Related Forms

Listed are forms that are required for the foster adoption application. Please download and complete the forms. If you have questions feel free to contact our recruitment staff at 408-299-KIDS for assistance. Also listed below are links to the California State Department of Community Care Licensing. There you will find more information on licensing regulations for the state of California.

This form is an additional child abuse/neglect check for persons who have lived out of state in the last five years. Complete one form for each prospective licensed or certified foster parent and any person over the age of 18 residing in the household.

This form must be completed by all applicants for a facility license, (i.e., all individuals, each partner in a partnership, or chief executive officer or authorized representative in a corporation.) If more space is required, attach additional sheet.

We are required by law to check the names of all persons who apply for a license or seek employment in a child day care or residential facility caring for children against the Child Abuse Central Index. Persons required to submit fingerprints for a child care facility (day or residential) must also fill out this form. Please complete the information below. The Licensee is responsible for submitting fingerprints and this form along with the Child Abuse Central Index Check processing fee to the county licensing office.

This form is written documentation of contact information for licensed home in the event of a disaster.

Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The floor sketch must label rooms such as the kitchen, bath, living room, etc. Circle the names of the rooms that will be used by staff/residents/clients/children. Door and window exits from the rooms must be shown in case of an emergency (see Emergency Disaster Plan). Show room sizes (e.g. 8.5 x 12). Keep close to scale.

This is the application form for a Foster Family Home license.

This form is supplemental information regarding prospective foster parent licensee.

All personnel, including applicant, licensee or employed staff of Residential Care Facilities for the Elderly, Community Care or Child Care Facilities must demonstrate that their health condition allows them to perform the type of work required. This health appraisal is to be completed by or under the direction of a physician.

Applicants must disclose and provide a detailed explanation of the circumstances for all felony convictions and all misdemeanor convictions since the age of 18.

To complete your Foster Care Application/Adoptions Homestudy Application, we are requesting that you provide four (4) personal references.

This form establishes the preference of language the licensee prefers to have communication in.

This form establishes the preference of language the licensee prefers to have communication in.

This form is documentation that you sign acknowledging that you are required to report suspected child abuse.