In response to overwhelming requests from title IV-E agencies, we have created sample template forms for:
- Requesting background check information from kin;
- Consenting to background checks;
- Evaluating background check information;
- Explaining to kin how to appeal a disqualification decision;
- Processing an out-of-state child abuse and neglect registry check; and
- Conducting kin caregiver assessments.
We developed these template forms using existing agency forms as a baseline, then conducted extensive usability testing with real users to get feedback, clarify confusing words, and make processes more efficient. While you are not required to use these forms, we hope agencies will consider using them and benefit from the extensive testing and design.
You can view these resources along with the complete Kin-Specific Foster Home Approval Recommended Standards of National Organizations here.
Crosswalk Checklist
Use this downloadable crosswalk checklist to help develop your kin-specific process and identify laws and policies that will require revision.
Additionally, review this Implementation Tool which consists of five key steps to support title IV-E agencies and collaborative partners in the implementation of the new federal rule allowing for kin-specific foster care licensing.
Form Templates
Each link below opens a document which can be downloaded for your use.
Background Check Forms
The Background Check Application Form with Cover Letter is a form that includes information about what to expect in the application process:
The Background Check Consent Form is a form that uses plain language to ensure applicants know what they are agreeing to and what their rights are in this process.
Fingerprint Identification Options is a document that lists acceptable identification options for applicants to bring to a fingerprinting appointment.
The Denial and Appeal Letter with Appeal Instructions is a document informing a potential caregiver that their application is denied, ideally in addition to a conversation with a caseworker.
The Criminal History Evaluation Form is a form to evaluate and decide whether to waive child abuse, neglect, or criminal history for a kin caregiver applicant.
The Out-of-State Child Abuse/Neglect Registry Check Form is a form to request out-of-state child abuse and neglect checks.
Kin Caregiver Assessment Forms
The Kin Caregiver Assessment Form is a form for agencies to use when conducting an assessment of caregivers and the physical safety of their home.
The Kin Caregiver Assessment Agency Training Guide is an annotated form to train child welfare agency staff and provide guidance on how to conduct the kin caregiver assessment.
The Kin Caregiver Assessment Question Bank is a document to support agencies updating their own formatted kin caregiver assessment tools by providing the ability to easily copy and edit questions.