Below are frequently requested forms for the specific use by foster parents of Summit County Children Services. Click on the individual PDF links to access the forms. Print and complete the forms and submit them to your Coordinator.
All About Me Booklet – PDF
Applicant Financial Statement (2020) – PDF
Application for Child Placement (8/2022) – PDF
Authorization for Release of Information (Revised 12/14/2023) – PDF
Background Check – PDF
Child Characteristics Checklist for Foster Care and/or Adoption – PDF
Clothing Checklist for SCCS – Foster Children – PDF
Foster Parent Mileage Reimbursement Form 2023 – PDF
Foster Parent Mileage Reimbursement Form 2024 – PDF
Foster/Adoption Parent Caregiver Agreement – PDF
Medication Log (for Prescriptions) – PDF
Medical Statement for Foster Caregiver/Adoptive Applicant and All Household Members (Revised 8/2022) – PDF
Request to Release Social Security Number (Revised 2/11/2020) – PDF
Respite Care (Revised 6/2021) – PDF
SCCS Caregiver Agreement for Discipline, Care, Time-Out, and Prohibition of Seclusion & Restraint – PDF
Travel Form (Revised 5/22/2019) – PDF
Verification for Foster Parents – Employment and School for Caregivers – PDF
Verification for Foster Parents – Day Care License Enrollment – PDF
Provider Respite Forms
JFS 01218 Basic Infant Information
JFS 01234 Child Enrollment and Health Information
JFS 01236 Child Care Plan for Health Conditions and Medical Procedures
