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Clarets form may be used to apply for Medicaid ONLY, by either CBC, DJ, or WINS/FINS agencies. Child In CareMEDICAID APPLICATION Go To Page 2SECTION ONE: Demographic InformationCurrent Florida Case
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How to fill out child in care request

01
To fill out a child in care request, follow these steps: 1. Gather all the necessary information and documents about the child such as their name, age, medical history, educational background, and any relevant legal documents.
02
Contact the appropriate child welfare agency or department in your locality. They will provide you with the necessary forms or guide you on how to access them online.
03
Fill out the request form completely and accurately. Provide as much detail as possible about the child's situation and needs.
04
Attach any supporting documents required, such as medical records, court orders, or statements from professionals involved in the child's care.
05
Double-check all the information provided and make sure there are no errors or missing details.
06
Submit the filled-out request form along with the supporting documents to the designated agency or department, either in person, via mail, or through an online portal if available.
07
Keep a copy of the request form and supporting documents for your records.
08
Follow up with the agency or department to ensure that your request has been received and processed. You may need to provide additional information or attend meetings or interviews as part of the process.
09
Cooperate with the agency or department throughout the assessment and placement process. Be prepared to answer any additional questions or provide further documentation if requested.
10
Await the decision and outcome of the child in care request. This may take some time depending on the individual circumstances and the availability of suitable placements.
11
If the request is approved, work closely with the agency or department to facilitate the placement and transition of the child into their new care arrangement.
12
If the request is denied, seek guidance from the agency or department on alternative options and resources that may be available.

Who needs child in care request?

01
Child in care requests are typically needed by individuals or entities involved in child welfare and protection, such as:
02
- Foster parents or prospective foster parents who wish to be considered as a placement option for a child in need of care.
03
- Relatives or extended family members who are seeking custody or guardianship of a child who is at risk or in need of alternative care.
04
- Adoptive parents or prospective adoptive parents who are in the process of adopting a child and require the child to be placed in their care temporarily.
05
- Child welfare agencies or departments responsible for assessing and determining appropriate care arrangements for children in need of protection or support.
06
- Legal professionals representing the interests of children in court proceedings or custody disputes.
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A child in care request is a formal request made to seek care for a child who is in need of protection or support.
Parents, legal guardians, or individuals responsible for the care of a child are required to file a child in care request.
To fill out a child in care request, one must provide detailed information about the child's situation, including reasons for seeking care and any relevant background information.
The purpose of a child in care request is to ensure the safety and well-being of a child who is in need of protection or support.
Information reported on a child in care request may include the child's name, age, living situation, reasons for seeking care, and any relevant background information.
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