State Policy Submission Form - Administration for Children and - acf hhs 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your State Agency Name and Date of Review at the top of the form.
3. In the section for 'Name of Person Completing this Form', provide your full name, followed by your telephone number.
4. For each outcome/item listed, summarize the relevant State policy requirements. Ensure you include specific details such as timeframes and procedures related to safety, permanency, and well-being outcomes.
5. Indicate the location of related information in case files for each item. This helps reviewers easily find necessary documentation.
6. Once all sections are completed, review your entries for accuracy before submitting the form to your Children’s Bureau Regional Office contact.

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