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CFS EMERGENCY SHELTER CARE CONTRACTUAL 1. 2009BETWEEN THEORY NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF CHILDREN AND FAMILY SERVICES AND MARK OF HONOR LODGE NORTHERN SERVICE AREA
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How to fill out emergency shelter care contract

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How to fill out emergency shelter care contract

01
To fill out an emergency shelter care contract, follow these steps:
02
Gather all necessary information such as the names and contact information of the parties involved (the shelter provider, the child or children, and the legal guardian or agency responsible for the child's welfare).
03
Start by entering the date at the top of the contract.
04
Clearly state the purpose of the contract, which is to establish the terms and conditions for temporary shelter care for the child or children.
05
Include a brief background or description of the child or children, outlining their current living situation, reasons for needing emergency shelter care, and any known medical or behavioral concerns.
06
Define the duration of the shelter care period, specifying the start and end dates.
07
Outline the responsibilities and obligations of the shelter provider, including provisions for the child's safety, health, education, and basic needs.
08
Specify any conditions or restrictions related to visitation or contact with the child's legal guardian or agency.
09
Address the financial aspects of the shelter care, including any payment arrangements or reimbursement agreements.
10
Include provisions for termination or extension of the contract if necessary.
11
Both parties should carefully review the contract and make any necessary revisions before signing and dating it.
12
Keep a copy of the signed contract for reference and future documentation purposes.

Who needs emergency shelter care contract?

01
Emergency shelter care contracts are needed in situations where a child or children require temporary placement in a shelter due to various reasons, including but not limited to:
02
- Cases of abuse or neglect where the child's safety is at risk within the family home.
03
- Emergency situations such as natural disasters or accidents where the child's immediate living environment is no longer safe or accessible.
04
- Temporary absence or unavailability of the child's legal guardian or agency responsible for their welfare.
05
- Transitions between different foster care placements or residential treatment centers.
06
- Any other circumstances where a child requires temporary shelter and care outside of their permanent living arrangement.
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Emergency shelter care contract is a legal agreement between a provider and a government agency to provide temporary shelter and care for individuals in emergency situations.
Providers who offer emergency shelter care services are required to file the contract.
The contract can be filled out by entering relevant information such as the terms of the agreement, services provided, and signatures of both parties.
The purpose of the contract is to establish the rights and responsibilities of both the provider and the government agency in providing emergency shelter care.
The contract must include details such as the duration of the agreement, payment terms, and any specific requirements for care.
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