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 11/2024)
• 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