NY OCFS-8017 2012-2025 free printable template

OCFS-8017 Rev. 1/2012 Page 1 of 9 FOSTER CARE STATUS NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES In-Care Trial Discharge Discharged to Parent Discharged to Adoption INDIVIDUALIZED HEALTH PLAN IHP BRIDGES TO HEALTH B2H HOME COMMUNITY BASED SERVICES MEDICAID WAIVER PROGRAM INSTRUCTION To be completed by Health Care Integrator HCI.

How to fill out new york ocfs individualized plan printable form

How to fill out NY OCFS-8017

1. Obtain the NY OCFS-8017 form from the official New York State Office of Children and Family Services website.
2. Review the instructions provided with the form to understand the required information.
3. Fill out the identification section with your name, address, phone number, and email.
4. Provide details about the child or children, including their names, birth dates, and social security numbers if applicable.
5. Include information about your relationship to the child and any relevant legal documentation.
6. Complete the signature section, ensuring that you date it appropriately.
7. Review the entire form for accuracy before submission.
8. Submit the completed form according to the provided instructions, either by mail or electronically.

Who needs NY OCFS-8017?

1. Parents or guardians of children who are applying for child care assistance.
2. Child care providers who are seeking to receive subsidies for eligible children.
3. Individuals or agencies involved in child welfare services or support.

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What is NY OCFS-8017?

NY OCFS-8017 is a form used by the New York State Office of Children and Family Services (OCFS) to report specific incidents or events affecting children in care.

Who is required to file NY OCFS-8017?

Individuals or agencies responsible for the care of children, including residential facilities, foster care providers, and certain service providers, are required to file NY OCFS-8017.

How to fill out NY OCFS-8017?

To fill out NY OCFS-8017, applicants must provide detailed information regarding the incident, including the date, time, nature of the incident, involved individuals, and any actions taken.

What is the purpose of NY OCFS-8017?

The purpose of NY OCFS-8017 is to ensure that incidents involving children in care are reported and documented, facilitating oversight, accountability, and necessary follow-up actions.

What information must be reported on NY OCFS-8017?

Information that must be reported on NY OCFS-8017 includes the type of incident, date and time, individuals involved, location, and a description of the actions taken following the incident.