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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

12-20-2010

Subchapter:

1

Forms

Issuance:

5.8a

CP&P Form 5-8a, Resource Family Rate Agreement

 

Click here to view or print CP&P Form 5-8a, Resource Family Rate Agreement.

 

WHEN TO USE IT

 

The form is used to provide the Resource Family Provider with the level of care rate the Division agrees to provide under the following programs:

 

            •    Resource Family Program

 

            •    Kinship Legal Guardianship Subsidy Program

 

            •    Adoption Subsidy Program

 

HOW TO USE IT

 

Complete this form in the NJ SPIRIT application, by accessing it through either the Rate Setting Window or the Subsidy Window displaying Adoption Subsidy or Kinship Legal Guardianship Subsidy > Options drop down list.

 

Only complete this template outside of the NJ SPIRIT application as part of a contingency plan when the application is unavailable. However, in doing so, you are still required to create the form in NJ SPIRIT when the application becomes available.

The form prefills except for the Resource Family Provider's signature(s), address, and date. The Worker or Resource Family Support Worker signs and dates the form.

 

DISTRIBUTION

 

Original

Resource Family Provider

(signed paper copy)

Electronic Copy

NJ SPIRIT Electronic Case Record