Form Soc 162 - Mutual Agreement For Extended Foster Care
Download a blank fillable Form Soc 162 - Mutual Agreement For Extended Foster Care in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Soc 162 - Mutual Agreement For Extended Foster Care with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
MUTUAL AGREEMENT FOR EXTENDED FOSTER CARE
I have met with a county case worker (social worker or probation officer) to talk about voluntarily staying in foster care after
turning 18 years old. I want to continue to stay in foster care after I turn 18 years old.
I am asking the county case worker for a foster care placement (such as a foster home, relative’s home, foster family
agency home, short-term residential therapeutic program (STRTP) or group home, transitional housing program, a
supervised independent living placement or with my nonrelated legal guardian), as described in my Placement Agreement.
I understand that I am voluntarily staying in foster care as an adult. The benefits of staying in foster care include having
safe and stable housing and having help from a county case worker to meet my needs and plan for my future.
Initial
___ I agree to meet face to face with my county case worker at least once a month and update my permanency goals
and my Transitional Independent Living Plan (TILP) at least once every six (6) months.
___ I agree to do one or more of the following as described in my TILP to be eligible to stay in foster care:
1.
Finish high school or get my California High School Equivalency Certificate (GED), or
2.
Enroll in college, community college or a vocational education program, or
3.
Participate in a program or activity to help me find and keep a job (for example: computer class, job search,
job training, career counseling, volunteer work, etc.), or
4.
Have a paid job and work at least 80 hours per month, or
5.
I am unable to do any of the above due to a verified medical condition, including mental health conditions.
___ I agree to work on completing the goals in my TILP, and to:
1.
Talk to my county case worker at least once a month to report on my progress and any problems I am having
in meeting the goals in my TILP.
2.
Provide verification of my participation in one of the five eligibility conditions listed above.
3.
Tell my county case worker as soon as possible, but no later than my monthly contact with my county case
worker, about any changes in how I am meeting one of the five eligibility conditions listed above.
4.
Tell my county case worker as soon as possible, but no later than my monthly contact with my county case
worker, about any changes to my income (from work or any other source such as social security or disability
benefits, grants and scholarships).
5.
If I am in a county supervised placement such as a foster home, living with a relative, foster family agency
home, in a short-term residential therapeutic program (STRTP) or group home, in transitional housing, or in
a supervised independent living placement:
I understand that the juvenile court will be supervising my case, and I agree to take part in six-month
l
Review Hearings, either in person or by telephone, or communicate my needs with my attorney AND
I understand that if I don’t participate in my TILP that a court hearing may be set to possibly close my case.
l
I understand that I will receive written notices of action (NOAs) and that I can appeal these actions.
l
6.
If I am voluntarily living with my juvenile court appointed nonrelated legal guardian:
I understand that the county case worker will be supervising my case, and I agree to participate in updating
l
my six-month TILP; AND
I understand that if I don’t participate in one of the five eligibility activities as described in my TILP, the
l
county agency may stop payments and recommend my case be closed. I understand that I will receive
written NOAs and that I can appeal these actions.
SOC 162 (7/17) (NO SUBSTITUTES PERMITTED)
PAGE 1 OF 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Soc 152 - Placement Agency - Thp Plus Foster Care Provider Agreement - Nonminor Dependent Placed By Agency In Thp Plus Foster Care Provider
Legal
Form Soc 171 - Transitional Housing Program-plus-foster Care (thp-plus-fc) Application - Approval/denial/denial Pending Checklist
Legal
Related Categories
Parent category: Legal