New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter C - Social Services
Article 2 - Family and Children's Services
Part 428 - STANDARDS FOR UNIFORM CASE RECORDS AND FAMILY AND CHILD ASSESSMENTS AND SERVICE PLANS
Section 428.4 - Face sheet

Universal Citation: 18 NY Comp Codes Rules and Regs § 428.4

Current through Register Vol. 46, No. 39, September 25, 2024

(a) Each uniform case record established under this Part must contain a face sheet or equivalent. Each local district and agency must utilize a form or on-line equivalent that will best meet local purposes.

(b) The face sheet must be prepared at the time of application for services and be available for easy reference. The information on the face sheet must be amended as necessary and contain the most current information available.

(1) the names of parent(s), including any absent parent as that term is defined in section 347.2(a) of this Title, or non-respondent parent of a child placed in foster care pursuant to article 10 of the Family Court, or placed by a court in the direct custody of a relative or other suitable person pursuant to article 10 of the Family Court Act, or where a parent executes a voluntary placement agreement or surrender, the non-signatory parent, if known, and their addresses, telephone numbers, social security numbers, and employer's addresses;

(2) the name, sex, date of birth and marital status of each family member and their relationships with each other; and

(3) information which would be needed in case of an emergency, such as the name, address and telephone number of a specified person to be contacted other than a family member in the same household.

(d) The common application form may be used as a face sheet. Any supplemental information may be attached to the common application form.

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