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FPS 023 Rev. 05/18Assessment Form for Approval of Overnight Visiting in Hotels Date of Request: Foster Care Agency: Name of Foster Care Agency Staff Person Making: Request: Email: Phone: Name of Foster.

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How to fill out the NY FPS 023 online

The NY FPS 023 form is used to request approval for overnight visits in hotels for children in foster care. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently for an online submission.

Follow the steps to fill out the form online.

  1. Click ‘Get Form’ button to access the NY FPS 023 and open it in your preferred digital editor.
  2. Enter the date of your request in the designated field at the top of the form. This should be the date you are making the application.
  3. Fill in the name of the foster care agency in the specified field, followed by the contact details of the staff member making the request, including their email address and phone number.
  4. Provide the name of the program director along with their contact information in the appropriate fields.
  5. List the names of the parents involved, ensuring to fill in both names in the provided spaces.
  6. Insert the case name or ID and the initial placement date, which is the date the child was placed in foster care.
  7. Detail the children's names and ages in the section provided. Make sure to include all relevant children.
  8. Specify the primary reasons for the child’s removal from their home.
  9. Indicate whether the family is ready for reunification by selecting 'Y' (yes) or 'N' (no). Include the timeframe for reunification if applicable.
  10. Answer whether overnight visits are necessary for achieving reunification and provide justification in the space provided.
  11. State if the use of a hotel is court-ordered and, if so, attach the court order and indicate the borough and the judge's name.
  12. Document when unsupervised day visits began and how many have occurred. Provide the location of these visits.
  13. Describe any housing issues that may prevent overnight visits for the family.
  14. List alternative resources that have been explored to assist the family with overnight visits, including any relationships or community connections.
  15. Clearly state what is being requested, such as the number of hotel rooms needed and the duration of the stay.
  16. Choose a hotel location for the overnight visits and justify this choice with the required information.
  17. Indicate which other hotels were considered and explain the reasons for their rejection.
  18. Confirm that agency staff visited the chosen hotel within the last 180 days by checking the appropriate box.
  19. Ensure the foster care director and OSR/SPC provide their approval by printing their names, signing, and dating the form in the designated sections.
  20. Finally, submit the completed form online. You can save changes, download, print, or share the form as necessary.

Complete your NY FPS 023 form online today for a smooth approval process!

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