South Carolina Department of Social Services
CHECKLIST FOR FOSTER/ADOPTIVE HOME STUDY
In addition to completing the forms provided in this packet, other documents are required. All of the following items must
be submitted or completed during the course of completing the foster/adoptive home study. Your worker will provide
assistance as needed.
SLED/Protective Service Authorizations
Fingerprint Report for each member of the household who is age 18 and above.
Discipline Agreement form
Financial Information form
Family History form
Copy of last year’s W-2, tax return or the last three month’s pay stubs
Fourteen hours of training
Disaster Preparedness Plan
Autobiography (one from each applicant)
Medical Report (one on each spouse, if married, and any adult members of your household)
Medical Report on any minor children, under age 18, living in your home other than foster children
Child Factors Checklist
Birth Certificates for each member of your household other than foster children
Marriage License/Certificate (if applicable)
Divorce Decree including Complaint for Divorce or Death Certificate for any previous marriages
Military Discharge papers (if applicable)
Copy of Social Security card
Copy of Driver’s License
Two pictures of your family and home
References (We must have at least three written responses to our requests for references in the file.) If addresses are incomplete or
inaccurate, we will request additional references or information.
We will arrange for fire and sanitation inspections (including lead report) of your home, and we will contact you to schedule.
DSS Form 30201 (OCT 03) Edition of SEP 01 is obsolete.