Foster Care and Adoption
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Resource Family Criminal Record Statement (RFA 01B)
Resource Parent Application I (RFA01A – one per family)
Resource Parent Application II
SAFE Questionnaire I (for couples)
SAFE Questionnaire I (for single parents)
Live Scan Request Form (A1585 – 3 forms per parent)
Resource Family Criminal Record Statement (RFA 01B – for all adults in the home)
Personal References Form
Release of Information – Employment(as applicable)
Babysitter/Additional Adult Household Member Agreement
• Children’s Questionnaire (given during interviews)
Emergency Disaster Plan
• Evidences of Homeowner’s Liability Insurance
• Family Capability Inventory (given during interviews)
EF Income & Expense Worksheet
Facility Sketch
• Immunizations for all pets and Licenses for dogs (must be current)
• SAFE Questionnaire II (given during interviews – to be given by the Home Study Worker)
• School report cards (must be current and for all school age children in the home)
• Signature Page (given during interviews)
• Support System List (given during interviews)
• Copy of most recent Tax Return (Only the first 2 pages of the federal form is needed)
Resource Family Approval Health Screening (RFA 07 – All Applicants and Adults residing in the home)
Supplement to Resource Family Health Screening (All applicants)
• TB Test or Screening form (All applicants and Adults residing in the home)
• Most recent Physical Examination for all children in the home & up-to-date immunizations
**All training must be completed prior to the final interview**
• Completion of Orientation (In Class Training)
• Completion of Pride Training (In Class Training)
• CPR certification/ First Aid certification (You can take at Extraordinary Families or in the community. Must cover Adult, child, and infant)
• Foster Parent College (Online – Must be registered with Family Recruitment Specialist)
• Introduction to LGBTQ Competency
• Water Safety certification
Acknowledgment of Requirement to Report Suspected Child Abuse
Confidentiality Agreement and Policy
Declaration of Understanding and Resource Parent Acknowledgment
Discipline Guidelines and Agreement
Non-Discrimination Policy/Agreement
Pet Safety Policy and Contract
Smoke Free Environment Agreement/Plan
Swimming Pool/Spa Agreement
Weapon Safety Agreement
Criminal Clearance Guidelines/Agreement
Policy Acknowledgment Form
• NOTE: This form will be emailed to you during the interview process by our Foster Care/Adoptions Assistant for you to fill out electronically, print, sign, and email back
• Family Capability Inventory
• Support System List
• Loss Chart
• Scheduling Activity
• Death Certificate of Spouse
• Discharge papers from Armed Services
• Copy of California Driver’s License (Copy must be in color and enlarged)
• DMV Driving Record Printout (Must be a 10-year report. DMV form can be sent directly to DMV via mail or brought in to a DMV office. Please Note: Online reports only go back 5 years and cannot be accepted for approval)
Driving Record Disclosure
Vehicle Inspection Form(For all vehicles that may be used to transport children)
• Vehicle Insurance (For all vehicles that may be used to transport children)
Vehicle Liability Statement
• Marriage Certificate
• Divorce Decree
• Child Support Verification
• Court order finalizing prior adoptions
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