Ocfs 6004


    • [PDF File]www.utica.edu

      https://info.5y1.org/ocfs-6004_1_eb1c2f.html

      OCFS.6004 (7/2015) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT CHILD DAY CARE PROGRAMS INSTRUCTIONS: A signature is required on BOTH sides of this form. If the only role is a household member, complete front page only.


    • [PDF File]OCFS-6004 (6/2017) FRONT NEW YORK STATE OFFICE OF CHILDREN ...

      https://info.5y1.org/ocfs-6004_1_277c6c.html

      OCFS-6004 (6/2017) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT CHILD DAY CARE PROGRAMS INSTRUCTIONS: If the only role is household member, complete only the front page. If you are a medical professional, a signature is required on both sides of this form.



    • [PDF File]OCFS-6004 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY ...

      https://info.5y1.org/ocfs-6004_1_3b9bfc.html

      OCFS-6004 (4/2015) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT Child Day Care Programs INSTRUCTIONS: A signature is required on BOTH sides of this form.


    • [PDF File]PS Form 6002 - Accounts and Services to Be Paid Through CAPS

      https://info.5y1.org/ocfs-6004_1_600501.html

      Accounts and Services to Be Paid Through CAPS A. Centralized Account Processing System (CAPS) CAPS is an electronic postage payment system that gives business mailers a centralized, convenient, and cost-effective way to fund items such as Permit Imprint, USPS Corporate Accounts, Address Element Correction, and more.


    • [PDF File]Comprehensive Background Clearance requirements as ...

      https://info.5y1.org/ocfs-6004_1_aed221.html

      OCFS has revised the clearance packet (6000 series) containing: • OCFS-6000 Required Forms and Clearance List • OCFS-6001 Child Care Provider, Staff and Volunteer Information • OCFS-6002 Qualifications • OCFS-6003 References • OCFS-6004 Medical • OCFS-6005 Criminal Conviction Statement • OCFS-6022 Staff Exclusion List


    • [PDF File]OCFS- 6005 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY ...

      https://info.5y1.org/ocfs-6004_1_dd8301.html

      OCFS- 6005 (5/2014) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CAREGIVER CRIMINAL CONVICTION STATEMENT Family Day Care, Group Family Day Care Programs & Small Day Care Centers INSTRUCTIONS:! ALL caregivers must complete and sign this Criminal Conviction Statement regardless of conviction status ! This form is in addition to ...


    • [PDF File]OCFS-4930 Request for NYS Fingerprinting Services Info Form

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      OCFS-4930 (8/2009) NEW YORK STATE OFFICE OF CHILDREN & FAMILY SERVICES REQUEST FOR NYS FINGERPRINTING SERVICES Information Form (To be completed by Provider or Foster Care/Adoption Agency) Enrollment Information: Applicant must have an appointment to be fingerprinted. At appointment, applicant will need to bring this form and


    • [PDF File]OCFS-6026 Application for Child Care Assistance ...

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      ocfs-6026 (rev. 07/2016) page 1 new york state office of children and family services how to complete the application for child care assistance categories of child care assistance in the new york state child care block grant program


    • [PDF File]Volunteers working with members (children)

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      (OCFS-6004) Health care provider must complete and sign the Medical Status section. TB test information is required. Statewide Central Register Database Check (LDSS-3370) See form for instructions Request for NYS Fingerprinting Services (OCFS-4930) Required only for applicants 16 years and older Criminal Conviction Statement (OCFS-6005)


    • [PDF File]OCFS-6004 (7/2015) FRONT NEW YORK STATE OFFICE OF CHILDREN ...

      https://info.5y1.org/ocfs-6004_1_4618aa.html

      OCFS-6004 (7/2015) FRONT . NEW YORK STATE . OFFICE OF CHILDREN AND FAMILY SERVICES . STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT CHILD DAY CARE PROGRAMS. INSTRUCTIONS: • A signature is required on BOTH sides of this form. If the only role is a household member, complete front page only.


    • [PDF File]OCFS-LDSS-7002 Written Medication Consent Form

      https://info.5y1.org/ocfs-6004_1_4951da.html

      OCFS-LDSS-7002 (11/2004) NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES WRITTEN MEDICATION CONSENT FORM This is a double-sided form Updated 11-04 This form must be completed in a language in which the child care provider is literate. One form must be completed for each medication.


    • [PDF File]Early Childhood Education Forms 2018 2019

      https://info.5y1.org/ocfs-6004_1_6df7d3.html

      OCFS-6001 X X X X X X OCFS-6002 X X X OCFS-6003 X X X OCFS-6004 X X X X X OCFS-6005 X X X X X LDSS-3370 X X X X X OCFS-4930 X X X X X *Staff with fingerprint images on file with OCFS may be eligible for a waiver. Contact the licensor/registrar or Director of the program for more information.


    • [PDF File]Household Member Medical Statement

      https://info.5y1.org/ocfs-6004_1_24a427.html

      ocfs-6004 (6/2017 ) reverse . new york state office of children and family services . staff, volunteer, and household member medical statement


    • [PDF File](Revised 08/2019) NEW YORK STATE OFFICE OF CHILDREN AND ...

      https://info.5y1.org/ocfs-6004_1_488524.html

      OCFS-6004 (08/2019) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT Child Care Programs Instructions: • A signature is required on BOTH SIDES of this form. If the only role is a household member, complete ony the front page.


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