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Bureau for Social Services
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    • Community Provider Trainings
  • Policy
  • Grant Forms
  • Background Checks
  • Reports
    • FRN Data
    • Legislative Foster Care Report
    • Runaway and Missing Foster Youth Report
    • State Plan Report
    • Title XX Social Services Block Grant Plan
    • West Virginia Citizen Review Panel Report
    • Youth Services Report
    • Legislative Centralized Intake Report
  • Child Welfare Dashboard

Contact Us

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Provider Forms

Adult Family Care Provider Forms

  • Application to Provide Adult Family Care
  • Annual Fire Safety Review for Adult Family Care
  • Adult Family Care Personal Reference Letter (2 required-unrelated to applicant)
  • Adult Family Care Provider Credit Reference
  • Adult Family Care Physician's Letter

APS/CPS Background Check Request Form

  • Authorization and Release for Protective Services and Provider Record Checks for All Resource (Foster and Kinship/Relative Providers)
  • Authorization and Release for Protective Services and Provider Record Checks for Providers and Agency Personnel for Employment Purposes

Family Resource Networks (FRN) Forms

  • FRN Directors Evaluation Template

​SNS Provider Forms and Documents

  • ASO Code of Conduct
  • Foster Parent FAQ
  • SNS Monthly Report Desk Guide
  • SNS Standardized Monthly Report
  • SNS UM Guidelines Manual
  • Instructions for Invoicing Socially Necessary Services
  • SNS ASO Invoicing Template

CAPS Forms and Documents

  • WV CAPS Enrollment Application
  • CAPS UM Guidelines
  • CAPS Overview

Residential Child Care and Child Placing Licensing Forms

  • Residential Child Care and Child Placing Waiver
  • Residential Child Care and Child Placing Agency License Application
  • Licensing Application Attachments
  • Licensing Process for New Providers
  • Residential Child Care Licensing Definitions
  • AFS Monthly Report-Child Placing Agency
  • AFS Monthly Report Directions-Child Placing
  • AFS Runaway Event Survey-Child Placing
  • AFS Monthly Report-Residential
  • AFS Monthly Report Directions-Residential
  • AFS Runaway Event Survey-Residential
Department of Human Services - Bureau for Social Services

350 Capitol Street
Room 730
Charleston, WV 25301
United States

  • Report Abuse or Neglect
  • Find a Field Office

Get in Touch

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