Forms and Resources

Licensing Material

• Minnesota Adoption and Child Foster Care Application (DHS 4258A)
• Foster Care Individual Fact Sheet (DHS 4258B)
• Home Study Questionnaire (PDF)
• Home Study Questionnaire (Word)
• Home Study Update (PDF)
• Home Study Update (Word)
• Individual Home Study Questionnaire (PDF)
• Individual Home Study Questionnaire (Word)
• Child Foster Care Statement of Intended Use
• Home Safety Checklist (PDF)
• Family Child Foster Care Licensing Checklist
• Foster Parent and Placement Agency Agreement

Provider Resources

• Foster Child Personal Inventory
• School Record
• Family Contact Record
• Incident Report
• Monthly Foster Care Progress Report
• Child Foster Care Capacity Chart
• Respite Provider's Information Sheet
• Foster Parent Self-Study Document
• Annual Training Record
• Liability Insurance