Extended Foster Care (NMD / AB 12) — entry packet

Application packet for re-entry or initial entry into California's extended foster care (Non-Minor Dependent status), ages 18-21

Audience · Former foster youth ages 18-21 wanting to enter or re-enter extended foster careTime · ~15 min

About you

Full legal name

Date of birth

Phone

Last foster placement (county + agency or caregiver)

When did you exit foster care?

AB 12 requires meeting at least one of the five conditions below. Choose the one that best applies to you right now.

Which condition applies?

Details — school name, employer, program, or medical context

Where will you live as an NMD?

SILP = Supervised Independent Living Placement (your own apartment with stipend). THP-NMD = Transitional Housing Placement for non-minor dependents.

City / area where you'd like to live

What you want your social worker to know

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