Forms
- Foster Care
- Additional Information
- Current: Forms
Initial Licensing Forms
- Combined Application for Criminal and Child Protection Services (CPS) History Searches SF 57332
- Application for Foster Family Home License 10100/CW 0317
- Child Behavioral/Health Challenges SF 53199
- Child Care Plan SF 54608
- Direct Deposit Form SF 47551
- Financial Stability of Foster Family Home SF 55734
- Foster Parent Safety Agreement Regarding Firearms and Other Weapons SF 56320
- Indiana Foster Care Portal and Kidtraks User Agreement SF 56798
- Information Systems Access And Use Agreement Indiana Foster Care Portal And Kidtraks User Agreement SF 56856
- Initial Licensure Checklist for Foster Family Homes SF 53153
- Medical Report for Caregivers and Household Members SF 45145
- Record Of Training 46455/CW 0001
- Residential Pool Requirements/Body of Water Safety Plan SF 54609
- Resource Family Home Physical Environmental Checklist SF 53186
- Resource Parent Role Acknowledgment SF 54642 (read-only)
- Water Agreement SF 54612
- W-9 Request for Taxpayer Identification Number and Certification
- W-9 and Direct Deposit Form Instructions
- W-9 and Direct Deposit Form Q&A
Additional documents needed for initial review
- Birth certificates for all household members
- Copies of driver's license for any household members who drive
- Copies of registration for all vehicles
- Copies of auto insurance for all vehicles
- Pet Vaccinations
- Evacuation Plan
- Copies of all marriage/divorce certificates
- Copies of social security cards for all household members
- Proof of income (pay stubs, bank statements, W2s, etc.)
- Family Network Diagram/Genogram
Annual Review Licensing Forms
- Annual Report Regarding Foster Family Home SF 53213
- Combined Application for Criminal and Child Protection Services (CPS) History Searches SF 57332
- In-Service Training Log SF 54611
- Record Of Training 46455/CW 0001
- Resource Family Home Physical Environmental Checklist SF 53186
- Resource Parent Role Acknowledgment SF 54642 (read-only)
- Water Agreement SF 54612
Additional documents needed for annual review
- Pet Vaccinations
Re-license Review Forms
- Combined Application for Criminal and Child Protection Services (CPS) History Searches SF 57332
- Application for Foster Family Home License 10100/CW 0317
- Child Behavioral/Health Challenges SF 53199
- Child Care Plan SF 54608
- Financial Stability of Foster Family Home SF 55734
- Foster Parent Safety Agreement Regarding Firearms and Other Weapons SF 56320
- In-Service Training Log SF 54611
- Medical Report for Caregivers and Household Members SF 45145
- Re-licensure Checklist for Foster Family Homes SF 53155
- Residential Pool Requirements/Body of Water Safety Plan SF 54609
- Resource Family Home Physical Environmental Checklist SF 53186
- Resource Parent Role Acknowledgment SF 54642 (read-only)
- Water Agreement SF 54612
Additional documents needed for re-licensure review
- Fingerprint results
- Copies of driver's license for any household members who drive
- Copies of registration for all vehicles
- Copies of auto insurance for all vehicles
- Pet Vaccinations
- Proof of income (pay stubs, bank statements, W2s, etc.)
Claims and Invoicing
- Automated Direct Deposit Authorization Agreement SF 47551
- Foster Parent Travel Invoice Instructions
- Foster Parent Travel Invoice (Excel) SF 54836
- Record of Child Placement SF 54610
- Relative Parent Travel Invoice Instructions
- Relative Parent Travel Invoice (Excel) SF 54981
- Standard Invoice - Claim for Support of Children Payable from Family & Children Funds (Excel) 28808/DCS 0327
- W-9 Request for Taxpayer Identification Number and Certification
- W-9 and Direct Deposit Form Instructions
- W-9 and Direct Deposit Form Q&A
Miscellaneous
- Alternative Training Verification 52643/CW 2110
- Child Placing Agency (CPA) and Department Managed Foster Homes Request for Review of Child's Category of Supervision SF 55158
- Corrective Action Plans SF 53171
- Consent To Release of Medical, Mental Health And/Or Substance Use Records SF 51128
- Foster Family Home License Transfer SF 54781
- Foster Parent Request Form to Obtain the Social Security Number of a Child in Foster Care for Tax Purposes SF 57304
- Indiana Relative/Kinship/Foster Placement Court Reporting Form (Save PDF to your computer for fillable version.)
- Initial Inquiry Regarding Foster Family Home Licensure SF 53204
- Licensing Staff Inquiry Regarding Foster Family Home SF 53214
- Resource Home License Transfer SF 54781
- Record of Child Placement SF 54610
- Resource Parent Complaint Resolution Form
- Voluntary Withdrawal of Application for Licensure or Relinquishment of Foster Family Home License SF 53237/CW 3340
