Get Az Cso-1236a 2015-2026

The AZ CSO-1236A form serves as an initial application worksheet for individuals seeking licensure for foster homes or adoption certification in Arizona. This guide will provide clear, step-by-step instructions to assist users as they complete the form online.

Follow the steps to accurately fill out the AZ CSO-1236A online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by checking the type of license you are applying for. If you are applying for both foster care and adoption, ensure you check both boxes.
3. Enter the applicant 1's full legal name, social security number, any other names used, complete physical and mailing addresses, and email address if applicable.
4. Proceed to enter the applicant 1's personal information, which includes date of birth, place of birth, marital status, gender, legal residency status, proof of legal residency, highest level of education, and field of education.
5. If applying jointly, repeat step 3 and 4 for applicant 2.
6. List the residence history for the past 10 years for both applicants in date order. Use an additional sheet if necessary.
7. Provide household information for all individuals living in the house, excluding the applicants and any current DCS placements. List their names, dates of birth, social security numbers if applicable, gender, relationships, and how long they have lived with you.
8. Detail any persons living on the premises but not in your home, reporting similar information as in Step 7.
9. For children not living in your home, list their information on another sheet if necessary.
10. Input employment information for both applicants, detailing employers, positions, addresses, telephone numbers, dates of hire, and employment status.
11. Answer questions regarding past applications for licensure or certification as well as any history of denial, suspension, or revocation.
12. List references, making sure to include at least five names with their addresses, phone numbers, email addresses, relationships, and years known.
13. Disclose any involvement with DCS or APS, and fill out details regarding civil actions or court records if applicable.
14. Indicate vehicle information for transporting children, including whether you have a suitable car seat.
15. Complete the budget/financial information section by detailing each applicant's net monthly income and total expenses.
16. Respond to life-safety inspection preparation questions, including information on safety measures in your home.
17. If you are applying for foster home licensure or adoption certification, fill out the licensing preferences section.
18. Finally, ensure all information is accurate and sign the application, entering dates for both applicants.

Start the application process and fill out your AZ CSO-1236A form online today!