Forms

Adult Foster Care (AFC) Licensing Forms

• Family Application
• Workers' Compensation Certification of Compliance
• Home Safety Checklist for AFC

Community Residential Setting (CRS) Licensing Forms

• Corporate Application
• Workers' Compensation Certification of Compliance
• Home Safety Checklist for CRS
• Licensing Checklist for CRS

DHS Sample Forms

• AFC Program Plan
• Individual Resident Placement Agreement (IRPA)
• Individual Abuse Prevention Plan (IAPP)
• Adult Foster Care (AFC) and Community Residential Setting (CRS) Program Abuse Prevention Plan (PAPP) or Program Abuse Prevention Plan (PAPP)
• Additional Sample Policies and Forms for 245D Licensed Programs