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AUD 7202 Auditor of State - Welfare Audits and Investigation AUD 8123 Affidavit AUD 8123-I Instructions for Completion of Affidavit AUD 8183 Application for Replacement Warrant AUD 8184 Application for Replacement Warrant (Holder in Due Course) AUD 8184-I Application for Replacement Warrant (Holder in Due Course) Instructions Instructions for Completing JFS 01653 Medical Statement for Foster Care/Adoptive Applicant and all Household Members JFS 00147 Title Adoption Assistance Connections (AAC) to Age Twenty-One Application JFS 00148 Title IV-E Adoption Assistance Connections to Age Twenty-One Agreement JFS 00149 Title IV-E Adoption Assistance Connections (AAC) to Age Twenty-One Semi-annual Assurance of Parental Responsibility and Eligibility for Continued Medicaid Coverage JFS 00150 "Title IV-E Adoption Assistance Connections (AAC) to Age Twenty-One Adopted Young Adult Semi-annual Assurance of Parental Responsibility and Eligibility for Continued Medicaid Coverage JFS 01050 Application for Post Adoption Special Services Subsidy JFS 01050-A Approval for Post Adoption Special Services Subsidy JFS 01050-AI Instructions for Completing JFS 01050-A, Approval for Post Adoption Special Services Subsidy JFS 01050A-SPA Approval for Post Adoption Special Services Subsidy (Spanish Version) JFS 01050-I Instructions for Completing JFS 01050, Application for Post Adoption Special Services Subsidy JFS 01050-SPA Application for Post Adoption Special Services Subsidy (Spanish Version) JFS 01051 Application for Additional Post Adoption Special Services Subsidy Funding for Extraordinary Circumstances JFS 01051-I Instructions for Completing JFS 01051, Application for Additional Post Adoption Special Services Subsidy Funding for Extraordinary Circumstances JFS 01051-SPA Application for Additional Post Adoption Special Services Subsidy (PASS) Funding (Spanish Version) JFS 01052 Credentials for Providers of PASSS Funded Therapeutic Services and Memorandum of Understanding JFS 01200 Fire Inspection Report for Homes or Residential Facilities Certified/Approved by ODJFS JFS 01290 Application for Certification of Agency Functions JFS 01291 FCL Criminal Records Check Document Cover Sheet JFS 01301 Retained Applicant Fingerprint Database Post-Notification Report JFS 01315 Notification of Denial of Initial Certification, Recertification or Revocation of a Foster Home Certificate JFS 01317 Recommendation for Certification/Recertification of a Foster Home JFS 01318-I Instructions for Completing the JFS 01318, SACWIS Private Agency Provider Request JFS 01331 Notice of Expiration and Reapplication for a Foster Home Certificate or Adoption Homestudy Approval JFS 01331-SPA Notice of Expiration and Reapplication for a Foster Home Certificate or Adoption Homestudy Update/Amendment (Spanish Version) JFS 01334 Recommendation for Transfer of a Foster or Adoptive Home JFS 01348 Safety Audit JFS 01376 Waiver Request for Agency Rules, CRCs and Group Homes JFS 01385 Assessment for Child Placement Update JFS 01390 ODJFS Medical Statement for Child Care Staff in Residential Facilities JFS 01400 Comprehensive Assessment and Planning Model - I.S., Family Assessment JFS 01400-I Comprehensive Assessment and Planning Model - I.S., Family Assessment Instructions JFS 01401 Comprehensive Assessment and Planning Model - I.S., Safety Assessment JFS 01401-I Comprehensive Assessment and Planning Model - I.S., Safety Assessment Instructions JFS 01402 Comprehensive Assessment and Planning Model - I.S., Ongoing Case Assessment/Investigation JFS 01402-I Comprehensive Assessment and Planning Model - I.S., Ongoing Case Assessment/Investigation Instructions JFS 01403 Specialized Assessment/Investigation JFS 01403-I Specialized Assessment/Investigation Instructions JFS 01404 Comprehensive Assessment and Planning Model - I.S., Reunification Assessment JFS 01404-I Comprehensive Assessment and Planning Model - I.S., Reunification Assessment Instructions JFS 01409 Comprehensive Assessment and Planning Model - I.S., Safety Plan for Children JFS 01409-I Comprehensive Assessment and Planning Model - I.S., Safety Plan for Children Instructions JFS 01409-SPA Comprehensive Assessment and Planning Model - I.S., Safety Plan for Children (Spanish Version) JFS 01410 Comprehensive Assessment and Planning Model - I.S., Case Plan JFS 01410-I Comprehensive Assessment and Planning Model - I.S., Case Plan Instructions JFS 01410-SPA Comprehensive Assessment and Planning Model - I.S., Case Plan (Spanish Version) JFS 01411 Comprehensive Assessment and Planning Model - I.S., Case Plan Amendment Sheet JFS 01411-I Comprehensive Assessment and Planning Model - I.S., Case Plan Amendment Sheet Instructions JFS 01412 Comprehensive Assessment Planning Model - I.S. Semiannual Administrative Review (SAR) JFS 01412-I Comprehensive Assessment Planning Model - I.S. Semiannual Administrative Review (SAR) Instructions JFS 01412-SPA Comprehensive Assessment and Planning Model - I.S., Semiannual Administrative Review (Spanish Version) JFS 01413 Comprehensive Assessment Planning Model - I.S. Case Review JFS 01413-I Comprehensive Assessment Planning Model - I.S. Case Review Instructions JFS 01416 Semiannual Administrative Review Summary (For Private Child Placing Agency Use Only) JFS 01416-I Semiannual Administrative Review Instructions (For Private Child Placing Agency Use Only) JFS 01421 Application for Reimbursement of Title IV-E Nonrecurring Adoption Expenses JFS 01421-I Instruction for Completing JFS 01421, Application for Reimbursement of Title IV-E Nonrecurring Adoption Expenses JFS 01421-SPA Application for Reimbursement of Nonrecurring Adoption Expenses (Spanish Version) JFS 01421-SPA-I Instructions for Completing the JFS 01421-S, Application for Reimbursement of Nonrecurring Adoption Expenses (Spanish Version) JFS 01435-I Instructions for Completing the Referral of Title IV-E Foster Care Maintenance Recipient for Child Support Services JFS 01438 Agreement for Payment or Reimbursement for Title IV-E Nonrecurring Expenses Incurred in the Adoption of a Child with Special Needs JFS 01438-SPA Agreement for Payment or Reimbursement for Nonrecurring Expenses Incurred in the Adoption of a Child with Special Needs (Spanish Version) JFS 01440 Child Abuse and Neglect Protective Service Alert Report JFS 01441 Notification of Student Out-Of-Home Placement and Request for Transfer of Records JFS 01443 Child's Education and Health Information JFS 01443-I Child's Education and Health Information Instructions JFS 01443-SPA Child's Education and Health Information (Spanish Version) JFS 01443-SPA-I Child's Education and Health Information Instructions (Spanish Version) JFS 01447 Assessment of Relative or Nonrelative Substitute Caregiver JFS 01447-I Instructions for Completing JFS 01447, Assessment of Relative or Nonrelative Substitute Caregiver JFS 01449 Determination for Special Needs- Medical, Mental Health or Rehabilitation Care JFS 01451 Title IV-E Adoption Assistance Application JFS 01451-A Title IV-E Adoption Assistance Eligibility Determination JFS 01451-B Title IV-E Adoption Assistance Annual Assurance of Legal Responsibility, School Attendance and Eligibility for Continued Medicaid Coverage JFS 01451-SPA Title IV-E Adoption Assistance Application (Spanish Version) JFS 01452-AI Title IV-E Foster Care Maintenance Redetermination Instructions JFS 01452-I Title IV-E Foster Care Maintenance Application for Initial Eligibility Instructions JFS 01453 Title IV-E Adoption Assistance Agreement JFS 01454 Approval and Agreement for Title IV-E Retroactive Adoption Assistance Payments JFS 01470 Title IV-E Adoption Assistance State Mediation Conference Request JFS 01501 Application for Kinship Permanency Incentive JFS 01501-SPA Application for Kinship Permanency Incentive (Spanish Version) JFS 01502 Notice of Incomplete Kinship Permanency Incentive Application JFS 01503 Notice of Approval For Kinship Permanency Incentive Funds JFS 01503-SPA Notice of Approval For Kinship Permanency Incentive Funds (Spanish Version) JFS 01504 Notice of Denial For Kinship Permanency Incentive Funds JFS 01504-SPA Notice of Denial For Kinship Permanency Incentive Funds (Spanish Version) JFS 01510 Safety Plan for Children JFS 01510-I Safety Plan for Children Instructions JFS 01530 Large Family Assessment JFS 01607 MEPA Educational Materials JFS 01608 Licensed Professional's Statement JFS 01609 Family Permanency Planning Data Summary JFS 01609-I Family Permanency Planning Data Summary Instructions JFS 01610 Child's Permanency Planning Data Summary JFS 01610-I Child's Permanency Planning Data Summary Instructions JFS 01611 Non-Discrimination Requirements for Foster Care and Adoptive Placements JFS 01613 Application for State Adoption Subsidy JFS 01613-SPA Application for State Adoption Subsidy (Spanish Version) JFS 01613-SPA-I Application for State Adoption Subsidy Instructions (Spanish Version) JFS 01614 Redetermination or Amendment of a State Adoption Maintenance Subsidy JFS 01614-I Instructions for Completing the Redetermination or Amendment of a State Adoption Maintenance Subsidy JFS 01615 Approval for State Adoption Maintenance Subsidy JFS 01615-I Instructions for Completing JFS 01615 State Adoption Maintenance Subsidy Agreement JFS 01615-SPA Approval for State Adoption Subsidy (Spanish Version) JFS 01616 Social and Medical History JFS 01616-SPA Social and Medical History (Spanish Version) JFS 01617 Bridges Voluntary Participation Agreement JFS 01618 Bridges Notice of Denial JFS 01619 Bridges Notice of Ineligibility JFS 01620 Bridges Notice of Termination JFS 01621 Bridges Voluntary Withdrawal Request JFS 01622 State Hearing Request JFS 01638-I Instructions for Micro-FACSIS Private Agency (PCPA only) Sibling Group Resource Data and Events JFS 01640 Interstate Compact on the Placement of Children (ICPC) Transmittal JFS 01645 Agreement for Temporary Custody of Child JFS 01645-SPA Agreement for Temporary Custody of Child (Spanish Version) JFS 01652 Credential of Professional Providers of PASSS Funded Therapeutic Services and Memorandum of Understanding JFS 01652-I Credential of Professional Providers of PASSS Funded Therapeutic Services and Memorandum of Understanding JFS 01653 Medical Statement for Foster Care/Adoptive Applicant and all Household Members JFS 01654 Adoptive Placement Agreement JFS 01654-SPA Adoptive Placement Agreement (Spanish Version) JFS 01661 Interstate Compact Placement Request (ICPC 100A) JFS 01661-I Instructions for Completing JFS 01661 Interstate Compact Placement Request (ICPC 100-A) JFS 01662 Interstate Compact Report on Child's Placement Status (ICPC 100B) JFS 01663 Sending State's Priority Home Study Request JFS 01666 Permanent Surrender of Child JFS 01666-SPA Permanent Surrender of Child (Spanish Version) JFS 01667 Adoption Information Disclosure JFS 01667-SPA Adoption Information Disclosure (Spanish Version) JFS 01669 Delegation of Authority for Sensitive SACWIS Data Corrections JFS 01671 Sensitive SACWIS Data Correction Request JFS 01673 Assessment for Child Placement (Homestudy) JFS 01673A Child Characteristics Checklist for Foster Care and/or Adoption JFS 01673-I Instructions for Completing JFS 01673 Assessment for Child Placement JFS 01674 Statement of Assurance JFS 01675 Ohio Adoption Guide: A Handbook for Prospective Adoptive Families JFS 01676 For Birth Parents: Are You Thinking About Making An Adoption Plan? JFS 01678 Foster Care Exit Interview JFS 01679 Request for Notification JFS 01680 Verification of Assessor Qualifications JFS 01681 Applicant Financial Statement JFS 01681-SPA Applicant Financial Statement (Spanish Version) JFS 01682 Psychotropic Medication Toolkit for Public Children Services Agencies JFS 01684 Contact Preference for the Birth Parent(s) of Adopted Children JFS 01688 Individualized Child Assessment JFS 01688-I Individualized Child Assessment Purpose and Instructions JFS 01689 Documentation of the Placement Decision-Making Process JFS 01690 Documentation of the Pre-Adoptive Staffing and Updates JFS 01691 Application for Child Placement JFS 01691-SPA Application for Child Placement (Spanish Version) JFS 01692 Application for Adoption of a Foster Child or Sibling Group JFS 01692-SPA Application for Adoption of a Foster Child (Spanish Version) JFS 01693 Ohio Law and Adoption Materials JFS 01694 Application for Search of Ohio Putative Father Registry - Registration for Fathers JFS 01694-I Instructions for Completing JFS 01694, Application for Search of Ohio Putative Father Registry - Registration for Fathers JFS 01694-SPA Application for Search of Ohio Putative Father Registry (Registration Form for Fathers) (Spanish Version) JFS 01694-SPA-I Instructions for Registration Form for Fathers (Spanish Version) JFS 01695 Application for Search of Ohio Putative Father Registry JFS 01695-SPA Application for Search of Ohio Putative Father Registry (Spanish Version) JFS 01698 Step-Parent Adoption Homestudy JFS 01699 Prefinalization Adoption Assessment Report JFS 01700 Individual Child Care Agreement JFS 01700-I Instructions for Completing the JFS 01700 "Individual Child Care Agreement" JFS 01701 Individual Child Care Agreement Amendment JFS 01701-I Instructions for Completing the JFS 01701 Individual Child Care Agreement Amendment JFS 01702 Invoice Reimbursement for Placement and Related Services JFS 01702-I Instructions for Completing the JFS 01702 Invoice for Placement and Related Services JFS 01703 Contract for Title IV-E Agencies and Providers for the Provision of Child Placement and Related Services JFS 01794 Juvenile Court Random Moment sample (JCRMS) Time Studies Results JFS 01794-I Instructions for Completing the JFS 01794, Juvenile Court Random Moment sample (JCRMS) Time Studies Results JFS 01797 Social Services Random Moment Cost Allocation Quarterly Billing JFS 01797-I Instructions for Completing the Social Services Random Moment Cost Allocation Quarterly Billing JFS 01821 Title XX County Profile JFS 01821-I Instructions for Completing the JFS 01821 2-Year Title XX County Profile JFS 01825 Public Children Services Agency Training Record for Caseworkers JFS 01825-I Instructions for Completing the JFS 01825 JFS 01826 Public Children Services Agency Training Record for Supervisors JFS 01826-I Instructions for Completing the JFS 01826 JFS 01958 Referral for Medicaid Continuing Eligibility Review JFS 01975 Annual Foster Care Maintenance and Adoption Assistance Survey JFS 01985 Adoption Subsidies Guide JFS 01987 Child Fatality Report Face Sheet JFS 01987-I Instructions for Completing the JFS 01987 Child Fatality Report Face Sheet JFS 02132 Affidavit in Support of Application for Replacement Warrant JFS 02333 Discrimination Complaint JFS 02333-ARA Discrimination Complaint (Arabic Version) JFS 02333-RUS Discrimination Complaint (Russian Version) JFS 02333-SOM Discrimination Complaint (Somali Version) JFS 02333-SPA Discrimination Complaint (Spanish Version) JFS 02424 ICPC Placement Financial Information JFS 02911 Title IV-E Single Cost Report JFS 02911-I Instructions for Completing JFS 02911, Title IV-E Single Cost Report JFS 02913 Title IV-E Agreed Upon Procedures JFS 04281 Children Services Quarterly Statistical Report JFS 04281-I Instructions for completing JFS 04281 Children Services Quarterly Statistical Report JFS 07130 Ohio Adult Protective Services Intake Screening Tool JFS 07130-I Adult Protective Services Tool and Guidelines JFS 07131 Adult Protective Services Protocol JFS 08013 Thinking About Becoming a Foster Parent or Adopting a Waiting Child JFS 08025 A Guide to Protecting the Elderly JFS 08027 Adult Protective Services Rack Card JFS 08101 Permanent Planned Living Arrangement (PPLA) Caregiver Notice JFS 08102 Foster Parent Checklist for Preparation and Support of Teenagers JFS 09010 Envelope #10 (Central Registry), PO Box 182709 TREA 7013 Request for Stop/Release of Warrants