GF-45aNew York

Family First Prevention Services Act - Affidavit in Support of Placement in a Qualified Residential Treatment Program (QRTP)

New York Family Court · Juvenile & Dependency

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Affidavit supporting a motion for Family Court approval of a child's placement in a qualified residential treatment program (QRTP) under the federal Family First Prevention Services Act and Social Services Law §393, in a foster care, PINS or delinquency case.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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