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 Settings (CRS) Home Safety Checklist (DHS-16-193581 8/17) (PDF)
  • Adult Foster Care (AFC) and Community Residential Setting (CRS) Program Abuse Prevention Plan (PAPP) (DHS-16180922 6/12/15) (PDF)
  • Adult Foster Care Initial/Relicensing/Alternate Year Data Sheet (71980-234 12/16) (Word) (PDF)
  • Adult Foster Home Program Plan (71980-247 2/20/18) (Word) (PDF)
  • Certificate of Compliance - Workers' Compensation (11/16) (PDF)
  • Evaluation of Agency by Adult Foster Care Provider (71980-12a 11/10) (Word) (PDF)
  • Family Child Care, Family Foster Care, and Community Resident Settings License Applicant Privacy Rights (72000-2 7/17) (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)
  • Program Abuse Prevention Plan (PAPP) (DHS-16-180923 1/5/15) (PDF)