Forms

PCFAPA Forms

2018 Membership Application Form – This is our 2017 Pasco FAPA Application Form to be a part of our association for 2018. Form can be completed and dues paid via check or cash. You must complete the form completely and bring with payment to a meeting OR mail both payment and form to Pasco FAPA, PO Box 4002, Holiday, FL 34692. (Membership Dues are due 1/1 of each year and are late as of 1/31)

Membership Change of Information Form – Use this form to update us to any personal info changes

Bylaws – Bylaws (updated March 2015)

Angel Tree Program Form – The PCFAPA Angel Tree Program is a program run by our organization to help foster, adoptive relative and non-relative children with Christmas wishes.  Local businesses along with citizens purchase items on the children’s wish list and those items are in turn given to the children.   This program is managed by a PCFAPA Committee.  This program is not designed to take the place of a Caregiver’s obligations around the holiday but merely supplement the child’s wishes.  **Note:  In order to participate in this program you must be a current paid member of the PCFAPA, complete five hours of Volunteer work for our group, and attend least five meetings annually by November 1st.   Application deadline is NOVEMBER 1st of each year.

Apple Tree Program Form – The PCFAPA Apple Tree Program is a program run by our organization to help foster, adoptive, relative and non-relative children with Back-to-School needs – Backpacks, Shoes, Clothes, Supplies, etc.   Local businesses along with citizens purchase requests and give those items back to the children. This program is managed by a PCFAPA Committee.   This program is not designed to take the place of a Caregiver’s obligations of preparing their child for back to school but merely supplement the child’s needs. **Note:  In order to participate in this program you must be a current paid member of the PCFAPA, complete two hours of Volunteer work for our group, and attend at least three meetings annually.  Application deadline is JULY 1st of each year.

2017 Monthly Day Care RSVP Form Use this form to RSVP for daycare for our monthly meeting.  Form and payment must be received the Wednesday prior to the meeting.

Board Member Application – Use this form to nominate a yourself as a board member.

Eckerd Related Forms

ECA Mileage Form – Use this form to be reimbursed by ECA for any travel expenses you incurred by transporting foster children to appointments (i.e.: Doctor Appointments, Therapy, Visits, etc.) This form can also be used to expense the miles driven for training hours. The reimbursement rate is .445 per mile effective 7/1/15, and the completed form should be faxed to your licensing specialist.

Incident/Accident Report Form – This form is to be completed for all children with any accidents, injuries, and illnesses that happen while in your care.

Emergency Contact Form – When a child comes in your home, you should print this form and have it next to your telephone where it can be easily accessible.   This form has important numbers on it for your foster child.

Continued Education/Training Documentation – Use these forms to document and track your continued education/training hours.

Babysitter Policy for Foster Parents Agreement

Caregiver Input Form SAO

Discipline Policies

Dog Safety Risk Assessment

Drivers License and Insurance

Emergency Evaculation Plan

Feedback Form: This is an ECA form that is to be used by any interested party in a case to be able to provide feedback. This feedback form will be filed in the case file and documented for court hearing and/or staffings. Please use this form if you can’t attend court or staffing appointments in person or via the phone.

Fire Drill Log Report

Health Certificate

Health Inspection

Household Members Over 18 Fingerprint Verification Forms

HIPPA

Medical Log – FH Log

Multi-Ethic Act Form

Pet Information

Placement Verification – Out of Home Care

Release of Information

Review of Counselors Performance

Safety Policies

Sleeping Arrangements Form

Training Log

Training Documentation – Clinician/Professional

Training Documentation – Community Training