Forms OCFS-LDSS

OCFS-LDSS Forms

The New York State Office of Children and Family Services (OCFS) and Local Department of Social Services (LDSS) have developed a series of forms and documents related to child care benefits, health care plans, evaluations, and inspections. These documents are crucial in maintaining compliance with state regulations and policies by child care providers and parents. In this discussion, we will explore some of the most common OCFS-LDSS forms and their significance.

  • OCFS-LDSS-4433: Child in Care Medical Statement - A medical statement form for children in care
  • OCFS-LDSS-4779: Approval of Your Application for Child Care Benefits (Sample Only) - A sample approval form for child care benefits applications
  • OCFS-LDSS-4780: Denial of Your Application for Child Care Benefits (Sample Only) - A sample denial form for child care benefits applications
  • OCFS-LDSS-4781: Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only) - A sample notice form for changes in child care benefits and family share payments
  • OCFS-LDSS-4782: Notice of Intent to Discontinue Child Care Benefits (Sample Only) - A sample notice form for discontinuation of child care benefits
  • OCFS-LDSS-4784: Approval of Your Redetermination for Child Care Benefits (Sample Only) - A sample approval form for redeterminations of child care benefits
  • OCFS-LDSS-4785: Approval of Your Transitional Child Care Benefits (Sample Only) - A sample approval form for transitional child care benefits
  • OCFS-LDSS-4788: Notice of Evaluation of Child Care Benefits - No Change (Sample Only) - A sample notice form for evaluation of child care benefits without any change
  • OCFS-LDSS-7009: Notice of Child Care Assistance Overpayment and Repayment Requirements (Sample Only) - A sample notice form for overpayment and repayment requirements of child care assistance
  • OCFS-LDSS-7010: Notice of Fraud Determination - Disqualification for Child Care Benefits and Repayment Plan (Sample Only) - A sample notice form for fraud determination resulting in disqualification from child care benefits and repayment plan
  • OCFS-LDSS-7020: Health Care Plan - Day Care Center - A form for the health care plan of a day care center
  • OCFS-LDSS-7021: Health Care Plan - Family Day Care, Group Family Day Care, Small Day Care Center - A form for the health care plan of family day care, group family day care, and small day care centers
  • OCFS-LDSS-7022: Health Care Plan - School Age Child Care - A form for the health care plan of school age child care
  • OCFS-LDSS-7024: Evaluation of my Most Recent Licensing-Registration Experience - A form for evaluating a recent licensing-registration experience
  • OCFS-LDSS-7028: Legally Exempt Informal Child Care Program Inspection Report - A form for inspection reporting of legally exempt informal child care programs
  • OCFS-LDSS-7028-1: Inspection Summary for Legally Exempt Informal Child Care Provider - A summary form for inspection results of legally exempt informal child care providers
  • OCFS-LDSS-7028-2: Corrective Action Plan for Legally Exempt Child Care Provider - A form for corrective action plans of legally exempt child care providers
  • OCFS-LDSS-7028-3: Site Verification of Health Care Plan for Legally Exempt Child Care Provider - A form for site verification of the health care plan of legally exempt child care providers
  • OCFS-LDSS-7028-4: Site Verification of Staff Records for Legally Exempt Child Care Provider - A form for site verification of staff records of legally exempt child care providers
  • OCFS-LDSS-7029: Legally-Exempt Group Child Care Program Inspection Report - A form for inspection reporting of legally-exempt group child care programs
  • OCFS-LDSS-7029-1: Inspection Summary for Legally-Exempt Group Child Care Program - A summary form for inspection results of legally-exempt group child care programs
  • OCFS-LDSS-7029-2: Corrective Action Plan for Legally-Exempt Group Child Care Program - A form for corrective action plans of legally-exempt group child care programs
  • OCFS-LDSS-7029-3: Site Verification of Health Care Plan for Legally-Exempt Group Child Care Program - A form for site verification of the health care plan of legally-exempt group child care programs
  • OCFS-LDSS-7029-4: Supervision, Ratios and Group Sizes in Legally-Exempt Group Child Care Program - A form for supervision, ratios, and group sizes in legally-exempt group child care programs
  • OCFS-LDSS-7029-5: Immunization Record Review in Legally-Exempt Child Care Program - A form for immunization record review in legally-exempt child care programs
  • OCFS-LDSS-7029-6: Site Verification of Staff Records for Legally-Exempt Group Child Care Program - A form for site verification of staff records of legally-exempt group child care programs

In conclusion, the OCFS-LDSS forms and documents play an important role in ensuring the safety and well-being of children who receive child care services. Whether you are applying for benefits, undergoing an evaluation, or operating a child care program, these forms provide critical information and guidance for both providers and parents. It is essential to familiarize yourself with these forms to ensure that you are meeting the necessary requirements and providing quality care for children.

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