Common Contracts
1 similar Guardianship Assistance Agreement contracts
GUARDIANSHIP ASSISTANCE AGREEMENTGuardianship Assistance Agreement • July 26th, 2006
Date(month, day, year) In the matter of: Name of child Name of guardian Name of guardian As the above-named child has met the eligibility criteria for the Assisted Guardianship Program, and as the above-named legal guardian(s) has been determined eligible to receive monthly assistance payments under the Assisted Guardianship Program for the care of the child, the legal guardian(s) and the local Department of Child Services (DCS) office agree to the following: LEGAL GUARDIAN LOCAL DCS OFFICE (1) Apply for appropriate medical insurance coverage, either from a private company or through Medicaid, before or immediately following the creation of the legal guardianship. (2) Assign any rights to receive child support to the Department of Child Services. (3) Use all monthly payments made under this program for the care of the child. (4) Provide any financial and other information requested by the local DCS office for the purposes of an eligibility redetermination that is to occur at least on
