This section contains forms for both the adult foster care licensing / relicensing process and forms pertaining to adults currently in care. For further information or assistance, please contact Nancy Buck at 651-213-5259.
Background Study Release of Information (PDF): This is 1 part of the NET study process. It is used to obtain a background check on provider, any other person living in the household who is age 13 or older, and alternative care providers / employees.
Caregiving for Adults - Social History: These forms are for home study as part of the initial licensing. Part 1 (PDF) | Part 2 (PDF)
Chemical Usage Policy (PDF): This policy should be completed and signed by the license holder, with a copy of the original sent to the licensor, and signed copies by all employees and residents kept in the provider's file.