DFCS CHILD SAFETY AGREEMENTChild Safety Agreement • June 25th, 2023
This form contains information about the safety of the safety resourced or placed children in your care by DFCS. Your initials and signature indicate your acknowledgement that the agency has reviewed with you the safety requirements outlined in this form and that you are in agreement with the safety requirements as stated below.
CHILD SAFETY AGREEMENTChild Safety Agreement • November 17th, 2014
This form contains information about the safety of the children placed in your care. Your initials and signature indicate your acknowledgement that the caseworker completing your home study has reviewed with you the safety requirements outlined in this form and that you are in agreement with the safety requirements for adoptive homes as stated below.
DFCS CHILD SAFETY AGREEMENTChild Safety Agreement • May 6th, 2016
This form contains information about the safety of the safety resourced or placed children in your care by DFCS.Your initials and signature indicate your acknowledgement that the agency has reviewed with you the safety requirements outlined in this form and that you are in agreement with the safety requirements as stated below. Animal Safety-As children are the primary victims of animal bites, (I/we) agree to comply with the following mandates listed below to assure the safety of any child placed in (my/our home): Provide close supervision of children when around animals. Refrain from keeping dangerous or aggressive dogs, or other pets, in the home, unless properly secured with a leash, fence or cage, etc. (as discussed in the Foster Parent Manual) Notify DFCS immediately if any dog attacks a child placed in your home. Carefully review the section on Animal Safety in the Foster Parent Manual (Rev. 2001)* Caregivers(s) Initial Below Gun Safety-Firearms take the lives of thousand
