Get Ia 470-4401 2024-2026

The IA 470-4401 is a form used for assessing the behavioral needs of foster children under the care of resource families. Filling out this form accurately is essential for ensuring the appropriate support and resources are provided to each child. This guide will provide you with clear, step-by-step instructions on how to complete the IA 470-4401 online.

Follow the steps to accurately complete the IA 470-4401 form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin filling out the identifying information section. Enter the child's name, date of birth, FACS number, SID number, and the date the assessment is completed. Also, include the resource family name and the date the child was placed in the foster home.
3. Select the type of assessment by checking the appropriate option. You can choose from initial assessment, significant behavior change, placement change, termination of parental rights, or court hearing on guardianship subsidy.
4. Proceed to the checklist summary section. Calculate the total points from the attached checklist based on the emotional care needs, behavioral care needs, and physical and personal care needs assessments.
5. Enter the approved daily rate in the designated field. Ensure that you calculate this by adding the basic daily rate for the child’s age with any additional levels based on your checklist results.
6. Input the effective date of the rate. Remember, this date cannot be before the first 30 days or before the date your supervisor signs the document.
7. Gather the necessary signatures. Obtain the worker’s signature, the supervisor’s signature, and input the corresponding dates.
8. Finally, review all the information for accuracy. Once confirmed, you can save your changes, download the completed form, print it, or share it as needed.

Start filling out your IA 470-4401 form online today to ensure timely assessments for the children in care.