protective Services - Risk Assessment - A form used to assess the level of risk to a child in a specific situation.
• LDSS-2925: Child Protective Services - Service Plan - A plan outlining the services needed to ensure a child's safety and well-being.
• LDSS-2926: Child Protective Services - Case Record Checklist - A checklist used to ensure that all necessary documentation is included in a child protective services case file.
• LDSS-2927: Child Protective Services - Case Summary - A summary of a child protective services case.
• LDSS-2927A: Child Protective Services - Case Summary - Addendum - An additional form used to add information to a case summary.
• LDSS-2928: Child Protective Services - Case Plan - A plan outlining the steps needed to ensure a child's safety and well-being.
• LDSS-2929: Child Protective Services - Case Review Summary - A summary of a case review meeting.
• LDSS-2929A: Child Protective Services - Case Review Summary - Addendum - An additional form used to add information to a case review summary.
• LDSS-2930: Child Protective Services - Case Closure Summary - A summary of the closure of a child protective services case.
• LDSS-2930A: Child Protective Services - Case Closure Summary - Addendum - An additional form used to add information to a case closure summary.
• LDSS-3149: Child Care Provider Agreement - An agreement between a child care provider and a parent or guardian.
• LDSS-3499: Child Care Provider Application - An application to become a licensed child care provider.
• LDSS-4148: Child Care Market Rate Survey - Provider - A survey used to determine the market rate for child care provided by a specific provider.
• LDSS-4149: Child Care Market Rate Survey - Parent - A survey used to determine the market rate for child care in a specific area.
• LDSS-4161: Child Care Provider Agreement Amendment - An amendment to an existing child care provider agreement.
• LDSS-4162: Child Care Provider Agreement Termination - A form used to terminate a child care provider agreement.
• LDSS-4163: Child Care Provider Application - Supplemental - A supplemental form used to provide additional information about a child care provider application.

In conclusion, the use of forms is an essential part of the work carried out by the Office of Children and Family Services in New York State. Through these forms, we are able to gather important information, communicate effectively with families and other stakeholders, and make informed decisions that ensure the safety and well-being of children. We remain committed to utilizing these tools effectively and efficiently to provide the best possible services and support to families across the state. Thank you for joining us today in exploring the critical role of OCFS forms in promoting the health, safety, and happiness of New York's children and families.