Mcps Form 334 16 PDF Details

Are you preparing to submit the Mcps Form 334 16? If so, you’re likely feeling a little overwhelmed by all the details and paperwork that life throws at us. Fortunately, we are here to help guide you through the process of filling out this form in order to ensure that your submission is accurate and complete. In this blog post, we will provide an overview of exactly what needs to be done when filing the Mcps Form 334 16 as well as some tips on how best to approach it. Read on for further information about this essential document!

QuestionAnswer
Form NameMcps Form 334 16
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names334 16 informal kinship care affidavit in montgomery county md

Form Preview Example

Informal Kinship Care Status

MCPS Form 334-16

Department of Student ServicesApril 2007

MONTGOMERY COUNTY PUBLIC SCHOOLS

Rockville, Maryland 20850

Section 1: To be completed by Relative Providing Informal Kinship Care

This is to record that the following child is currently in informal kinship care and is eligible to attend the Montgomery County Public Schools.

Name of Relative Providing Kinship Care

Address

 

 

 

 

Street

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

 

Telephone: (home)

 

-

 

-

 

(work)

 

 

 

-

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Student

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth Current Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

/

 

 

 

 

 

 

 

 

 

 

Last School Attended

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maryland County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and Last Known Address of the Child’s Parent/Guardian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

Authority Legally Authorized to Verify Affidavit Information When Possible (This person must be legally authorized to reveal informa- tion which can verify the assertions in the affidavit.)

Name

 

 

 

 

Position

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

City

 

 

 

State Zip

Section 2: To be completed by School Personnel.

Completed and signed affidavit and residency documentation received

Date

 

 

 

/

 

 

/

 

 

 

 

Student ID Number

 

 

MCPS school of enrollment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Informal Kinship Care

 

Documentation Provided

 

 

 

Date

 

 

 

 

 

 

Death of a parent or legal guardian

 

 

 

 

 

 

 

/

 

 

/

 

 

 

Serious illness of a parent or legal guardian

 

 

 

 

 

 

 

/

 

 

/

 

 

 

Drug Addiction of a parent or legal guardian

 

 

 

 

 

 

 

/

 

 

/

 

 

 

Incarceration of a parent or legal guardian

 

 

 

 

 

 

 

/

 

 

/

 

 

 

Abandonment by a parent or legal guardian

 

 

 

 

 

 

 

/

 

 

/

 

 

 

Assignment of a parent or legal guardian to active

military duty

 

 

 

 

 

 

 

 

 

/

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

Signature, Relative Providing Informal Kinship Care

 

 

Relationship

Date

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

Signature. MCPS Representative

 

 

Title

Date

 

 

 

 

DISTRIBUTION: ORIGINAL/Cumulative Folder; COPY 1/Relative; COPY 2/Pupil Personnel Worker; COPY 3/Dept. of Reporting and Regulatory Accountability; COPY 4/Residency Compliance Services

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Step 1: Hit the "Get Form" button above on this page to open our editor.

Step 2: When you open the tool, you will get the document made ready to be filled in. Besides filling out different blank fields, you can also do various other actions with the PDF, that is writing any textual content, changing the original textual content, adding illustrations or photos, signing the PDF, and much more.

As a way to finalize this form, make certain you type in the information you need in each and every blank:

1. Start completing the Mcps Form 334 16 with a selection of essential blanks. Collect all of the required information and ensure nothing is omitted!

Writing segment 1 of Mcps Form 334 16

2. Once this part is complete, you should insert the required particulars in Reason for Informal Kinship Care, Documentation Provided, Date, Death of a parent or legal, Serious illness of a parent or, Drug Addiction of a parent or, Incarceration of a parent or, Abandonment by a parent or legal, Assignment of a parent or legal, military duty, Signature Relative Providing, Signature MCPS Representative, Relationship, Title, and Date in order to proceed further.

Completing segment 2 in Mcps Form 334 16

It's easy to make an error while filling in the Reason for Informal Kinship Care, so make sure that you reread it before you'll send it in.

Step 3: Prior to obtaining the next step, make certain that blank fields were filled in right. When you are satisfied with it, press “Done." Sign up with FormsPal now and instantly use Mcps Form 334 16, all set for download. All alterations made by you are saved , making it possible to change the pdf further when required. FormsPal offers safe document editor with no personal information recording or sharing. Be assured that your information is in good hands here!