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OCFS2134 (09/2017) NEW YORK STATEOFFICE OF CHILDREN AND FAMILY SERVICES RUNAWAY AND HOMELESS YOUTH INTERIM FAMILY CERTIFICATIONAPPLICATION CHECKLIST Date: / / Interim Family Program Agency County:
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How to fill out runaway and homeless youth

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Gather all necessary documents and information, such as identification documents, proof of residency, and any income or financial information.
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Begin by accessing the runaway and homeless youth application form online or at a designated office.
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Carefully read all instructions and guidelines provided with the form to understand the requirements and ensure accurate completion.
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Fill in personal information sections, including name, contact details, date of birth, and social security number.
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Provide information about current living situation, including whether currently homeless, at risk of homelessness, or seeking emergency shelter.
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Submit the form as instructed, either online or physically at the designated office.
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Who needs runaway and homeless youth?

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Runaway and homeless youth services are designed for individuals who meet the following criteria:
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- Youth who have run away from home or are at risk of running away
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- Youth who are experiencing homelessness
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- Youth who are in immediate need of emergency shelter
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- Youth who are at risk of becoming homeless
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- Youth who may be victims of abuse, neglect, or exploitation
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- Youth who require support, counseling, and assistance in accessing resources to address their specific needs and challenges
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These services aim to provide a safe and supportive environment for young individuals who do not have a stable living situation and may require assistance in various aspects of their lives.

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Runaway and homeless youth are individuals under the age of 18 who have left home without permission and are living on the streets or in unstable housing situations.
Service providers, shelters, schools, and other organizations that work with youth are required to file reports on runaway and homeless youth.
To fill out a report on runaway and homeless youth, organizations must gather information such as the youth's name, age, last known location, reasons for leaving home, and any known risks or safety concerns.
The purpose of reporting on runaway and homeless youth is to ensure their safety and well-being, connect them with services and support, and reunite them with their families if possible.
Reports on runaway and homeless youth must include the youth's name, age, last known location, reasons for leaving home, any known risks or safety concerns, and contact information for the reporting organization.
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