Form 07Lc047E PDF Details

Ensuring the safety and well-being of children placed in foster care or independent living arrangements is a priority that necessitates thorough oversight and regulation. The 07LC047E form, known as the Agency Certification Report, plays a critical role in this process. This document is a tool used by child placing agencies to affirm to the Oklahoma Department of Human Services (OKDHS) that every foster home or independent living setup under their jurisdiction meets the stringent licensing requirements established for child placing agencies. The form mandates completion in duplicate by a representative of the child placing agency, capturing a wide array of essential information. This includes but is not limited to, detailed identifying data about the foster home, personal details of the foster parents such as social security numbers, contact information, demographic details, and compliance status with the Oklahoma Child Care Facilities Licensing Act. The inclusion of information about other household members and specifics regarding the setting of independent living arrangements highlights the comprehensive nature of this certification tool. Through this certification, agencies not only ensure compliance with state regulations but also demonstrate their commitment to providing safe and nurturing environments for children in need.

QuestionAnswer
Form NameForm 07Lc047E
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescertifies, E-mail, completing, Certification

Form Preview Example

Agency Certification Report

The child placing agency certifies to OKDHS that each foster home or independent living arrangement complies with the licensing requirements for child placing agencies. The form is completed in duplicate by the child placing agency representative.

Child placing agency

County

Name of staff completing form

Phone number

Street address

City

State

Zip + 4

Foster home

Identifying information

Family name

County

Street address

City

State

Zip + 4

Foster parents

Head of household 1

 

Date of birth

Social Security number

 

 

 

 

Home phone

Work phone

Cell phone

 

 

 

 

Fingerprint date

E-mail

 

 

 

 

 

Gender

Marital status

Language

 

 

 

Primary race

Secondary race

Hispanic or Latino origin

 

 

 

Yes

No

 

 

 

 

 

 

 

 

Head of household 2

 

Date of birth

Social Security number

 

 

 

 

Home phone

Work phone

Cell phone

 

 

 

 

Fingerprint date

E-mail

 

 

 

 

 

Gender

Marital status

Language

 

 

 

Primary race

Secondary race

Hispanic or Latino origin

 

 

 

Yes

No

Form 07LC047E (OCC-47) revised 4-15-2010 may continue on next page, page 1 of 2

Other household members

Date of birth

Relationship

Resource school district:

Independent living

Street address

City

State

Zip +4

Number of residents

Age range

I hereby certify that the above living situation complies with the requirements for licensing under the provisions of the Oklahoma Child Care Facilities Licensing Act. (10 O.S. § 401-415)

Agency representative

Date

Original: State Office, Oklahoma Child Care Services

Copy: Child placing agency file

County Child Welfare agency liaison

Form 07LC047E (OCC-47) revised 4-15-2010 may continue on next page, page 2 of 2

How to Edit Form 07Lc047E Online for Free

Should you would like to fill out OKDHS, it's not necessary to install any software - simply try using our online tool. Our editor is consistently evolving to give the very best user experience possible, and that is due to our resolve for constant improvement and listening closely to comments from users. It merely requires a few basic steps:

Step 1: Access the form in our editor by hitting the "Get Form Button" in the top section of this page.

Step 2: As you launch the online editor, you will find the form all set to be completed. In addition to filling out different fields, it's also possible to do several other things with the PDF, including adding your own words, changing the original text, adding illustrations or photos, putting your signature on the PDF, and more.

When it comes to blank fields of this particular form, here is what you should do:

1. While completing the OKDHS, ensure to include all of the necessary blank fields within its relevant part. It will help to expedite the work, allowing your details to be handled efficiently and accurately.

Completing part 1 in completing

2. After filling in this section, head on to the subsequent part and enter the essential details in all these blank fields - Gender, Marital status, Language, Primary race, Secondary race, Hispanic or Latino origin Yes, Head of household, Date of birth Social Security, Home phone, Work phone, Cell phone, Fingerprint date, Email, Gender, and Marital status.

Part # 2 in filling in completing

3. This third part is hassle-free - complete all the empty fields in Other household members, Date of birth, Relationship, Resource school district, Independent living, Street address, City, State Zip, Number of residents, Age range, and I hereby certify that the above to complete the current step.

The best ways to complete completing part 3

When it comes to Street address and State Zip, make certain you get them right here. Both of these are thought to be the key fields in this form.

Step 3: Be certain that your information is right and then click on "Done" to proceed further. After starting a7-day free trial account with us, you'll be able to download OKDHS or send it through email promptly. The PDF form will also be easily accessible through your personal account with your every edit. FormsPal ensures your information privacy via a secure system that never records or distributes any sort of personal information used in the file. Be confident knowing your documents are kept safe any time you work with our tools!