Below are frequently requested forms for the specific use by foster parents of Summit County Children Services. Print and complete the forms and submit them to your Coordinator.
- All About Me Booklet
- Applicant Financial Statement (2020)
- Application for Child Placement (8/2022)
- Authorization for Release of Information (Revised 12/14/2023)
- Background Check
- Child Characteristics Checklist for Foster Care and/or Adoption
- Clothing Checklist for SCCS – Foster Children
- Foster Parent Mileage Reimbursement Form 2025
- Foster Parent Mileage Reimbursement Form 2024
- Foster/Adoption Parent Caregiver Agreement
- Medication Log (for Prescriptions)
- Medical Statement for Foster Caregiver/Adoptive Applicant and All Household Members (Revised 8/2022)
- Request to Release Social Security Number (Revised 2/11/2020)
- Respite Care (Revised 6/2021)
- SCCS Caregiver Agreement for Discipline, Care, Time-Out, and Prohibition of Seclusion & Restraint
- Travel Form (Revised 5/22/2019)
- Verification for Foster Parents – Employment and School for Caregivers
- Verification for Foster Parents – Day Care License Enrollment
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
