Licensing
(Forms are fillable unless noted.)
Alternative Training Verification 52643/CW 2110
Annual Report Regarding Resource Family Home SF53213
Annual Review Checklist for Foster Family Homes SF 53154
Application for Criminal and Child Protection Services (CPS) History Searches SF 57332
Application for Foster Family Home License 10100/CW 0317
Documents pertinent information about those seeking to provide foster care to children in the care of the state.
Application for Foster Family Home License: Notice of Automatic System Withdrawal SF 53140
Read Only
Child Behavioral/Health Challenges SF53199
Child Care Plan SF54608
Consent to Release of Mental Health and Addiction Records SF 51128
Corrective Action Plan SF 53171
Financial Verification for Foster Family Homes SF 55734
Foster/Adoptive Family Inventory SF 54607
Foster Care Portal and KidTraks User Agreement SF 56856
Initial Inquiry Regarding Foster Family Home Licensure SF 53204
Initial Licensure Checklist for Foster Family Homes SF 53153
In-Service Training Log SF 54611
Licensing Staff Inquiry Regarding Foster Family Home SF 53214
Medical Report for Foster and/or Adoption Home Applicants and Household Members SF 45145
Pre-Service/In-Service Evaluation of Trainee SF 52760
Pre-Service/In-Service Evaluation of Training SF 52759
Record Of Training 46455/CW 0001
Relicensure Checklist for Foster Family Homes SF 53155
Request for Personal Reference Statement for Foster Family Home License Applicants SF 53203
Residential Pool Requirements/Body of Water Safety Plan SF 54609
Resource Family Home Physical Environmental Checklist SF 53186
Resource Family Preparation Assessment
Resource Family Preparation Assessment Cover/Signature Page SF 52795
Resource Home License Transfer SF 54781
Resource Parent Role Acknowledgment SF 54642 [Read-only]
Voluntary Withdrawal of Application for Licensure or Relinquishment of Foster Family Home License
SF 53237/CW 3340
Water Agreement SF 54612
Placement
Indiana Relative/Kinship/Foster Placement Court Reporting Form (Save PDF to your computer for fillable version.)
Child Placing Agency (CPA) and Department Managed Foster Homes Request for Review of Childs Category of Supervision, SF 55158 PDF Word
Resource Parent Complaint Resolution Form
Follow-Up Action for Name-Based Check, 53424
Foster Parent Travel Invoice SF 54836
Foster Parent Travel Invoice Instructions
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
Automated Direct Deposit Authorization Agreement SF47551
W-9 Request for Taxpayer Identification Number and Certification