24-Hour Child Abuse and Neglect
(330) 434-KIDS (5437)

Summit County
Children Services

264 S. Arlington St.
Akron, OH 44306
Phone: 330.379.9094
Fax: 330.379.1901
Hearing Impaired: ORS 7-1-1

Assessor Forms

Below is a list of forms that may be needed by Adoption Workers in the field.

Applicant Financial Statement - PDF

Aproval Letter for Foster Only Studies - DOC

Approval Letter for Long Adoption Study - DOC

Approval Letter for Joint Sudies - DOC

Autobiography - PDF

Background Check - PDF

Caregiver Agreement for Discipline - PDF

Child Characteristic Checklist - PDF

Emergency Telephone numbers - PDF

Foster/Adoptive Family Agreement - PDF

Medical Statement - PDF

Reference Personal Questionaire - PDF

Adult Child Reference - PDF

Policy and procedure Acknowledgement - PDF

Release of Information - PDF

Reference Employer - PDF

Reference School Form - PDF

Safety Audit - PDF

Substitute W-9 Form for CSB Parents - PDF

Volunteer Reference - PDF

Written Evacuation Plan - PDF