Pennsylvania Family Court Dependency Payment Voucher Form 30-1084C is a form used by the court to collect payments for foster care and adoption assistance. It is used for the purpose of securing payments for the care of children placed in the custody of the Department of Human Services, or in private foster care or adoption settings. The form is divided into two sections: 1) Payment Information and 2) Payment Authorization. In the Payment Information section, the mayor is required to provide their name, address, and contact information. The Payment Authorization section requires the mayor to sign and date the form, as well as provide any additional information requested by the court. There are two types of Pennsylvania Family Court Dependency Payment Voucher Forms 30-1084C: one for foster care payments and one for adoption assistance payments.