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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:

5.2g

CP&P Form 5-2g, Financial Statement

 

Click here to view or print the CP&P Form 5-2g, Financial Statement

 

Click here to view or print this form in Spanish, CP&P Form 5-2g(S).

 

WHEN TO USE IT

 

This form is used by the Resource Family Support Worker (RFSW) during the initial stages of the home study process. The information gathered on the Financial Statement is used to assist in the assessment of the applicant's ability to provide for the well being of the child and to determine whether the applicant has income, or other means of financial support, that makes the family economically independent of the expected board rate.

 

HOW TO USE IT

 

The form is completed during the home visit along with the resource parent applicant(s). The RFSW informs the applicant that all the money received on behalf of the child in placement is for that child's care.

Verification of sources of income are also gathered and attached to the form.

 

DISTRIBUTION

 

Original

-

Pages 1-4, provided to kin

Copy

-

Resource family applicant(s)