Funding Applications/Claiming Forms

2022 Department for Youth OCFS Funding Application/Claim Forms

Rensselaer County Youth Department administers Youth Development Program Funds, received from the New York State Office of Children and Family Services. The funds are to be used in the calendar year, to provide community-level services designed to promote positive youth development for children and young adults age 0-21 years old. These services may include, but are not limited to, services that provide: physical and emotional health, academic achievement, career enrichment, citizenship/civic engagement, family and community engagement, and family support services that prevent juvenile delinquency and/or child abuse and neglect, support/assist youth in need of crisis intervention or respite services.  

Qualifying for Funds

To be eligible for Youth Bureau funding:
    Provide community-level services designed to promote positive youth development.
    The organization must be incorporated as a not-for-profit agency under the laws of the State of New York
    Have tax-exempt status in accordance with the IRS Code
    All programs must be offered free of charge to participating youth

Application Process

The application process will begin in March and must be submitted by April 8, 2022, no late applicants will be accepted. The application consists of four (4) forms that must be submitted electronically (please keep forms as a Word doc and DO NOT make it as a PDF doc) to Debbie Fleming at dfleming@rensco.com

Below you will find the required OCFS forms needed to submit an application, with instructions attached to each. Application deadline is April 8, 2022.

Application Documents

    2022 Application Cover Letter (PDF)
    5001 OCFS [Updated Nov. 2018] (DOC)
    5002 OCFS [Updated Mar. 2019] (DOC)
    5003 OCFS [Updated Nov. 2015] (DOC)
    5003 OCFS Coding Document (PDF)
    5005 OCFS Budget (DOC)
    Insurance Requirements (PDF)

Claiming Documents

    3126 OCFS (Program Expenditure Report) - Salaries (Revised Sept. 2017) (DOT)
    3128 OCFS (Program Expenditure Report) Contracted Services & Stipends (Revised Oct. 2014) (DOT) 

Pierce Hoyt
Deputy Commissioner 
Rensselaer County Dept. for Youth 
547 River Street, 2nd Floor Troy, NY 12180
Email: phoyt@rensco.com
Phone: (518) 266-7052
Fax: (518) 266-7518

Or

Applications and any questions can be directed to:

Debbie Fleming
Youth Service Worker
Rensselaer County Dept. for Youth 
547 River Street, 2nd Floor Troy, NY 12180
Email: dfleming@rensco.com
Phone: (518) 266-7501