Benchmark Foster Parents
In an effort to make forms and other resources centrally located and always available for you, Benchmark has created this page for downloadable forms and a quick way to find information you may need.
Thank you for being a part of our family!
Current Foster Parents Resources
Below are the frequently used forms for your state. If you do not see the form you are looking for, please contact your local office for assistance as they will be happy to help.
- Alternative Training List Sept 2016
- Alternative Training Verification
- Authorization for Psychotropic Medication Form 53545
- Clothing Inventory and Belongings Form
- Dental Appointment Report
- Emergency Numbers List
- Evacuation Plan
- Foster Parent Direct Deposit and Termination
- Foster Parent Travel Instructions Indiana
- Foster Parent Travel Mileage 2015
- Guidelines for Emergency Forms
- Independent Living Skills Weekly Form
- Medical Appointment Form, Sick Visits, or Follow-Ups
- Medical EPSDT Form 49964 – Initial and Annual Exams
- Medical Report for Caregivers
- Medical Report for Household Members
- Medication Log Administration Record
- Optical Appointment Report
- Proof of Initial Appointments
- Tornado Evacuation
- Voluntary Withdrawal of Application For Licensure or Relinquishment Form
- W9
- Water Agreement Indiana
- Ages 0 – 4 Weekly Behavior Card
- Ages 5 and up Weekly Behavior Card
- Annual Cultural Activity
- Application BFS FP DD Termination
- Clothing Inventory and Belongings Form
- Critical Incident Notification Sheet abb add
- Doc. of Treatment
- DPP-106C Annual Physical Exam
- DPP-106D Medical Appointment
- DPP-106E Dental Care
- DPP-106F Visual Screening
- DPP-106G Mental Health Services
- Emergency & Disaster Plan
- Evacuation Plan
- Foster Parent Direct Deposit and Termination
- Foster Parent Mileage Form
- Foster Parent Mileage Form KY Example
- Foster Parent Mileage Form KY Fillable
- Guidelines for Emergency Forms
- Medical Statement Address
- Medically Fragile Monthly Report
- Medication Administration Log
- Visitation Documentation
- W9