Foster Care Placement Notification, SFN 630 447-10-70-05

(Revised 5/30/19 ML #3550)

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SFN 630 is a mandatory form to be completed by the case manager designed to notify the eligibility staff when a child has entered foster care. The form provides child, parent, placement, court order and residence specific information. A copy of the pertinent court documents should be attached when submitting to the eligibility worker. This form is used by the eligibility worker in conjunction with the SFN 641, Title IV-E Title XIX Application-Foster Care in determining foster care eligibility.

 

This form is available electronically via E-Forms.