Kentucky Department for Community Based Services Forms

This Form is used for reporting suspected intentional program violations related to the Supplemental Nutrition Assistance Program (SNAP) in the state of Kentucky.

This Form is used for providing and obtaining disclosures from applicants in Kentucky.

This form is used for applying for batterer intervention provider certification in the state of Kentucky. It is required to become certified as a provider of intervention services for individuals who have committed acts of domestic violence.

This form is used for applicant live scan fingerprinting in the state of Kentucky.

This form is used for applicants in Kentucky to sign a waiver agreement and statement.

This form is used for entering into an agreement with a licensed or certified provider in Kentucky.

This Form is used for registering a foreign adoption in the state of Kentucky.

This document is used for creating a formal agreement and certificate between a child care service provider and the parents/guardians in Kentucky. It outlines the terms and conditions of the child care services provided and serves as a legally binding agreement.

This form is used for filing an appeal for protection and permanency services in the state of Kentucky.

This form is used for requesting an appeal of a child abuse or neglect investigative finding in the state of Kentucky.

This form is used for applying for SNAP benefits in Kentucky. It is available in French.

This form is used for applying for the Supplemental Nutrition Assistance Program (SNAP) in Kentucky. The form is available in Bosnian language.

This form is used for applying to the SNAP program in Kentucky.

This document allows individuals in Kentucky to apply for an exception to their monthly adoption payments.

This document is used for providing disclosures and obtaining signatures from applicants who wish to become private child-caring or childplacing staff members in Kentucky. These disclosures include information about the National Background Check Program (Nbcp).

This form is used for obtaining a waiver agreement and statement for private child-caring or child-placing staff members in Kentucky who are participating in the National Background Check Program (NBCP).

This form is used for applying for Level of Care Payment (ALP) in the Children's Review Program in Kentucky.

This form is used for applying for education assistance for youth who have been committed to CHFS/DCBS in the state of Kentucky.

This form is used for the Readiness for Driving Agreement in the state of Kentucky. It covers the necessary information and agreements required for an individual to assess their readiness for driving.

This document is used to apply for a tuition waiver for foster and adopted children in Kentucky. It is intended to help ease the financial burden of education for these children.

This form is used for notifying parents or guardians in Kentucky about the redetermination of the level of care for their child in the Children's Review Program.

This form is used for notifying foster care providers in Kentucky about the level assignment of children in the utilization review process.

This form is used for notifying the level of care payment authorization assignment in the Children's Review Program in Kentucky.

This form is used for determining the appropriate level of care for children in Kentucky who are in need of child care or placement services. The DPP-114 form helps to assess the specific needs of each child to ensure they are placed in the most suitable environment.

This form is used for conducting a central registry check in the state of Kentucky. It is typically used by individuals or organizations who need to confirm someone's background information, such as their criminal history or child abuse records.

This form is used for conducting a Child Care Central Registry Check in the state of Kentucky. It is used to verify the background of individuals applying to work in child care facilities.

This form is used for applying for relocation assistance in the state of Kentucky.

This form is used for requesting an exception to the standard placement of a child in the Kentucky Department for Community Based Services (DCBS) program.

This form is used for private child-placing agencies in Kentucky to request an exception for placement.

This document is a form used for miscellaneous screenings and laboratory tests performed in Kentucky.

This document is used for acknowledging verbal exchanges of information in the state of Kentucky.

This document is used to determine the level of care for child care and placement in Kentucky.

This form is used for the self-assessment of candidates applying for the Infant and Toddler Credential in Kentucky.

This form is used for applying to become a registered relative child care provider in Kentucky.

This form is used for applying for the Kentucky School-Aged Youth Development Credential, which is a qualification needed to work with school-aged children in educational and developmental settings in Kentucky.