Form 04AF042E "Request for a Waiver or Variance to Resource Requirements" - Oklahoma

What Is Form 04AF042E?

This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 15, 2022;
  • The latest edition provided by the Oklahoma Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 04AF042E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

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Download Form 04AF042E "Request for a Waiver or Variance to Resource Requirements" - Oklahoma

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Request for a Waiver or Variance
to Resource Requirements
Exceptions
Foster care and adoptions recognizes two types of exceptions to resource requirements:
1. For kinship resource homes only, OKDHS may, at its discretion, grant a waiver of specific
rules or standards that do not compromise a child's safety and does not violate federal or
state statutes.
2. For traditional resource homes, OKDHS may, at its discretion, grant a variance of specific
rules or standards that do not compromise a child’s safety and does not violate federal or
state statutes.
Resource Information
Pre-resource / Resource family name
Pre-resource / Resource number
Exception Request Summary
Cite the policy for which a waiver or variance is requested:
Summary of justification to make the request:
Time frame for the request:
Signatures
Resource specialist signature
Date
Resource supervisor signature
Date
04AF042E
4/15/2022
Page 1 of 2
Request for a Waiver or Variance
to Resource Requirements
Exceptions
Foster care and adoptions recognizes two types of exceptions to resource requirements:
1. For kinship resource homes only, OKDHS may, at its discretion, grant a waiver of specific
rules or standards that do not compromise a child's safety and does not violate federal or
state statutes.
2. For traditional resource homes, OKDHS may, at its discretion, grant a variance of specific
rules or standards that do not compromise a child’s safety and does not violate federal or
state statutes.
Resource Information
Pre-resource / Resource family name
Pre-resource / Resource number
Exception Request Summary
Cite the policy for which a waiver or variance is requested:
Summary of justification to make the request:
Time frame for the request:
Signatures
Resource specialist signature
Date
Resource supervisor signature
Date
04AF042E
4/15/2022
Page 1 of 2
Result
Approved
Denied
Additional comments:
Signatures
Resource field manager signature
Date
Resource field administrator signature (if applicable)
Date
4/15/2022
Page 2 of 2
04AF042E
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