Submission of Pre-approval to Begin Child Specific Planning for a Level 5 Foster Home

The purpose of this portal is to notify the DCF Exceptional panel that a placing agency is considering development of a Level 5 Treatment Foster Home for a specific child. This is the first step in the planning process for a Level 5 Treatment Foster Home and/or placement of a child in this home. The pre-approval form must be completed and subsequently approved by the DCF Exceptional Panel giving placing agencies approval to move forward with the full application and planning process to develop a Level 5 Exceptional Treatment Foster Home for placement of a specific child.

Provider Name
Submitter Name
DCF-F-5715-E (N. 02/2024)