Chafee Independent Living Referrals 624-10-25-05-11
(Revised 10/15/2013 ML #3389)
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PI-15-04
Attachment A - SFN 1612
Attachment B - SFN 1613
Attachment C - SFN 1614
The custodian from a public agency (County, DJS, or Tribe) will refer eligible current foster care youth to the regional Chafee Independent Living Program.
Chafee Referral Procedure:
Custodian will:
- Communicate with the youth about his/her willingness to participate in the voluntary Chafee Independent Living Program.
- Complete the required Chafee IL referral paperwork
- Chafee Referral Form (CF-1)
- Multi-Agency Release of Information (SFN 970)
- Scan/Email, Fax, or Mail required forms to the regional Chafee IL Coordinator
- If youth is an active Chafee participant; Custodian will
- Invite the Chafee IL Coordinator to quarterly Child & Family Team Meetings; and
- Provide updated and ongoing information to the Chafee IL Coordinator regarding the youth (mailing address/placement change, current foster care case plan, etc).
Chafee IL Coordinator will:
- Review referral paperwork (CF-1+ ROI).
- Determine program eligibility.
- Contact the case manager to notify of youth eligibility.
- If the youth is eligible and interested; the Chafee IL Coordinator will schedule an appointment to meet with the youth to complete an assessment and review or create independent living goals.