Where can I get the Subsidized Guardianship checklist and forms?
Social workers work with parents to collect this information:
- Copy of birth certificate
- Copy of Social Security card
- DCF-2051-G Subsidized Guardianship Approval Checklist (PDF)
- DCF-2101 Medically Complex Certification (PDF) signed and checked as certified by the child's physician (if applicable)
- DCF-2158 Assessment of Child and Family for Guardianship (PDF)
- DCF-2159 Application for Guardianship Subsidy (PDF) (including approved Exceptional Expense Subsidy)
- DCF-418-IG Initial Agreement for a Guardianship Subsidy (PDF)
- Title IV-E Guardianship Subsidy Application
- JD-JM-31 (PDF) Copy of TPR order
- JD-JM-58 (PDF) Copy of OTC order
- JD-JM-65 (PDF) Copy of Adjudicatory/Dispositional Orders (Commitment and Extension of Commitment, etc.)
- MA-1 Medical Assistance Form (DOC)
- Emails from the Revenue Enhancement Unit about the child’s Title IV-E status and Social Security benefits status before Transfer of Guardianship