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NJ DCF Logo with reverse copy 

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date: 1-2019

Volume:

X

Forms

Chapter:

A

Forms

Revised Date:

Subchapter:

1

Forms

Issuance:

11.78

CP&P Form, Confirmation of Child’s Tribal Affiliation or Eligibility

 

Click here to view or print CP&P Form 11-78, Confirmation of Child’s Tribal Affiliation or Eligibility. 

 

WHEN TO USE IT

 

If a child is identified as being a member of a federally recognized tribe or eligible for membership in such a tribe, Workers shall complete Form 11-78 to the greatest degree feasible, and forward the completed or partially completed form to their concurrent planner. The concurrent planner shall forward the information to the Office of Interstate Services, and serve as the responsible liaison for monitoring and following up on requests for additional information. The Office of Interstate Services shall forward the information to the identified tribe or to the Bureau of Indian Affairs for confirmation of membership or eligibility.

 

When a child is involved in a matter pending before the division, and the child, the child’s parent(s), or other person reasonably believed to be knowledgeable of the child’s heritage has asserted that the child is or may be and member of a Native American tribe, or may be eligible for such membership. See, CPP-III-C-1-500, Indian Child Welfare Act and Native American Placements, which establishes policy and procedures for compliance with the Indian Child Welfare Act, including the screening and verification of client’s tribal affiliations.

 

CP&P Worker completes screening form 11-78 requesting the child’s parent(s) or other person reasonably believed to be knowledgeable of the child’s heritage to confirm or deny the child’s membership or eligibility for tribal membership.

 

Pursuant to the Indian Child Welfare Act, the response is requested within 20 days of receipt to the designated CP&P Agency Representative: (Concurrent Planner).