Get Nyc Early Intervention Program Assigment Or Termination Of

Completing the NYC Early Intervention Program Assignment or Termination Form is an essential step in managing the care of a child enrolled in the program. This guide provides straightforward instructions to help users navigate the online form efficiently.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Start by entering the child's name in the designated field. Ensure you include the last name followed by the first name.
3. Input the child's EI number in the appropriate section. This identifier is crucial for tracking the case within the Early Intervention program.
4. Fill in the foster care agency name and the caseworker's details to maintain accurate communication regarding the child's care.
5. Enter the child's date of birth in the specified format. This information is critical for identifying the child's eligibility for services.
6. Next, document the name of the proposed surrogate parent in the section labeled for this purpose. Be sure to write clearly.
7. Indicate the relationship of the surrogate parent to the child. This helps establish the context for the assignment.
8. If this is an assignment, ensure you note your discussions with the surrogate parent regarding their willingness to assume this role and their understanding of their rights and responsibilities.
9. If terminating a previous assignment, list the name of the current surrogate along with the date on which the assignment will end.
10. For changes in surrogacy, identify the new surrogate's name and relationship to the child in the fields provided.
11. Specify the reason for the change in surrogacy by selecting appropriate options and providing any necessary details.
12. Complete the signature line for the service coordinator and provide their printed name and contact number for further verification.
13. Finally, after reviewing all provided information, you can save your changes, download, print, or share the form as needed.

Start the process by filling out your form online today.