background shadows

NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

10-30-2006

Subchapter:

1

Forms

Issuance:

5.2e

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

 

Click here to view or print the CP&P Form 5-2e, School/Day Care Reference.

 

PURPOSE AND USE

 

This form is used to obtain information from school or day care personnel about the adjustment in the school/day care setting of the children of a prospective resource family parent.

 

INSTRUCTIONS FOR COMPLETING THE FORM

 

Send the form, with a pre-addressed stamped envelope, to the school or day care provider of the prospective resource family parent's child with the CP&P Form 5-23, Cover Letter.  The letter is addressed to the school principal or day care provider and sent along with a copy of the signed CP&P Form 26-15, Authorization for Release of Information.

This form is not valid if returned by or through the applicant; the form must be mailed to the CP&P office or sponsoring agency by the person completing the reference.

Place a copy of the cover letter to the school/day care provider in the resource family parent's home record to indicate that the reference has been sent.

 

DISTRIBUTION

Original

-

Child's school/day care provider with stamped, pre- addressed envelope

 

-

Prospective resource family parent's record when returned to CP&P