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 Initial/Relicensing/Alternate Year Data Sheet (71980-234 12/16) (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 (AFC)/Family Adult Day Services (FADS)/Alternate Overnight Supervision Technology (AOST) (DHS-16-180907 5/1/17) (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)