CFC Agency Listing

Monthly CFCs and Providers Questions and Answers Page

Correcting Errors in Cornerstone

Downloads/Forms

• CFC Fax Cover Sheet for Insurance Requests - Fax cover sheet for CFCs to use for insurance requests.
• Insurance Affidavit Form - Child and Family Connections Insurance Affidavit, Assignment and Release.
• Insurance Change Notification Form - Child and Family Connections Change of Insurance Notification.
• Insurance Exemption Form - Child and Family Connections Insurance Exemption Request.
• Insurance PB Waiver Form - Child and Family Connections Insurance PB Waiver Form.
• Tax Savings Account Information Sheet - Child and Family Connections Tax Savings Account Information Sheet.