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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: 10-12-2016

Volume:

X

Forms

Chapter:

A

Forms

Revised Date: 7-19-2021

Subchapter:

1

Forms

Issuance:

25.66

CP&P Form 25-66, Notice of Termination of State Responsibility for Tuition and Transportation

 

Click here to view, complete, or print the CP&P Form 25-66, Notice of Termination of State Responsibility for Tuition and Transportation.

 

WHEN TO USE IT:

 

Use CP&P Form 25-66 when a child, who was placed into a CP&P out-of-home placement:

 

·       Was determined by the New Jersey Department of Education, using the CP&P Form 25-65, to be State Responsible for the purpose of costs of school tuition and transportation; and

·        Has achieved permanency through:

-- adoption; or

-- kinship legal guardianship, only in cases where there has been termination of parental rights. 

 

This form notifies DCF State Responsible Coordinator that the State is no longer responsible for the cost of the child’s school tuition and transportation and that the adoptive or KLG parent’s school district is responsible effective the date of finalization of adoption or award of kinship legal guardianship.  The State Responsible Coordinator notifies the appropriate school district of the change in responsibility.

 

HOW TO USE IT:

 

  • The form is a template for on-line use.

 

  • The Worker completes the form.  The Worker makes a note on the Contact Sheet, CP&P Form 26-52, regarding the form’s completion.

 

  • The Worker signs the form.

 

The Worker faxes the form to the State Responsible Coordinator in the Educational Support Services Unit at 609-292-8196.

 

DISTRIBUTION:

 

Original                      -           State Responsible Coordinator

                                               

Copy                           -           Case Record

 

Copy                           -           Subsidy record