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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: 2-5-2018

Volume:

X

Forms

Chapter:

A

Forms

Revised Date: 8-5-2019

Subchapter:

1

Forms

Issuance:

5.23

CP&P Form 5-23, Cover Letter to Accompany Reference Request

 

Click here to view or print the CP&P Form 5-23, Cover Letter to Accompany Reference Request.

 

Click here to view or print this form in Spanish, CP&P Form 5-23(S).

 

PURPOSE AND USE

 

The form letter is used as a cover letter when requesting references for a prospective or approved resource family parent.  Use official office letterhead when printing this form from the computerized Forms Manual.  Use the form to accompany the following types of references:

 

      CP&P Form 5-2c - Medical Reference

      Reference Form (Personal Reference)

      CP&P Form 5-2e - School/Day Care Reference

      CP&P Form 5-24 - Employment Reference

      CP&P Form 14-202 - Child Care Reference

 

INSTRUCTIONS FOR COMPLETING THE FORM

 

Enter the required information as indicated on the cover letter form.  Include a copy of the signed CP&P Form 26-15, Authorization for Release of Information, with the cover letter and the appropriate reference form.

 

DISTRIBUTION

 

Original          -           Person from whom information is requested

Copy               -           Prospective or licensed resource family parent's record