Free Georgia 57 Template in PDF

1. What is the purpose of the Georgia 57 Form?

   The Georgia 57 Form is designed to facilitate the process of obtaining child care referral and application for supplemental supervision for foster children. It ensures that foster children in Georgia have access to necessary child care services, which are coordinated through the county Department of Family and Children Services and the Childcare and Parent Services (CAPS) program. This form gathers essential information about the foster child, the foster care placement, and the child care provider, in addition to determining eligibility for the requested services.

2. Who needs to fill out the Georgia 57 Form?

   The Georgia 57 Form is filled out by several parties: the Social Services Case Manager (SSCM) provides the foster child's information and foster care placement details; the foster parent may also provide information regarding the child care provider. Finally, the CAPS case manager completes the eligibility determination section to process the application for supplemental child care supervision.

3. What type of information is required on the Georgia 57 Form?

   The form requires detailed information across four main sections:

   • A. FOSTER CHILD INFORMATION: Includes the child's name, sex, date of birth, social security number, school status, disability status, ethnicity, and race.
   • B. FOSTER CARE PLACEMENT INFORMATION: Lists the foster parent's name, contact details, and specifies if an informal childcare provider has been chosen, alongside requirements such as CRC and CPS screenings.
   • C. CHILD CARE PROVIDER INFORMATION: Details about the childcare provider including the reason care is needed, days and hours care is needed, and the provider's contact information.
   • D. ELIGIBILITY DETERMINATION: Completed by the CAPS case manager, this section includes the family unit size, UAS code, provider's status (licensed, commissioned, exempt, registered, or informal), and the official certification period for the care.

4. What should be done if there are changes in the child's placement or childcare arrangements?

   Any changes in the foster child’s placement or childcare arrangements must be reported to the child care case manager within 5 working days. This ensures that all information remains current and any necessary adjustments to care and oversight are made promptly to best support the foster child's needs.

5. How is the eligibility for child care determined through this form?

   Eligibility for child care is determined in section D by the CAPS case manager, based on the completed sections of the form regarding family unit size, UAS code, the child care provider's status, and whether the cost of care is within the maximum limit set by the Department of Family and Children Services. The disposition section indicates if the application is approved or denied.

6. What happens after the Georgia 57 Form is completed and submitted?

   Once the Georgia 57 Form is completed and submitted by all required parties, the CAPS case manager reviews the information provided for eligibility determination. If the application for supplemental supervision is approved, the foster child will be eligible to receive child care services under the guidelines and conditions specified by the CAPS program. The official certification period for which the child care services are approved is also noted on the form.

7. Where can one obtain assistance or more information about the Georgia 57 Form?

   For assistance or more information about the Georgia 57 Form, individuals can contact their local county Department of Family and Children Services or the CAPS program directly. These agencies can provide guidance, answer specific questions about the application process, and offer support throughout the completion and submission of the form.

Filling out the Georgia 57 form, which is integral for applying for supplemental supervision under the CAPS (Childcare and Parent Services) program, often presents challenges. To ensure the process goes smoothly and to avoid potential delays, here are five common mistakes to watch for:

1. Incomplete Foster Child Information: The section labeled "A. FOSTER CHILD INFORMATION" requires detailed inputs, including the child's full name, Social Security number, and other specific details like the child in Head Start or having a disability. Omitting any of these details can lead to unnecessary setbacks in processing the application.
2. Incorrect or Unclear Foster Care Placement Information: Section "B. FOSTER CARE PLACEMENT INFORMATION" must be filled out meticulously. Any inaccuracies in the foster parent's name, address, or phone numbers, or failing to indicate the childcare provider's relationship to the child (relative or non-relative) and the completion status of required screenings (CRC, CPS), can complicate verification processes.
3. Child Care Provider Information Errors: In the section marked "C. CHILD CARE PROVIDER INFORMATION," it's crucial to provide complete and correct details about the childcare provider, including the start date for CAPS. Leaving fields blank or providing incorrect information can delay or jeopardize the approval of the application.
4. Misunderstanding Eligibility Determination Section: The "D. ELIGIBILITY DETERMINATION" section requires accurate understanding and response. This includes properly identifying the family unit size, selecting the correct UAS code, and accurately reporting the cost of care. Misinterpretation of these items can result in incorrect eligibility assessment or financial coverage decisions.
5. Failing to Report Changes: It's mandated that all changes in the child's placement and childcare arrangements be reported to the child care case manager within 5 working days. Neglecting this requirement can lead to issues with the child’s current and future care arrangements, as it affects continuity and compliance with the CAPS program standards.

When approaching the Georgia 57 form, attention to detail and thoroughness are key. Avoiding these common mistakes not only streamlines the application process but also ensures the child’s needs are met with the appropriate care and supervision.

When navigating the process of securing supplemental supervision through the Georgia 57 form, it's important to be prepared with the right paperwork. Understanding each document you may need can simplify the process, making it less daunting. Here's a brief overview of additional forms and documents frequently used alongside the Georgia 57 form. These serve various purposes, from providing detailed information about the child's healthcare to ensuring all legal guardianship situations are correctly documented.

• Medical Consent Form: Grants permission for medical treatment of the foster child in non-emergency situations. This document is vital for routine doctor visits or specialized care.
• Educational Authorization Form: Allows the foster child to enroll in and attend school. It might also cover participation in school trips and extracurricular activities.
• Guardianship or Legal Custody Documents: Confirm the foster parent's or guardian’s legal authority over the child. These documents are essential to prove that the person applying for supplemental supervision has the legal right to do so.
• Proof of Foster Care Licensing: Demonstrates that the foster parent or home meets state requirements for providing care to foster children. This might be necessary to qualify for certain types of assistance.
• Income Verification Forms: Used to determine financial eligibility for the CAPS program. These forms help to establish the guardian's or household's financial situation.
• Special Needs or Disability Documentation: If the child has a disability, this documentation outlines their specific needs. It's crucial for ensuring that the child receives appropriate care and support.
• Child's Birth Certificate or Legal Identification: Verifies the child's identity, age, and citizenship, which are necessary for enrollment in many programs and services.

Collecting and preparing these documents can feel overwhelming, but they are essential steps in securing the best possible care for the child in your charge. Each form serves a purpose, from ensuring the child's health and educational needs are met, to solidifying the legal relationship between child and caregiver. With careful preparation and attention to detail, you can navigate this process successfully, providing peace of mind for both you and the child you're supporting.

• Form 4607 - Child Care Assistance Application: This form, similar to the Georgia 57 form, is utilized for applying for child care assistance through state programs. It involves providing detailed information about the child in need, the care setting, and financial eligibility. Both forms serve as a bridge between families seeking support and the agencies providing subsidies for child care.

• Form SF-428 - Foster Care Placement Agreement: While the Georgia 57 form focuses on the referral and application for supplemental supervision for children in foster care, Form SF-428 details the agreement between foster care providers and the agency overseeing the child's placement. Both documents address the child's placement and care needs, emphasizing the necessity of a safe and supportive environment for the foster child.

• Form CW-220 - Child Welfare Services Case Plan: This form outlines the services and support provided to a child under the child welfare system's care, similar to how the Georgia 57 form delineates childcare provisions for children in foster care. Both forms are integral in documenting the care plan and ensuring the child's needs are met, including educational and disability accommodations.

• Form CS-969 - Child Care Provider Verification: Similar to the provider information section of the Georgia 57 form, Form CS-969 is used to verify the qualifications and details of a child care provider. Both forms ensure that the child care arrangement is suitable and meets state guidelines for the child's safety and developmental needs.

• Form SS-5 - Application for a Social Security Card: While serving a different primary function, the SS-5 form, like the Georgia 57 form, requires detailed child identification information, including name, date of birth, and Social Security number. Both forms are vital for accessing services and support systems designed for child welfare.

• Form IEP - Individualized Education Program: Though more focused on educational accommodations, the IEP form, like the Georgia 57 document's section on children with disabilities, aims to address the specific needs of children requiring special support. Both documents are crucial in ensuring that children in the foster care system receive the tailored care and services they need to thrive.

When filling out the Georgia Form 57 for Child Care Referral & Application for Supplemental Supervision, it is crucial to ensure accuracy and compliance. Below is a detailed list of do’s and don’ts to guide through the process effectively:

• Ensure all personal information for the foster child is filled out completely, including the first name, middle initial, last name, sex, date of birth, and social security number.
• Accurately check the appropriate boxes for the child’s ethnicity and race, as this information is vital for proper record-keeping and resource allocation.
• Provide complete and correct information regarding the foster care placement, including the name of the foster parent(s), their address, and both home and work phone numbers.
• If an informal childcare provider is chosen, make sure to mark all that apply regarding their relation to the child, care setting, and if all required screenings and approvals are conducted and obtained.
• Sign and date the form where specified to validate the information provided on the form.

• Exclude details about the child’s school attendance, head start participation, or any disabilities they may have, as these details could impact the type of care they receive.
• Forget to report any changes in the child’s placement or childcare arrangements within the required 5 working days to the childcare case manager.
• Leave sections blank that are applicable to your situation; incomplete forms can delay processing and affect the timely provision of services.
• Provide false or misleading information, as this can result in denial of services, legal action, or complications in the child’s care arrangements.
• Assume the form’s completion guarantees immediate approval; eligibility and need assessments are part of the review process.

Attention to detail and adherence to the instructions provided are critical when filling out Georgia Form 57. This form ensures that foster children in need of supplemental supervision and childcare are identified and supported appropriately. By diligently following these guidelines, foster parents and SSCMs can navigate the application process more smoothly, contributing to the well-being and safety of the child.

Understanding the intricacies of legal documents is critical for ensuring that individuals and caregivers receive the benefits and services to which they are entitled. The Georgia 57 form, officially titled "Child Care Referral & Application for Supplemental Supervision," plays a crucial role in the foster care system in Georgia, yet is often surrounded by misconceptions. Below are four common misconceptions regarding the Georgia 57 form, aiming to clarify its purpose and application process.

• Misconception 1: The Georgia 57 form is only for foster parents to complete.
  

  While it's true that foster parents play a significant role in completing sections of the Georgia 57 form, the document requires collaboration. Specifically, the foster child's Social Services Case Manager (SSCM) must fill out the initial section concerning the foster child's information. Additionally, the CAPS case manager plays a crucial role in determining eligibility and finalizing the process. This misconception overlooks the teamwork necessary among SSCMs, foster parents, and CAPS case managers to successfully support the child's care requirements.

• Misconception 2: Any childcare provider can be selected for the foster child.
  

  This belief fails to recognize the form's sections that necessitate specifying whether the child care provider is licensed, commissioned, exempt, or registered, and requires confirmation of a comprehensive records check (CRC) and Child Protective Services (CPS) screening for informal care providers. The choice of childcare provider must adhere to specific standards and receive approval, ensuring the child's safety and well-being.

• Misconception 3: The form does not accommodate children with disabilities.
  

  Contrary to this misconception, the Georgia 57 form explicitly includes provisions for children with disabilities, ensuring they receive appropriate care. By indicating whether the child has a disability, the form helps to tailor child care services to meet the unique needs of every child, including those requiring supplemental supervision or specialized care.

• Misconception 4: The ethnicity and race information is used for eligibility determination.
  

  While the form does request details on the child's ethnicity and race, this information is used for statistical and reporting purposes rather than determining eligibility for services. The primary considerations for eligibility involve the family unit size, the care's cost relative to the Department of Family and Children Services (DFCS) maximum rates, and the provider's status. This misconception can lead to unnecessary concern about the impact of racial or ethnic identity on service provision.

In conclusion, dispelling these misconceptions is vital for effective utilization of the Georgia 57 form, ensuring that foster children in Georgia receive the care and support they need. Accurate understanding and collaboration among all parties involved pave the way for meeting the best interests of the child, fostering a nurturing and secure caregiving environment.

Filling out the Georgia 57 form, also known as the Child Care Referral & Application for Supplemental Supervision, is a crucial step in securing adequate child care services for foster children within the state. Here are ten key takeaways to remember when completing and utilizing this form:

• The form is specifically used within the Georgia Department of Human Resources by the County Department of Family and Children Services to ensure foster children receive the necessary child care and supervision.
• Section A requires detailed information about the foster child, including their name, social security number, date of birth, and educational status, emphasizing the need for accurate and current information.
• It’s important to indicate whether the child has a disability, as well as their ethnicity and race, to tailor child care services to their specific needs and background.
• Section B focuses on foster care placement information, requiring details about the foster parent(s), including their name, address, and contact numbers, which underscores the importance of communication between caregivers and case managers.
• When selecting an informal childcare provider, the form highlights options such as care by a relative or non-relative and specifies requirements like the completion of a Child Welfare Services (CPS) screening or Criminal Record Check (CRC).
• All changes in the child’s placement and childcare arrangements must be reported within 5 working days, showcasing the dynamic nature of foster care and the need for ongoing case management.
• Section C delves into the child care provider information, where you specify the reason care is needed, the schedule, and detailed information about the provider, drawing attention to the significance of matching the child’s needs with suitable childcare services.
• The eligibility determination section, completed by the CAPS case manager, includes crucial decisions like approving or denying the application, the official certification period, and the cost of care, emphasizing the role of CAPS in managing the financial aspects of child care services.
• Understanding the "UAS Code" can help clarify the context of the application, whether it pertains to Pre-K children (code 555) or other specific situations (code 557), indicating the form’s flexibility to cater to diverse needs.
• Finally, the signatures and dates at the end of sections B, C, and D legally confirm the accuracy of the provided information and agreement on the decided terms, reinforcing the accountability of all parties involved.

The Georgia form 57 is designed to ensure that foster children receive the care and support they need through a well-documented and collaborative effort between foster parents, childcare providers, and case managers. By carefully completing and utilizing this form, stakeholders can work together efficiently to create a supportive environment for some of the most vulnerable members of the community.