Voluntary Placement Agreement Sample Contracts

Voluntary Placement Agreement for an Indian Child (This agreement must be certified by a court of competent jurisdiction.)
Voluntary Placement Agreement • June 19th, 2017

Use of form: Completion of this form is voluntary. The form may be used by child welfare agencies voluntarily placing an Indian child in a foster home or group home to comply with the requirements of the Wisconsin Chapter 48, the Children’s Code and with the federal Indian Child Welfare Act. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m), Wisconsin Statutes]. Note: Do not use this form if the child is less than 11 days old. See Wis. Stat. s. 48.028(5)(a).

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Voluntary Placement Agreement
Voluntary Placement Agreement • September 11th, 2017

Voluntary Consent is given by youth, and the parent(s) and/or guardian(s) of the youth, (hereinafter “Parent/Legal Guardian”) for the youth to enter into and receive services at Harkins House.

FORM CFS-7
Voluntary Placement Agreement • February 10th, 2023

WHEREAS the above-named child is in the actual custody of the applicant(s) who has (have) applied to the agency to take the said child into care beginning on the day of , , and continuing until the day of , , a period not exceeding twelve months;

Voluntary Placement Agreement (This agreement must be recorded with the Menominee Tribal Court)
Voluntary Placement Agreement • February 2nd, 2021

Use of form: Completion of this form is voluntary. This form is required when a child is voluntarily placed in out-of-home care by a parent or legal guardian to comply with Menominee Tribal Code, §§ 278-27 and 278-145.

Contract
Voluntary Placement Agreement • March 15th, 2011

VOLUNTARY PLACEMENT AGREEMENTI, , and I, (check one) parents legal guardians relatives of the child(ren) listed below: NAME BIRTHDAY Voluntarily request that the Department of Children and Families assume responsibility for the care and supervision of said child(ren) and place my child(ren) in the most family like setting available and as close as possible to my home. This setting must be approved by the Department and licensed in accordance with Section 409.175, F.S.I believe this request is in the best interest of my child(ren). I agree to abide by all rules and regulations established by the Department for the protection and welfare of children under its care. I agree to notify the Department of any change in my address. I agree to participate in making permanent placement plans for my child(ren) by attending regular case conferences, keeping appointments and responding to calls and other communications from the Department.I understand that I will be expected to join with the

E080-0630 VOLUNTARY PLACEMENT AGREEMENT/PLACEMENT
Voluntary Placement Agreement • May 5th, 2020
Voluntary Placement Agreement
Voluntary Placement Agreement • October 13th, 2010

County Department of Social Services(DSS) place my child in foster care. This placement is necessary and in my child’s best interest at the present time because

VOLUNTARY PLACEMENT AGREEMENT
Voluntary Placement Agreement • October 24th, 2021

voluntarily request that the Department of Children and Families assume responsibility for the care and supervision of said child(ren) and place my child(ren) in the most family like setting available and as close as possible to my home. This setting must be approved by the Department and licensed in accordance with Section 409.175, F.S.

Voluntary Placement Agreement North Carolina
Voluntary Placement Agreement • July 8th, 2021

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VOLUNTARY PLACEMENT AGREEMENT
Voluntary Placement Agreement • May 21st, 2010
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