Individual resident placement agreement 2026

1. Click ‘Get Form’ to open the individual resident placement agreement in the editor.
2. Begin by entering the name of the resident and their legal representative, if applicable, at the top of the form.
3. Fill in the names of the AFC License Holders and the date when the plan was developed.
4. In Part One, describe the reason for this individual's placement in an adult foster care home, including dates and anticipated length of stay.
5. Proceed to Part Two, where you will detail each type of service provided. For lodging, food, protection, household services, personal care, and other categories, provide specific descriptions as required.
6. In Part Three, clarify who is financially responsible for payments related to foster care services and outline payment methods.
7. Finally, ensure all signatures are collected from the resident, their legal representative (if applicable), license holders, and social worker before finalizing.

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