Annual & Alternate Year Relicensing Paperwork

To open a pdf version of the form, click on "PDF"; to open a Word version of the form, click on "Word".
  • Adult Foster Care (AFC) and Community Residential Setting (CRS) Program Abuse Prevention Plan (PAPP) (DHS-16180922 6-12-15) (PDF)
  • Adult Foster Care Home Program (71980-28 4-12) (Word) (PDF)
  • Adult Foster Care Relicensing Data Sheet (71980-234 7-16) (Word) (PDF)
  • Certificate of Compliance - Workers' Compensation (5-15) (PDF)
  • Evaluation of Agency by Adult Foster Care Provider (71980-12a 11-10) (Word) (PDF)
  • Family Child Care & Family Foster Care License Applicant Privacy Rights (72000-2 11-10) (Word) (PDF)
  • Family Systems Licensing Application - Family Adult Foster Care (DHS-16-180907 2-24-14) (PDF)
  • Foster Home In Use (71980-19 4-12) (Word) (PDF)
  • Home Safety Checklist (DHS-16-193585 3-15) (PDF)
  • Program Abuse Prevention Plan (PAPP) (DHS-16-180923 1-5-15) (PDF)