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This document is designed for the implementation of programs under the New York State Office of Children and Family Services, detailing the agency, program title, projected enrollment, gender and
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How to fill out OCFS-5002 (Rev.12/2010)

01
Begin by obtaining a copy of the OCFS-5002 form.
02
Fill in the name of the agency or organization that is submitting the form.
03
Provide the address of the agency or organization, including city, state, and ZIP code.
04
Enter the contact person's name, title, and phone number for any follow-up questions.
05
Indicate the date the form is being completed.
06
Fill out the applicable sections regarding staff qualifications, program information, and facilities.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form at the bottom where indicated.
09
Submit the form according to the instructions provided, either by mail or electronically.

Who needs OCFS-5002 (Rev.12/2010)?

01
OCFS-5002 (Rev.12/2010) is required by child care providers and agencies that need to apply for or renew their operating certificate.
02
It is used by organizations that are subject to oversight by the New York State Office of Children and Family Services.
03
Potential applicants for child care licensing or those seeking compliance with state regulations must complete this form.
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OCFS-5002 (Rev.12/2010) is a form used by the New York State Office of Children and Family Services for reporting child abuse and maltreatment, specifically designed for use in child welfare cases.
The form OCFS-5002 (Rev.12/2010) must be filed by mandatory reporters, which typically include professionals such as teachers, doctors, and social workers who are legally obligated to report suspected child abuse or maltreatment.
To fill out OCFS-5002 (Rev.12/2010), you need to provide detailed information about the child involved, the nature of the suspected abuse or maltreatment, and your own contact information as the reporter. Follow the instructions included with the form to ensure all required fields are completed.
The purpose of OCFS-5002 (Rev.12/2010) is to facilitate the reporting of suspected child abuse and maltreatment to the appropriate authorities, ensuring the safety and well-being of children in potentially harmful situations.
The information that must be reported on OCFS-5002 (Rev.12/2010) includes details about the child, the suspected perpetrator, the nature and extent of the suspected abuse or maltreatment, and any additional information relevant to assessing the situation.
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