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  • ANNOUNCEMENTS
  • About
    • Vision and Values
    • Tell Us How We Are Doing
    • Customer Service Bill of Rights
    • Events
    • Publications
    • News Archive
  • Family Services
    • Child Protective Services
    • Adult Services
    • Foster Care
    • Resource Parent Portal
      • Who To Contact
      • Resource FAQ’s
      • Upcoming Training
      • Forms
    • Who To Contact
    • Foster/Adoptive Parent Inquiry Form
    • Kinship Care
    • Adoption
  • Child Support
    • What Can I Do?
    • Apply For Child Support
    • Establish Paternity
    • Estimate My Child Support Payment
    • Make A Payment
    • Receive Payments Electronically
    • Child Support FAQ’s
    • Child Support Forms
  • Assistance & Benefits
    • Food Stamps (SNAP)
    • Temporary Cash Assistance (TCA)
    • Emergency Assistance
    • Medical Assistance
    • Employment
    • Transportation
    • Resource Partners
      • Lifestyles
      • Salvation Army
      • Southern Maryland Community Network
      • Southern Maryland Tri-County Community Action Committee, Inc
      • SMECO
    • Public Assistance to Entrepreneurship (PA2E)
  • Administration
    • Director’s Office
    • Employment Opportunities at CCDSS
    • Volunteers / Internships
    • Procurement
    • Finance
    • Quality Assurance & Compliance
    • Room Reservations
  • ANNOUNCEMENTS
  • About
    • Vision and Values
    • Tell Us How We Are Doing
    • Customer Service Bill of Rights
    • Events
    • Publications
    • News Archive
  • Family Services
    • Child Protective Services
    • Adult Services
    • Foster Care
    • Resource Parent Portal
      • Who To Contact
      • Resource FAQ’s
      • Upcoming Training
      • Forms
    • Who To Contact
    • Foster/Adoptive Parent Inquiry Form
    • Kinship Care
    • Adoption
  • Child Support
    • What Can I Do?
    • Apply For Child Support
    • Establish Paternity
    • Estimate My Child Support Payment
    • Make A Payment
    • Receive Payments Electronically
    • Child Support FAQ’s
    • Child Support Forms
  • Assistance & Benefits
    • Food Stamps (SNAP)
    • Temporary Cash Assistance (TCA)
    • Emergency Assistance
    • Medical Assistance
    • Employment
    • Transportation
    • Resource Partners
      • Lifestyles
      • Salvation Army
      • Southern Maryland Community Network
      • Southern Maryland Tri-County Community Action Committee, Inc
      • SMECO
    • Public Assistance to Entrepreneurship (PA2E)
  • Administration
    • Director’s Office
    • Employment Opportunities at CCDSS
    • Volunteers / Internships
    • Procurement
    • Finance
    • Quality Assurance & Compliance
    • Room Reservations

Resource Parent Portal Forms

Home/Resource Parent Portal Forms
Resource Parent Portal FormsCharles County DSS2022-07-28T13:46:17-04:00

Initial At-Home Consultation Forms (1st AHC)

  1. Fingerprint Directions
  2. W9 Reimbursement
  3. CPS Background Check
  4. Family Financial Statement
  5. Fire Safety Survey

Home Study

  1. Initial Application – Long Form
  2. Medical Form for Adult – Valid for two years
  3. Medical Form for Child – Valid for two years
  4. Electronic Funds Transfer Form
  5. Resource Parent Income Verification Form
  6. Resource Parent’s Three References & Back-Up Provider – Completed at initial and when changes occurClick here to upload document 
  7.  SAFE Questionnaire – Singles Form
  8. SAFE Questionnaire – Couples I Form
  9. SAFE Questionnaire – Couples II Form
  10. SAFE Compatibility Inventory Form
  11. Fingerprint Directions
  12. Childhood and Family Life ExperiencesClick here to upload document
  13. Educational Records Request
  14. Background Information on Child Care for Foster Care Children Policy Directive
  15. Home Health Report
  16. Autobiography Outline
  17. Initial Home Study Checklist

Recon Forms

  1. Recon Application Long Form
  2. Resource Parent Income Verification Form
  3. Resource Parent’s Three References & Back-Up Provider – Completed at initial and when changes occurClick here to upload document 
  4. Educational Records Request
  5. Background Information on Child Care for Foster Care Children Policy Directive
  6. Home Health Report
  7. Recon Home Study Checklist

Resource Parent Forms

  1. Respite Care Request
  2. Transportation-Reimbursement
  3. Child-Health-Report-(631-E)
  4. Ideas@TheInstitute

Relative & Non-Relative Placement Forms

  1. CPS Background Clearance Form
  2. Request for Taxpayer Identification Number and Certification
  3. Fingerprint Directions
Charles County Department of Social Services
200 Kent Ave, La Plata, MD 20646
(301) 392-6400

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