WATER AGREEMENT State Form 54612 (R3 / 3-22) DEPARTMENT OF CHILD SERVICESWater Agreement • May 16th, 2024
Contract Type FiledMay 16th, 2024INSTRUCTIONS: This agreement is to be completed by foster parents or applicants for foster home licensure. This agreement should be completed for initial licensure, annual review, and relicensure of foster homes. The foster parents or applicants and the licensing worker must sign and date the agreement upon completion. The licensing worker will maintain the form with original signatures in the licensing file. A copy will be provided to the foster parents or applicants for their records.