Voluntary Placement AgreementVoluntary Placement Agreement • February 2nd, 2023
Use of form: This form is required by section 472(f)(2) of the social security act when a child is voluntarily placed in out-of-home care by a parent or legal guardian. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m), Wisconsin Statutes].
This Agreement is entered into by and between the (“DISTRICT”) and School District [insert name of GROUP HOME]Voluntary Placement Agreement • October 14th, 2020 • California
As a result of the recent suspension of AB3632 mandate (Handicapped and Disabled Students I and II, and Seriously Emotionally Disturbed Pupils: Out of State Mental Health Services), Sonoma County Mental Health has determined it no longer has the mandate to continue to provide mental health services for special education services for the ____________________ fiscal year. This Agreement to ensure Voluntary Placement In/Out-of-State Residential Placement services for students with disabilities between the District and [name of GROUP HOME] (hereinafter referred to as “CONTRACTOR”).
Voluntary Placement of ChildrenVoluntary Placement Agreement • January 23rd, 2009
This section pertains to the use of voluntary placement agreements for placing children into the care of a child and family services agency.
Voluntary Placements of Juveniles and Foster CareVoluntary Placement Agreement • February 15th, 2024
VOLUNTARY PLACEMENT AGREEMENTVoluntary Placement Agreement • October 28th, 2020
VOLUNTARY PLACEMENT AGREEMENTVoluntary Placement Agreement • May 8th, 2009
This agreement is made this day of , 20 , by and between the State of Illinois, Department of Children and Family Services, hereinafter referred to as Department and
VOLUNTARY PLACEMENT AGREEMENT — PLACEMENT REQUESTVoluntary Placement Agreement • January 10th, 2023
EXTENDED FOSTER CARE VOLUNTARY PLACEMENT AGREEMENTVoluntary Placement Agreement • November 10th, 2020
County where dependency court was held when you were in the legal custody of the Department of Children and Families (DCF) and turned 18: j
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).
Voluntary Placement AgreementVoluntary 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.
ContractVoluntary Placement Agreement • January 19th, 2018
FORM CFS-7Voluntary 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.
VOLUNTARY PLACEMENT AGREEMENTVoluntary Placement Agreement • November 10th, 2020
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Title 13—DEPARTMENT OF SOCIAL SERVICES Division 35—Children’s Division Chapter 30—Voluntary Placement AgreementVoluntary Placement Agreement • May 5th, 2020
PURPOSE: This rule sets forth procedures to be followed to divert children from Children’s Division (CD) legal custody when a parent is unable to access or afford clinically indicated mental health services for their child and the child otherwise is not the subject of parental abuse, neglect or abandonment.
MEMORANDUMVoluntary Placement Agreement • May 5th, 2020
SUBJECT: VOLUNTARY PLACEMENT AGREEMENTS, THE ADOPTION AND SAFE FAMILIES ACT (ASFA), AND VOLUNTARY PLACEMENT AGREEMENT FACES INSTRUCTIONS
ADMIN LETTER # C.S. 05-01Voluntary Placement Agreement • July 12th, 2016
This letter provides you with the newly revised Voluntary Placement Agreement (VPA) form (DSS 1789). The revised form reflects the shortened time period within which the initial review hearing is to be held (from 180 days from the time of placement to 90 days). The form also reflects the shortened time period that a juvenile may remain in foster care under a Voluntary Placement Agreement without filing a petition (from 180 days to 6 months). The revised form becomes effective January 1, 2002.
ContractVoluntary Placement Agreement • February 15th, 2020
ContractVoluntary 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
DEPARTMENT OF HUMAN RESOURCES SOCIAL SERVICES ADMINISTRATION 311 WEST SARATOGA STREET BALTIMORE MARYLAND 21201Voluntary Placement Agreement • June 28th, 2010
TO: Directors, Local Departments of Social Services; Assistant Directors, Local Departments of Social Services; Child Welfare Supervisors; Family Investment Supervisors; Child Support Supervisors
ContractVoluntary Placement Agreement • December 27th, 2023
FYI FYI FYI FYI FYI FYI FYI FYI FYI FYI Issue 23-20 Date: 12/27/2023 VOLUNTARY PLACEMENT AGREEMENTFOR PLACING A CHILD WITH A PARENT IN A SUBSTANCE ABUSE TREATMENT FACILITYThis FYI is to inform staff of the Voluntary Placement Agreement (VPA) which allows for a new placement type to be funded under the “Family First Prevention Services Act”. An Aid to Families with Dependent Children Foster Care (AFDC-FC) maintenance payment is available to facilities who meet the criteria outlined in ACL 21- 103 for children who are placed with their parent in a licensed family-based substance abuse treatment facility. This new placement type creates an opportunity for the child to remain with their parent while the parent is undergoing substance abuse treatment. In the case of an Indian child, all placements should be utilized in partnership with the child’s Tribe as required under Welfare and Institutions Code (WIC), section 16507.4, subdivision (b)(3). When evaluating the appropriateness of a VPA,
E080-0630 VOLUNTARY PLACEMENT AGREEMENT/PLACEMENTVoluntary Placement Agreement • May 5th, 2020
Children, Adults andFamilies Policy Title: Voluntary Placement Agreement – OAR Policy Number: I-B.1.3.1413-020-0060thru 0090 Effective Date: 03-20-2007 Approved By: on file Date Approved:Voluntary Placement Agreement • March 29th, 2011
• ORS 418.312 When transfer of custody not required; voluntary placement agreement; review of children placed in certain institutions
Voluntary Placement AgreementVoluntary 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
HOPE PROGRAM VOLUNTARY PLACEMENT AGREEMENTVoluntary Placement Agreement • April 6th, 2020
YOUNG ADULT ELIGIBILITY REQUIREMENTS The young adult must have been in the custody of DCYF at the time they turned 18. The young adult must be betweenthe ages of 18 - 21, meet at least one of the following requirements, and provide the eligibility documentation to the Child Protective Service Worker (CPSW) or Juvenile Probation and Parole Officer (JPPO) upon request. Young Adult: I agree to one or more of the following requirements: I am actively completing high school or enrolled in an educational program leading to an equivalent credential (Hi Set or GED). I am participating in a college or vocational school program as a part-time or full-time student for a minimum of 6 hours per semester1. I am participating in a program or activity designed to promote, or remove barriers to employment a minimum of 15 hours per week. I am working (either full or part-time) for at least 80 hours per month at one or more places of employment. I am incapable of the above educational or employment activ
ContractVoluntary Placement Agreement • July 13th, 2007
MODEL VOLUNTARY PLACEMENT AGREEMENT FORMVoluntary Placement Agreement • January 10th, 2002
This model form is provided as guidance to local social services districts in developing their own forms. It contains appropriate language and format following requirements of the Social Services Law and is intended to replace the guidelines form attached to 91 ADM-12.
DEVELOPMENTAL DISABILITIES ADMINISTRATION (DDA) Voluntary Placement Services for Youth (Age 18-20)Voluntary Placement Agreement • November 15th, 2018
This is an agreement between and the Developmental Disabilities YOUTH’S NAME Administration (DDA). A Voluntary Placement Agreement is required for individuals, aged 18 to 20 who have been approved for and in receipt of Voluntary Placement Services, prior to their 18th birthday. It is understood by the youth that the Voluntary Placement Agreement is voluntary. This agreement remains valid when the youth is actively working toward completion of their high school education, General Education Development (GED), or vocational school program. This plan cannot extend past the youth’s 21st birthday.
PLACEMENT/ADDRESS CHANGE FORMVoluntary Placement Agreement • November 16th, 2020
Division 35—Children’s Division Chapter 3o—Voluntary Placement AgreementVoluntary Placement Agreement • May 5th, 2020
PURPOFE: Tkis rule sets fortk procedures to be followed to divert ckildren from Ckildren’s Division (CD) legal custody wken a parent is unable to access or afford clinically indicat- ed mental kealtk services for tkeir ckild and tke ckild otkerwise is not tke subject of parental abuse, neglect or abandonment.
FORM CFS-8Voluntary Placement Agreement • February 10th, 2023
WHEREAS on the day of , , the agency and the applicant(s) entered into a voluntary placement agreement (renewal) with respect to the above child;
VOLUNTARY PLACEMENT AGREEMENTVoluntary 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.
LEGAL FACT SHEETVoluntary Placement Agreement • August 31st, 2023
VPA’s provide an option for counties to support children without a court-ordered removal. VPA’s can be voluntarily agreed upon by parents or guardians, without formal removals but with placements in kinship homes, or when children are already in kinship homes on a temporary basis, i.e., less than 6 months, via “constructive” removals where parents or guardians agree to the placement.1 In both instances, so long as the caregiver is certified as a foster parent, children can remain in the home of a kinship caregiver, without compromising supports, services or funding that would otherwise be available to the caregiver, the parents, and the child if the child had been taken into the public custody of the state.
CINS/FINS Shelter Voluntary Placement AgreementVoluntary Placement Agreement • March 14th, 2007
This shelter is licensed by the Department of Children and Families in accordance with Section 409.175.F.S. as a child- caring agency and receives an Annual Quality Assurance Review by the Department of Juvenile Justice.
Search: Title: Child Welfare ManualVoluntary Placement Agreement • May 5th, 2020
